在梅毒发病率高的社区，接受产前护理的女性中梅毒筛查不足。
Inadequate syphilis screening among women with prenatal care in a community with a high syphilis incidence.
作者信息
Trepka Mary Jo, Bloom Sharon A, Zhang Guoyan, Kim Sunny, Nobles Robert E
机构信息
Office of Epidemiology and Disease Control, Miami-Dade County Health Department, Miami, FL 33199, USA.
出版信息
Sex Transm Dis. 2006 Nov;33(11):670-4. doi: 10.1097/01.olq.0000216032.52731.ea.
OBJECTIVES AND GOAL
This study was designed to evaluate the extent to which pregnant women in a community with a high syphilis incidence were screened for syphilis according to standard recommendations of twice during prenatal care and at labor and delivery.
STUDY DESIGN
Labor and delivery records from 4 hospitals in Miami-Dade County, Florida, were abstracted to obtain maternal and prenatal care characteristics and syphilis screening practices.
RESULTS
Of the 1991 women, records indicated that 1655 (83%) were screened at least once during prenatal care, 220 (11%) were screened twice during prenatal care before delivery, and 184 (9%) were screened twice during prenatal care and at delivery. Attending a private clinic, having more than adequate prenatal care and having private insurance were associated with not being screened at least twice before delivery.
CONCLUSIONS
Few women were screened according to standard recommendations, and provider or institutional-related factors affected adequacy of screening.
目的与目标
本研究旨在评估在梅毒发病率高的社区中，孕妇根据产前检查两次以及分娩时进行梅毒筛查的标准建议接受筛查的程度。
研究设计
提取了佛罗里达州迈阿密 - 戴德县4家医院的分娩记录，以获取产妇和产前护理特征以及梅毒筛查情况。
结果
在1991名女性中，记录显示1655名（83%）在产前检查期间至少接受过一次筛查，220名（11%）在分娩前的产前检查期间接受过两次筛查，184名（9%）在产前检查期间和分娩时均接受过两次筛查。在私立诊所就诊、接受的产前护理过多以及拥有私人保险与分娩前未至少接受两次筛查有关。
结论
很少有女性按照标准建议接受筛查，提供者或机构相关因素影响了筛查的充分性。
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