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[扎伊尔金沙萨先天性梅毒的血清流行病学]

[Sero-epidemiology of congenital syphilis in Kinshasa, Zaire].

作者信息

Omanga U, Fendler F, Bamba M, Sulu M, Mikanga B

出版信息

Ann Soc Belg Med Trop. 1989 Dec;69(4):313-8.

PMID:2629645
Abstract

Between March 1 and May 31, 1988, 314 mother-baby couples have been tested for syphilis at confinement in two large hospitals of Kinshasa (Hôpital Mama Yemo and Clinique de Ngaliema). The study used in first instance the Veneral Disease Research Laboratory (VDRL) test. When positive, the results were verified quantitatively with the Treponema Pallidum Hemagglutination (TPHA) reaction. The prevalence levels obtained were low: 0.9% in the newborns and 1.6% in the mothers. In spite of the relative rarity of the disease, clinical examination of all newborns should remain a permanent concern for the clinician, especially for the pediatrician, in order to make sure that the diagnosis be made as soon as possible and treatment started without undue delay. The authors insist on the necessity to adopt, in Kinshasa, measures for veneral disease control aiming at reducing the prevalence of congenital syphilis.

摘要

1988年3月1日至5月31日期间,在金沙萨的两家大型医院(马马耶莫医院和恩加利埃马诊所),对314对母婴进行了分娩时梅毒检测。该研究首先采用性病研究实验室(VDRL)检测。结果呈阳性时,再用梅毒螺旋体血凝试验(TPHA)进行定量验证。所获得的患病率较低:新生儿为0.9%,母亲为1.6%。尽管该病相对罕见,但临床医生,尤其是儿科医生,仍应始终关注对所有新生儿的临床检查,以确保尽快做出诊断并及时开始治疗。作者强调,在金沙萨有必要采取性病控制措施,以降低先天性梅毒的患病率。

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