孕期晚期梅毒复查的价值评估。
Assessment of the value of rescreening for syphilis in the third trimester of pregnancy.
作者信息
Edwards Rodney K, Bennett Margaret, Langstraat Carrie, Greene Daina
机构信息
Department of Obstetrics and Gynecology, College of Medicine, University of Florida, Gainesville, FL 32610-0294, USA.
出版信息
Infect Dis Obstet Gynecol. 2006;2006:56504. doi: 10.1155/IDOG/2006/56504.
OBJECTIVES
Our aim is evaluating the need for repeating tests for syphilis on pregnant women in the third trimester.
STUDY DESIGN
A single-center retrospective cohort study was performed on all women delivering 7/03-6/04.
RESULTS
During the study interval, 2244 women delivered at our hospital. Of those women having available records and attending at least one prenatal visit, 1940 (98.9%) were screened for syphilis at the first prenatal visit. Of the 1627 women beginning prenatal care prior to 27 weeks and delivering after 32 weeks, 1377 (84.6%) were rescreened in the third trimester. No cases of syphilis were identified with either the initial (upper limit of 95% CI 0.24%) or repeat (upper limit of 95% CI 0.34%) screening.
CONCLUSIONS
In our obstetric population, syphilis is so uncommon that mandated prenatal screening on more than one occasion seems unjustified and laws requiring repeated screening should be reevaluated.
目的
我们的目的是评估妊娠晚期孕妇重复进行梅毒检测的必要性。
研究设计
对2003年7月至2004年6月期间所有分娩的妇女进行了一项单中心回顾性队列研究。
结果
在研究期间，2244名妇女在我院分娩。在有可用记录且至少参加过一次产前检查的妇女中，1940名（98.9%）在首次产前检查时接受了梅毒筛查。在27周前开始产前护理并在32周后分娩的1627名妇女中，1377名（84.6%）在妊娠晚期再次接受了筛查。初次筛查（95%可信区间上限为0.24%）和重复筛查（95%可信区间上限为0.34%）均未发现梅毒病例。
结论
在我们的产科人群中，梅毒非常罕见，因此多次进行强制性产前筛查似乎没有道理，应重新评估要求重复筛查的法律。
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