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  1. Fulltext. The decentralization of syphilis screening for improved care in Jamaican public clinics.

    Article - En anglais

    Fulltext.

    Objectives

    This study examined the decentralization of syphilis screening for improved care in Jamaican public clinics.

    Methods

    One of every five serum samples tested at the six peripheral sites was frozen and retested at the central laboratory in Kingston.

    Patient files and laboratory logbooks were compared over a 3-month period.

    Results

    Between May 1993 and December 1994,15.5% of 32 913 patients with sexually transmitted diseases and 8.3% of 8914 women seeking prenatal care were found syphilis seroreactive.

    Of 2001 samples evaluated, 1933 (96.6%) had been correctly reported at the peripheral sites.

    Of 129 syphilis seroreactors detected at the peripheral sites, 88 (68%) were treated the same day and 21 (16%) more within 3 days after testing.

    Conclusions

    Syphilis seroreactors were accurately detected and quickly treated at the peripheral sites.

    If these efforts can be sustained, Jamaican syphilis rates should decrease.

    Mots-clés Pascal : Syphilis, Tréponématose, Spirochétose, Bactériose, Infection, Dépistage, Décentralisation, Service santé, Organisation santé, Traitement, Système santé, Jamaïque, Antilles, Amérique Centrale, Amérique, Homme, Maladie sexuellement transmissible

    Mots-clés Pascal anglais : Syphilis, Treponematosis, Spirachaetosis, Bacteriosis, Infection, Medical screening, Decentralization, Health service, Public health organization, Treatment, Health system, Jamaica, West Indies, Central America, America, Human, Sexually transmitted disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0414816

    Code Inist : 002B30A01C. Création : 19/12/1997.