梅毒的死灰复燃:一个重要的公共卫生问题

IF 2.5 4区 医学 Q2 HEALTH POLICY & SERVICES
Mandy W. Glikas DNP, APRN, FNP-C, Mercedes Day DNP, APRN, FNP-C, Molly Toon DNP, MSN, APRN, CPNP-PC
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引用次数: 0

摘要

梅毒,一种由梅毒螺旋体引起的性传播感染,近年来已经成为一种令人担忧的死灰复燃,特别是在美国。令人严重关切的是,先天性梅毒病例急剧增加,对孕产妇和新生儿健康构成严重威胁。本文综述了梅毒的流行病学、危险因素、临床表现、筛查方法和治疗策略,并重点介绍了梅毒的先天性传播。根据目前的文献和指南,本文强调了早期发现和干预的重要性,以防止与先天性梅毒相关的不良后果。此外,文章强调了梅毒诊断的挑战,包括血清学测试的解释和神经梅毒的管理。详细讨论了包括筛查方案和治疗方案在内的实践建议。结论强调迫切需要卫生保健提供者、公共卫生机构和社区利益相关者之间的合作努力,以有效地解决梅毒流行问题。通过坚持循证指南并利用现有资源,临床医生可以在减少梅毒负担和保障弱势群体(特别是孕妇和婴儿)健康方面发挥关键作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Resurgence of Syphilis: A Critical Public Health Concern
Syphilis, a sexually transmitted infection caused by Treponema pallidum, has become a concerning resurgence in recent years, particularly in the United States. Of significant concern is the steep rise in congenital syphilis cases, which poses grave risks to maternal and neonatal health. This article provides an overview of the epidemiology, risk factors, clinical manifestations, screening methods, and treatment strategies for syphilis, with a specific focus on congenital transmission. Drawing upon current literature and guidelines, the paper underscores the importance of early detection and intervention to prevent adverse outcomes associated with congenital syphilis. Furthermore, the article highlights the challenges in syphilis diagnosis, including the interpretation of serological tests and the management of neurosyphilis. Recommendations for practice, including screening protocols and treatment regimens, are discussed in detail. The conclusion emphasizes the urgent need for collaborative efforts among healthcare providers, public health agencies, and community stakeholders to address the syphilis epidemic effectively. By adhering to evidence-based guidelines and leveraging available resources, clinicians can play a pivotal role in reducing the burden of syphilis and safeguarding the health of vulnerable populations, particularly pregnant women and infants.
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来源期刊
CiteScore
3.40
自引率
10.70%
发文量
140
审稿时长
24 days
期刊介绍: The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.
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