Missed opportunities for prevention of congenital syphilis.

IF 0.6 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI:10.24875/GMM.M24000869

Eduardo A Hernández-Muñoz, Jessica Gil-Lozada, Jorge B Díaz-Ramírez, Eugenio V Zavala-Sánchez, Elia Lara-Lona

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引用次数: 0

Abstract

Background: The WHO presented the initiative: "Global elimination of congenital syphilis (CS): rationale and strategies for action". It establishes that CS is a preventable disease that can be eliminated.

Objective: To estimate the proportion of missed opportunities for prevention (MOP) of (CS).

Material and methods: Cross-sectional study. We studied women with children with confirmed diagnosis of CS (NOM-039-SSA2-2002) in the Mexican Social Security Institute in Jalisco from 01/01/2016 to 08/01/2022. The clinical records of the mother, the newborn and the epidemiological study (ES) were reviewed. Each case was classified into one of the MOP categories.

Results: 52 cases were reported: 46.2 % (n = 24) were ruled out, 34.6 % (n = 18) confirmed, 15.4 % (n = 8) unknown and 3.8 % (n = 2) probable cases. The HIV test was performed in 61.1 % (n = 11) and syphilis in 72.2 % (n = 13) of the mothers. The MOP in 27.8 % (n = 5) was inadequate treatment or omission of maternal treatment despite a timely diagnosis of syphilis. Treatment was inadequate in 63.6 % (n = 7) of the women who received it.

Conclusion: The classification of MOP identifies gaps in CS prevention and can guide stakeholders, policy makers and public health prevention programs to reduce the incidence of CS.

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错失预防先天性梅毒的良机。

背景：世卫组织提出了 "全球消除先天性梅毒（CS）：理由和行动战略 "倡议。该倡议认为先天性梅毒是一种可预防、可消除的疾病：材料与方法：横断面研究：横断面研究。我们对哈利斯科州墨西哥社会保障局在 2016 年 1 月 1 日至 2022 年 1 月 8 日期间确诊为 CS（NOM-039-SSA2-2002）的有子女妇女进行了研究。对母亲、新生儿和流行病学研究（ES）的临床记录进行了审查。每个病例都被归入澳门葡京娱乐网址类别之一：结果：共报告了 52 个病例：结果：共报告了 52 例病例：46.2%（24 例）排除，34.6%（18 例）确诊，15.4%（8 例）未知，3.8%（2 例）可能。61.1%（11 人）的母亲进行了艾滋病毒检测，72.2%（13 人）的母亲进行了梅毒检测。27.8%（n=5）的澳门巴黎人娱乐官网是治疗不当，或尽管及时诊断出梅毒，但产妇仍未接受治疗。在接受治疗的产妇中，63.6%（n = 7）的产妇治疗不当：梅毒澳门巴黎人娱乐官网的分类确定了CS预防中的差距，可指导利益相关者、政策制定者和公共卫生预防计划降低CS的发病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gaceta medica de Mexico 医学-医学：内科

CiteScore

1.00

自引率

0.00%

发文量

216

审稿时长

6-12 weeks

期刊介绍： Gaceta Médica de México México is the official scientific journal of the Academia Nacional de Medicina de México, A.C. Its goal is to contribute to health professionals by publishing the most relevant progress both in research and clinical practice. Gaceta Médica de México is a bimonthly peer reviewed journal, published both in paper and online in open access, both in Spanish and English. It has a brilliant editorial board formed by national and international experts.