An epidemic of congenital syphilis in Jefferson County, Texas, 1994-1995: inadequate prenatal syphilis testing after an outbreak in adults
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 provi...
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| Veröffentlicht in: | American journal of public health (1971) 1999-04, Vol.89 (4), p.557-560 |
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| creator | Southwick, K L Guidry, H M Weldon, M M Mert, K J Berman, S M Levine, W C |
| description | 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. |
| doi_str_mv | 10.2105/AJPH.89.4.557 |
| format | Article |
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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.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.89.4.557</identifier><identifier>PMID: 10191801</identifier><identifier>CODEN: AJPEAG</identifier><language>eng</language><publisher>Washington, DC: Am Public Health Assoc</publisher><subject>Adolescent ; Adult ; African Americans ; Analysis of Variance ; Babies ; Bacterial diseases ; Bacterial diseases of the genital system ; Biological and medical sciences ; Births ; Cocaine ; Congenital diseases ; Disease Outbreaks - statistics & numerical data ; Epidemics ; Female ; HIV ; Human bacterial diseases ; Human immunodeficiency virus ; Humans ; Infectious diseases ; Interviews ; Logistic Models ; Male ; Mass Screening - methods ; Medical records ; Medical sciences ; Population Surveillance ; Pregnancy ; Prenatal care ; Prenatal Care - methods ; Prenatal development ; Prevalence ; Public health ; Quality of Health Care ; Risk Factors ; Serology ; Sexually transmitted diseases ; STD ; Surveys and Questionnaires ; Syphilis ; Syphilis, Congenital - epidemiology ; Syphilis, Congenital - etiology ; Syphilis, Congenital - prevention & control ; Texas - epidemiology ; Treponema pallidum ; Urine ; USA, Texas ; Womens health</subject><ispartof>American journal of public health (1971), 1999-04, Vol.89 (4), p.557-560</ispartof><rights>1999 INIST-CNRS</rights><rights>Copyright American Public Health Association Apr 1999</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-c8ccf32657259707006efc025ff5d82ebb4e4c4b0333c7c5ac5c2497173784123</citedby><cites>FETCH-LOGICAL-c470t-c8ccf32657259707006efc025ff5d82ebb4e4c4b0333c7c5ac5c2497173784123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1508896/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1508896/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27857,27915,27916,53782,53784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1745590$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10191801$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Southwick, K L</creatorcontrib><creatorcontrib>Guidry, H M</creatorcontrib><creatorcontrib>Weldon, M M</creatorcontrib><creatorcontrib>Mert, K J</creatorcontrib><creatorcontrib>Berman, S M</creatorcontrib><creatorcontrib>Levine, W C</creatorcontrib><title>An epidemic of congenital syphilis in Jefferson County, Texas, 1994-1995: inadequate prenatal syphilis testing after an outbreak in adults</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>African Americans</subject><subject>Analysis of Variance</subject><subject>Babies</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the genital system</subject><subject>Biological and medical sciences</subject><subject>Births</subject><subject>Cocaine</subject><subject>Congenital diseases</subject><subject>Disease Outbreaks - statistics & numerical data</subject><subject>Epidemics</subject><subject>Female</subject><subject>HIV</subject><subject>Human bacterial diseases</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Interviews</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Mass Screening - methods</subject><subject>Medical records</subject><subject>Medical sciences</subject><subject>Population Surveillance</subject><subject>Pregnancy</subject><subject>Prenatal care</subject><subject>Prenatal Care - methods</subject><subject>Prenatal development</subject><subject>Prevalence</subject><subject>Public health</subject><subject>Quality of Health Care</subject><subject>Risk Factors</subject><subject>Serology</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Surveys and Questionnaires</subject><subject>Syphilis</subject><subject>Syphilis, Congenital - epidemiology</subject><subject>Syphilis, Congenital - etiology</subject><subject>Syphilis, Congenital - prevention & control</subject><subject>Texas - epidemiology</subject><subject>Treponema pallidum</subject><subject>Urine</subject><subject>USA, Texas</subject><subject>Womens 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epidemic of congenital syphilis in Jefferson County, Texas, 1994-1995: inadequate prenatal syphilis testing after an outbreak in adults</title><author>Southwick, K L ; Guidry, H M ; Weldon, M M ; Mert, K J ; Berman, S M ; Levine, W C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-c8ccf32657259707006efc025ff5d82ebb4e4c4b0333c7c5ac5c2497173784123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>African Americans</topic><topic>Analysis of Variance</topic><topic>Babies</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the genital system</topic><topic>Biological and medical sciences</topic><topic>Births</topic><topic>Cocaine</topic><topic>Congenital diseases</topic><topic>Disease Outbreaks - statistics & numerical data</topic><topic>Epidemics</topic><topic>Female</topic><topic>HIV</topic><topic>Human 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Texas</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Southwick, K L</creatorcontrib><creatorcontrib>Guidry, H M</creatorcontrib><creatorcontrib>Weldon, M M</creatorcontrib><creatorcontrib>Mert, K J</creatorcontrib><creatorcontrib>Berman, S M</creatorcontrib><creatorcontrib>Levine, W C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>Global News & ABI/Inform Professional</collection><collection>Trade PRO</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>PAIS Index</collection><collection>ABI/INFORM 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J Public Health</addtitle><date>1999-04-01</date><risdate>1999</risdate><volume>89</volume><issue>4</issue><spage>557</spage><epage>560</epage><pages>557-560</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><coden>AJPEAG</coden><abstract>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.</abstract><cop>Washington, DC</cop><pub>Am Public Health Assoc</pub><pmid>10191801</pmid><doi>10.2105/AJPH.89.4.557</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; PAIS Index; Business Source Complete; Education Source; PubMed Central; Alma/SFX Local Collection |
| subjects | Adolescent Adult African Americans Analysis of Variance Babies Bacterial diseases Bacterial diseases of the genital system Biological and medical sciences Births Cocaine Congenital diseases Disease Outbreaks - statistics & numerical data Epidemics Female HIV Human bacterial diseases Human immunodeficiency virus Humans Infectious diseases Interviews Logistic Models Male Mass Screening - methods Medical records Medical sciences Population Surveillance Pregnancy Prenatal care Prenatal Care - methods Prenatal development Prevalence Public health Quality of Health Care Risk Factors Serology Sexually transmitted diseases STD Surveys and Questionnaires Syphilis Syphilis, Congenital - epidemiology Syphilis, Congenital - etiology Syphilis, Congenital - prevention & control Texas - epidemiology Treponema pallidum Urine USA, Texas Womens health |
| title | An epidemic of congenital syphilis in Jefferson County, Texas, 1994-1995: inadequate prenatal syphilis testing after an outbreak in adults |
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