Epidemic Profile of Maternal Syphilis in China in 2013
Objective. The aim of this study was to investigate the epidemiological characteristics and adverse pregnancy outcomes of pregnant women with syphilis infection in China. Methods. Data were from China’s Information System of Prevention of Mother-to-Child Transmission of Syphilis Management. Women wh...
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| creator | Wang, Ailing Song, Li Jin, Xi Su, Min Qiao, Yaping Wang, Qian Wang, Fang Wang, Xiaoyan Dou, Lixia Qiu, Jie |
| description | Objective. The aim of this study was to investigate the epidemiological characteristics and adverse pregnancy outcomes of pregnant women with syphilis infection in China. Methods. Data were from China’s Information System of Prevention of Mother-to-Child Transmission of Syphilis Management. Women who were registered in the system and delivered in 2013 were included in the analysis. Results. A total of 15884 pregnant women with syphilis infection delivered in China in 2013. 79.1% of infected women attended antenatal care at or before 37 gestational weeks; however, 55.4% received no treatment or initiated the treatment after 37 gestational weeks. 14.0% of women suffered serious adverse pregnancy outcomes including stillbirth/neonatal death, preterm delivery/low birth weight, or congenital syphilis in newborns. High maternal titer (≥1 : 64) and late treatment (>37 gestational weeks)/nontreatment were significantly associated with increased risk of congenital syphilis and the adjusted ORs were 1.88 (95% CI 1.27 to 2.80) and 3.70 (95% CI 2.36 to 5.80), respectively. Conclusion. Syphilis affects a great number of pregnant women in China. Large proportions of women are not detected and treated at an early pregnancy stage. Burden of adverse pregnancy outcomes is high among infected women. Comprehensive interventions still need to be strengthened to improve uptake of screening and treatment for maternal syphilis. |
| doi_str_mv | 10.1155/2016/9194805 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4766319</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A520715979</galeid><sourcerecordid>A520715979</sourcerecordid><originalsourceid>FETCH-LOGICAL-c532t-865bd07920b639e9a29b5a61c9ebddb103bc0894f75c44d8f4a9e2763f64c85b3</originalsourceid><addsrcrecordid>eNqNkc9rVDEQx4NYbKm9eZYHXgS7NpMfk-QilKXWQouCeg55eUk35e3L-rJb6X9vHruurafOZQby4TvfzJeQN0A_Akh5xijgmQEjNJUvyBHjIGYIAl7uZ84PyUkpd7SWBqQGX5FDhkaD5OqI4MUqdWGZfPNtzDH1ocmxuXHrMA6ub74_rBapT6VJQzNfpMFNQ93JX5OD6PoSTnb9mPz8fPFj_mV2_fXyan5-PfOSs_VMo2w7qgyjLXITjGOmlQ7Bm9B2XQuUt55qI6KSXohOR-FMYAp5ROG1bPkx-bTVXW3aZeh8GNaj6-1qTEs3Ptjskn36MqSFvc33VihEDqYKvN8JjPnXJpS1XabiQ9-7IeRNsaCUAGmQwXNQrhlW0xV99x96lzfTxSYK0RiNXP2jbl0fbBpirhb9JGrPJaOq7lWTw9Mt5cdcyhji_ndA7RSynUK2u5Ar_vbxRfbw30gr8GEL1Lw69zs9Uy5UJkT3iDaGScb_AJJftBU</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1766998637</pqid></control><display><type>article</type><title>Epidemic Profile of Maternal Syphilis in China in 2013</title><source>MEDLINE</source><source>PubMed Central Open Access</source><source>Wiley Online Library Open Access</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Wang, Ailing ; Song, Li ; Jin, Xi ; Su, Min ; Qiao, Yaping ; Wang, Qian ; Wang, Fang ; Wang, Xiaoyan ; Dou, Lixia ; Qiu, Jie</creator><contributor>Mwinga, Kasonde</contributor><creatorcontrib>Wang, Ailing ; Song, Li ; Jin, Xi ; Su, Min ; Qiao, Yaping ; Wang, Qian ; Wang, Fang ; Wang, Xiaoyan ; Dou, Lixia ; Qiu, Jie ; Mwinga, Kasonde</creatorcontrib><description>Objective. The aim of this study was to investigate the epidemiological characteristics and adverse pregnancy outcomes of pregnant women with syphilis infection in China. Methods. Data were from China’s Information System of Prevention of Mother-to-Child Transmission of Syphilis Management. Women who were registered in the system and delivered in 2013 were included in the analysis. Results. A total of 15884 pregnant women with syphilis infection delivered in China in 2013. 79.1% of infected women attended antenatal care at or before 37 gestational weeks; however, 55.4% received no treatment or initiated the treatment after 37 gestational weeks. 14.0% of women suffered serious adverse pregnancy outcomes including stillbirth/neonatal death, preterm delivery/low birth weight, or congenital syphilis in newborns. High maternal titer (≥1 : 64) and late treatment (>37 gestational weeks)/nontreatment were significantly associated with increased risk of congenital syphilis and the adjusted ORs were 1.88 (95% CI 1.27 to 2.80) and 3.70 (95% CI 2.36 to 5.80), respectively. Conclusion. Syphilis affects a great number of pregnant women in China. Large proportions of women are not detected and treated at an early pregnancy stage. Burden of adverse pregnancy outcomes is high among infected women. Comprehensive interventions still need to be strengthened to improve uptake of screening and treatment for maternal syphilis.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2016/9194805</identifier><identifier>PMID: 26981537</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Analysis ; Births ; Children & youth ; Childrens health ; Congenital diseases ; Databases, Factual ; Epidemiology ; Female ; Fetuses ; Genetic disorders ; Hospitals ; Humans ; Infant, Premature ; Infection ; Infections ; Information systems ; Laboratories ; Medical research ; Postpartum period ; Pregnancy ; Pregnancy Complications, Infectious - diagnosis ; Pregnancy Complications, Infectious - epidemiology ; Pregnant women ; Premature Birth - diagnosis ; Premature Birth - epidemiology ; Prenatal care ; Prevention ; Public health ; Studies ; Syphilis ; Syphilis - diagnosis ; Syphilis - epidemiology ; Treponema pallidum ; Womens health</subject><ispartof>BioMed research international, 2016-01, Vol.2016 (2016), p.1-8</ispartof><rights>Copyright © 2016 Lixia Dou et al.</rights><rights>COPYRIGHT 2016 John Wiley & Sons, Inc.</rights><rights>Copyright © 2016 Lixia Dou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2016 Lixia Dou et al. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-865bd07920b639e9a29b5a61c9ebddb103bc0894f75c44d8f4a9e2763f64c85b3</citedby><cites>FETCH-LOGICAL-c532t-865bd07920b639e9a29b5a61c9ebddb103bc0894f75c44d8f4a9e2763f64c85b3</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/PMC4766319/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4766319/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26981537$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Mwinga, Kasonde</contributor><creatorcontrib>Wang, Ailing</creatorcontrib><creatorcontrib>Song, Li</creatorcontrib><creatorcontrib>Jin, Xi</creatorcontrib><creatorcontrib>Su, Min</creatorcontrib><creatorcontrib>Qiao, Yaping</creatorcontrib><creatorcontrib>Wang, Qian</creatorcontrib><creatorcontrib>Wang, Fang</creatorcontrib><creatorcontrib>Wang, Xiaoyan</creatorcontrib><creatorcontrib>Dou, Lixia</creatorcontrib><creatorcontrib>Qiu, Jie</creatorcontrib><title>Epidemic Profile of Maternal Syphilis in China in 2013</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Objective. The aim of this study was to investigate the epidemiological characteristics and adverse pregnancy outcomes of pregnant women with syphilis infection in China. Methods. Data were from China’s Information System of Prevention of Mother-to-Child Transmission of Syphilis Management. Women who were registered in the system and delivered in 2013 were included in the analysis. Results. A total of 15884 pregnant women with syphilis infection delivered in China in 2013. 79.1% of infected women attended antenatal care at or before 37 gestational weeks; however, 55.4% received no treatment or initiated the treatment after 37 gestational weeks. 14.0% of women suffered serious adverse pregnancy outcomes including stillbirth/neonatal death, preterm delivery/low birth weight, or congenital syphilis in newborns. High maternal titer (≥1 : 64) and late treatment (>37 gestational weeks)/nontreatment were significantly associated with increased risk of congenital syphilis and the adjusted ORs were 1.88 (95% CI 1.27 to 2.80) and 3.70 (95% CI 2.36 to 5.80), respectively. Conclusion. Syphilis affects a great number of pregnant women in China. Large proportions of women are not detected and treated at an early pregnancy stage. Burden of adverse pregnancy outcomes is high among infected women. Comprehensive interventions still need to be strengthened to improve uptake of screening and treatment for maternal syphilis.</description><subject>Analysis</subject><subject>Births</subject><subject>Children & youth</subject><subject>Childrens health</subject><subject>Congenital diseases</subject><subject>Databases, Factual</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Fetuses</subject><subject>Genetic disorders</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant, Premature</subject><subject>Infection</subject><subject>Infections</subject><subject>Information systems</subject><subject>Laboratories</subject><subject>Medical research</subject><subject>Postpartum period</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - diagnosis</subject><subject>Pregnancy Complications, Infectious - epidemiology</subject><subject>Pregnant women</subject><subject>Premature Birth - diagnosis</subject><subject>Premature Birth - epidemiology</subject><subject>Prenatal care</subject><subject>Prevention</subject><subject>Public health</subject><subject>Studies</subject><subject>Syphilis</subject><subject>Syphilis - diagnosis</subject><subject>Syphilis - epidemiology</subject><subject>Treponema pallidum</subject><subject>Womens health</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkc9rVDEQx4NYbKm9eZYHXgS7NpMfk-QilKXWQouCeg55eUk35e3L-rJb6X9vHruurafOZQby4TvfzJeQN0A_Akh5xijgmQEjNJUvyBHjIGYIAl7uZ84PyUkpd7SWBqQGX5FDhkaD5OqI4MUqdWGZfPNtzDH1ocmxuXHrMA6ub74_rBapT6VJQzNfpMFNQ93JX5OD6PoSTnb9mPz8fPFj_mV2_fXyan5-PfOSs_VMo2w7qgyjLXITjGOmlQ7Bm9B2XQuUt55qI6KSXohOR-FMYAp5ROG1bPkx-bTVXW3aZeh8GNaj6-1qTEs3Ptjskn36MqSFvc33VihEDqYKvN8JjPnXJpS1XabiQ9-7IeRNsaCUAGmQwXNQrhlW0xV99x96lzfTxSYK0RiNXP2jbl0fbBpirhb9JGrPJaOq7lWTw9Mt5cdcyhji_ndA7RSynUK2u5Ar_vbxRfbw30gr8GEL1Lw69zs9Uy5UJkT3iDaGScb_AJJftBU</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Wang, Ailing</creator><creator>Song, Li</creator><creator>Jin, Xi</creator><creator>Su, Min</creator><creator>Qiao, Yaping</creator><creator>Wang, Qian</creator><creator>Wang, Fang</creator><creator>Wang, Xiaoyan</creator><creator>Dou, Lixia</creator><creator>Qiu, Jie</creator><general>Hindawi Publishing Corporation</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160101</creationdate><title>Epidemic Profile of Maternal Syphilis in China in 2013</title><author>Wang, Ailing ; Song, Li ; Jin, Xi ; Su, Min ; Qiao, Yaping ; Wang, Qian ; Wang, Fang ; Wang, Xiaoyan ; Dou, Lixia ; Qiu, Jie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c532t-865bd07920b639e9a29b5a61c9ebddb103bc0894f75c44d8f4a9e2763f64c85b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Analysis</topic><topic>Births</topic><topic>Children & youth</topic><topic>Childrens health</topic><topic>Congenital diseases</topic><topic>Databases, Factual</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Fetuses</topic><topic>Genetic disorders</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant, Premature</topic><topic>Infection</topic><topic>Infections</topic><topic>Information systems</topic><topic>Laboratories</topic><topic>Medical research</topic><topic>Postpartum period</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Infectious - diagnosis</topic><topic>Pregnancy Complications, Infectious - epidemiology</topic><topic>Pregnant women</topic><topic>Premature Birth - diagnosis</topic><topic>Premature Birth - epidemiology</topic><topic>Prenatal care</topic><topic>Prevention</topic><topic>Public health</topic><topic>Studies</topic><topic>Syphilis</topic><topic>Syphilis - diagnosis</topic><topic>Syphilis - epidemiology</topic><topic>Treponema pallidum</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Ailing</creatorcontrib><creatorcontrib>Song, Li</creatorcontrib><creatorcontrib>Jin, Xi</creatorcontrib><creatorcontrib>Su, Min</creatorcontrib><creatorcontrib>Qiao, Yaping</creatorcontrib><creatorcontrib>Wang, Qian</creatorcontrib><creatorcontrib>Wang, Fang</creatorcontrib><creatorcontrib>Wang, Xiaoyan</creatorcontrib><creatorcontrib>Dou, Lixia</creatorcontrib><creatorcontrib>Qiu, Jie</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Ailing</au><au>Song, Li</au><au>Jin, Xi</au><au>Su, Min</au><au>Qiao, Yaping</au><au>Wang, Qian</au><au>Wang, Fang</au><au>Wang, Xiaoyan</au><au>Dou, Lixia</au><au>Qiu, Jie</au><au>Mwinga, Kasonde</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemic Profile of Maternal Syphilis in China in 2013</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>2016</volume><issue>2016</issue><spage>1</spage><epage>8</epage><pages>1-8</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Objective. The aim of this study was to investigate the epidemiological characteristics and adverse pregnancy outcomes of pregnant women with syphilis infection in China. Methods. Data were from China’s Information System of Prevention of Mother-to-Child Transmission of Syphilis Management. Women who were registered in the system and delivered in 2013 were included in the analysis. Results. A total of 15884 pregnant women with syphilis infection delivered in China in 2013. 79.1% of infected women attended antenatal care at or before 37 gestational weeks; however, 55.4% received no treatment or initiated the treatment after 37 gestational weeks. 14.0% of women suffered serious adverse pregnancy outcomes including stillbirth/neonatal death, preterm delivery/low birth weight, or congenital syphilis in newborns. High maternal titer (≥1 : 64) and late treatment (>37 gestational weeks)/nontreatment were significantly associated with increased risk of congenital syphilis and the adjusted ORs were 1.88 (95% CI 1.27 to 2.80) and 3.70 (95% CI 2.36 to 5.80), respectively. Conclusion. Syphilis affects a great number of pregnant women in China. Large proportions of women are not detected and treated at an early pregnancy stage. Burden of adverse pregnancy outcomes is high among infected women. Comprehensive interventions still need to be strengthened to improve uptake of screening and treatment for maternal syphilis.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>26981537</pmid><doi>10.1155/2016/9194805</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Analysis Births Children & youth Childrens health Congenital diseases Databases, Factual Epidemiology Female Fetuses Genetic disorders Hospitals Humans Infant, Premature Infection Infections Information systems Laboratories Medical research Postpartum period Pregnancy Pregnancy Complications, Infectious - diagnosis Pregnancy Complications, Infectious - epidemiology Pregnant women Premature Birth - diagnosis Premature Birth - epidemiology Prenatal care Prevention Public health Studies Syphilis Syphilis - diagnosis Syphilis - epidemiology Treponema pallidum Womens health |
| title | Epidemic Profile of Maternal Syphilis in China in 2013 |
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