This study examined the decentralization of syphilis screening for improved care in Jamaican public clinics.
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.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0414816
Code Inist : 002B30A01C. Création : 19/12/1997.