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.
Medical records were reviewed, pregnant women with syphilis were interviewed, and prenatal care providers were surveyed.
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.
Inadequate prenatal testing contributed to this outbreak of congenital syphilis.
Mots-clés Pascal : Syphilis, Tréponématose, Spirochétose, Bactériose, Infection, Maladie congénitale, Nouveau né pathologie, Dépistage, Prénatal, Diagnostic, Programme sanitaire, Epidémiologie, Prévalence, Facteur risque, Evaluation, Nouveau né, Homme, Femelle, Texas, Etats Unis, Amérique du Nord, Amérique, Maladie sexuellement transmissible, Foie pathologie, Gestation pathologie
Mots-clés Pascal anglais : Syphilis, Treponematosis, Spirachaetosis, Bacteriosis, Infection, Congenital disease, Newborn diseases, Medical screening, Prenatal, Diagnosis, Sanitary program, Epidemiology, Prevalence, Risk factor, Evaluation, Newborn, Human, Female, Texas, United States, North America, America, Sexually transmitted disease, Hepatic disease, Pregnancy disorders
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0228910
Code Inist : 002B05B02H. Création : 16/11/1999.