Emerg Infect Dis. 2024 May;30(5):890-899. doi: 10.3201/eid3005.231273.
High incidences of congenital syphilis have been reported in areas along the Pacific coast of Colombia. In this retrospective study, conducted during 2018-2022 at a public hospital in Buenaventura, Colombia, we analyzed data from 3,378 pregnant women. The opportunity to prevent congenital syphilis was missed in 53.1% of mothers because of the lack of syphilis screening. Characteristics of higher maternal social vulnerability and late access to prenatal care decreased the probability of having >1 syphilis screening test, thereby increasing the probability of having newborns with congenital syphilis. In addition, the opportunity to prevent congenital syphilis was missed in 41.5% of patients with syphilis because of the lack of treatment, which also increased the probability of having newborns with congenital syphilis. We demonstrate the urgent need to improve screening and treatment capabilities for maternal syphilis, particularly among pregnant women who are more socially vulnerable.
高比例的先天性梅毒在哥伦比亚太平洋沿岸地区被报告。在这项 2018 年至 2022 年期间于哥伦比亚布埃纳文图拉的一家公立医院进行的回顾性研究中，我们分析了 3378 名孕妇的数据。由于缺乏梅毒筛查，53.1%的母亲错失了预防先天性梅毒的机会。较高的母体社会脆弱性特征和晚期获得产前保健降低了进行 >1 次梅毒筛查试验的可能性，从而增加了新生儿患有先天性梅毒的概率。此外，由于缺乏治疗，41.5%的梅毒患者也错失了预防先天性梅毒的机会，这也增加了新生儿患有先天性梅毒的概率。我们证明了迫切需要改善母体梅毒的筛查和治疗能力，特别是在那些社会脆弱性更高的孕妇中。
