Cohen D, Scribner R, Clark J, Cory D
Los Angeles County Department of Health Services, CA.
Am J Public Health. 1992 Apr;82(4):552-6. doi: 10.2105/ajph.82.4.552.
The National Commission on Correctional Health Care recommends that medical screening, including tests for syphilis and other sexually transmitted diseases, be performed by the 14th day after initial booking procedures. Because the average length of stay in detention is usually less than 14 days, most detainees are not screened or treated for asymptomatic communicable diseases.
In order to determine the incidence and prevalence of syphilis among those booked through a large county jail, a rapid screening procedure to test newly incarcerated inmates and treat those infected was implemented over a 3-week period.
Among 6309 detainees eligible for testing during the 3-week period of the study, 129 (2%) were diagnosed with syphilis. During the preceding month when only those reporting symptoms or high-risk behaviors were screened, 20 cases were diagnosed. The sensitivity and predictive value of self-reported risk factors for syphilis infection were low. Among the first 110 diagnosed cases, 17 (15.5%) were released within 3 days and 86 (78%) were released within 6 days.
If screening and treatment for syphilis are delayed until the 14th day after booking, the majority of infected inmates will be released prior to evaluation and treatment. Rapid screening and treatment for selected sexually transmitted diseases are likely to be an effective public health measure when implemented in custody settings.
惩教医疗保健全国委员会建议，包括梅毒及其他性传播疾病检测在内的医学筛查应在初次登记程序后的第14天内进行。由于被拘留者的平均拘留时间通常少于14天，大多数被拘留者未接受无症状传染病的筛查或治疗。
为了确定通过一个大型县监狱登记的人员中梅毒的发病率和患病率，在3周时间内实施了一项快速筛查程序，对新入狱的囚犯进行检测并治疗感染者。
在研究的3周期间，6309名符合检测条件的被拘留者中，129人（2%）被诊断为梅毒。在前一个月，仅对报告有症状或高风险行为的人员进行筛查时，诊断出20例。自我报告的梅毒感染风险因素的敏感性和预测价值较低。在最初诊断的110例病例中，17人（15.5%）在3天内获释，86人（78%）在6天内获释。
如果梅毒筛查和治疗推迟到登记后的第14天进行，大多数感染囚犯将在评估和治疗之前获释。在拘留场所实施针对性传播疾病的快速筛查和治疗可能是一项有效的公共卫生措施。
