Rutgers S
Cent Afr J Med. 1993 Dec;39(12):248-53.
A medical audit was performed in Umzingwane District, Zimbabwe, to assess the quality of antenatal care in 1991 regarding detection and management of syphilis. Two thousand one hundred and sixty one women booked for antenatal care, 1433 (66 pc) received a RPR test result, 197 (14 pc) tests were positive. In 32 (16 pc) of the 197 RPR positive women the outcome of the pregnancy could not be established. Of 165 women 111 (67 pc) received adequate treatment for syphilis. A perinatal mortality rate (PNMR) of 173/1,000 was associated with inadequately or not treated RPR positive mothers and a PNMR of 21/1,000 with RPR negative and untested mothers (odd's ratio = 9.9; 95 pc confidence interval 3.8-24.9, p < 0.001). It is estimated that only 42 pc of all pregnant women and 24 pc of the couples with syphilis in 1991 were treated adequately. Recommendations are made to improve the quality of surveillance of syphilis in pregnancy in a rural district.
1991年在津巴布韦的乌姆津瓦内区进行了一次医疗审计，以评估梅毒检测与管理方面的产前护理质量。2161名妇女登记接受产前护理，1433人（66%）获得了快速血浆反应素环状卡片试验（RPR）检测结果，197人（14%）检测呈阳性。在197名RPR阳性妇女中，有32人（16%）的妊娠结局无法确定。165名妇女中，111人（67%）接受了梅毒的充分治疗。未充分治疗或未治疗的RPR阳性母亲的围产期死亡率（PNMR）为173/1000，RPR阴性及未检测的母亲的围产期死亡率为21/1000（比值比=9.9；95%置信区间3.8-24.9，p<0.001）。据估计，1991年所有孕妇中只有42%以及感染梅毒的夫妇中只有24%得到了充分治疗。针对改善农村地区孕期梅毒监测质量提出了建议。
