Is it evidence-based practice? Prophylactic antibiotics for termination ofpregnancy to minimize post-abortion pelvic infection?

Sexually transmitted infections (STIs) causing upper genital tract problems after termination of pregnancy (TOP) is well recognized. We undertook this study to assess the local prevalence of Chlamydia trachomatis infection an d to estimate the potential benefits of introducing screening. The prevalen ce rate of C. trachomatis was 6%. Nine sexual contacts of the index cases w ere identified. They were symptom free, but all had non-specific urethritis (NSU). Four of them were positive for C. trachomatis. We conclude that scr eening for chlamydial infection is essential and routine prophylactic antib iotic cover may not be beneficial.