Bibliographic information
GuidelineGuidelines for the management of asymptomatic sexually transmitted infections
Year of Publication2025
Issuing InstitutionWorld Health Organization
Recommendation
New
WHO suggests that pregnant women who have no symptoms of a sexually transmitted infection and are accessing health-care services for antenatal visits be screened for N. gonorrhoeae and/or C. trachomatis in settings where prevalence is high and resources and capacity are available. Recommendations for the management of symptomatic sexually transmitted infections should continue to be followed.
Recommended in favor
Conditional
Certainty of evidence
Low
Notes and Remarks
- This recommendation applies to population-level prevalence rather than individual risk assessments, which have been shown to lack accuracy. This recommendation also applies to screening with either a quality-assured molecular assay, such as nucleic-acid amplification testing or a rapid test with a minimum sensitivity of 80% and specificity of 90%, where treatment is available.
- Screening should be voluntary with informed consent. Treat forN. gonorrhoeae and/or C. trachomatis based on the results of the quality-assured test using the national treatment guidelines. Sexual partners of people testing positive should also be tested and