University of Illinois College of Medicine, Peoria, IL, USA.
Sex Reprod Healthc. 2011 Aug;2(3):125-8. doi: 10.1016/j.srhc.2011.05.002. Epub 2011 Jun 13.
Due to high rates of congenital syphilis, a Maricopa County board order was issued in 2003 to increase prenatal syphilis screening. The provisions of this order included prenatal syphilis screening during the first prenatal visit, to be repeated during the third trimester, and again at delivery. The purpose of the study was to evaluate syphilis screening practices and barriers to screening among obstetric providers.
Maricopa County medical providers who delivered at least 21 infants (97.2% of all deliveries) in 2008 according to live birth records were surveyed by telephone.
A total of 146 surveys were completed representing 76% (319/421) of the delivering providers and 83% of delivered infants for 2008. All of the represented prenatal care providers reported testing their patients for syphilis at the first trimester, and 284 (89%) reported screening again during the third trimester.
All of the surveyed providers reported screening at least once for syphilis during pregnancy and most reported re-screening during the third trimester as recommended by the Maricopa County board order. Similar public health screening guidance should be considered in areas where congenital syphilis rates are high and/or where syphilis is prevalent among women of childbearing age. A local health order of this type is a simple intervention that can provide practice guidance on emerging health issues.
由于先天性梅毒的高发率，马里科帕县委员会于 2003 年发布命令，要求增加产前梅毒筛查。该命令的规定包括在第一次产前检查时进行产前梅毒筛查，在第三个孕期再次筛查，并在分娩时再次筛查。本研究旨在评估产科医生的梅毒筛查实践和筛查障碍。
根据活产记录，对 2008 年在马里科帕县分娩至少 21 名婴儿（占所有分娩的 97.2%）的医疗提供者进行了电话调查。
共完成了 146 份调查，代表了 2008 年分娩提供者的 76%（319/421）和 83%的分娩婴儿。所有接受调查的产前护理提供者都报告在第一个孕期对其患者进行了梅毒检测，并且 284 名（89%）报告在第三个孕期再次筛查。
所有接受调查的提供者都报告在怀孕期间至少进行了一次梅毒筛查，并且大多数报告按照马里科帕县委员会命令再次在第三个孕期进行筛查。在先天性梅毒发病率高的地区和/或育龄妇女梅毒流行的地区，应考虑类似的公共卫生筛查指导。这种类型的地方卫生命令是一种简单的干预措施，可以为新出现的卫生问题提供实践指导。
