An epidemic of congenital syphilis in Jefferson County, Texas, 1994-1995: inadequate prenatal syphilis testing after an outbreak in adults.
| Autor: | Southwick KL; Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, Ga., USA., Guidry HM, Weldon MM, Mert KJ, Berman SM, Levine WC |
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| Jazyk: | angličtina |
| Zdroj: | American journal of public health [Am J Public Health] 1999 Apr; Vol. 89 (4), pp. 557-60. |
| DOI: | 10.2105/ajph.89.4.557 |
| Abstrakt: | Objectives: After a syphilis epidemic in Jefferson County, Texas, in 1993 and 1994, congenital syphilis prevalence and risk factors were determined and local prenatal syphilis screening practices were assessed. Methods: Medical records were reviewed, pregnant women with syphilis were interviewed, and prenatal care providers were surveyed. Results: Of 91 women, 59 (65%) had infants with congenital syphilis. Among African Americans, the prevalence per 1000 live births was 24.1 in 1994 and 17.9 in 1995. Of the 50 women with at least 2 prenatal care visits who had infants with congenital syphilis, 15 (30%) had received inadequate testing. Only 16% of 31 providers obtained an early third-trimester syphilis test on all patients. Conclusions: Inadequate prenatal testing contributed to this outbreak of congenital syphilis. |
| Databáze: | MEDLINE |
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