Document Detail


Congenital syphilis in Maryland, 1989-1991: the effect of changing the case definition and opportunities for prevention.
MedLine Citation:
PMID:  8578409     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The reported incidence of congenital syphilis in the United States rose dramatically during the 1980s. Although lack of prenatal care has been associated with congenital syphilis, little has been published regarding missed opportunities for prenatal intervention. GOAL OF THIS STUDY: To determine whether congenital syphilis increases in Maryland between 1989 and 1991 resulted from a true increase in congenital syphilis incidence or a change in the surveillance case definition, and to describe missed opportunities for prenatal intervention. STUDY DESIGN: This was a retrospective cohort study. RESULTS: When the revised case definition was used, a 473% increase in the number of cases was seen. Among infants who met the revised definition, 45% of mothers had received no prenatal care. Among those whose mothers had received prenatal care, opportunities to intervene were missed for 53%. CONCLUSIONS: Although a true increase in congenital syphilis incidence occurred before 1990, the increase reported in Maryland between 1989 and 1991 was primarily due to the change in case definition. Many cases of congenital syphilis could have been prevented with early and adequate prenatal care.
Authors:
B L Thompson; D Matuszak; D M Dwyer; A Nakashima; H Pearce; E Israel
Related Documents :
10654319 - Periodic alternating nystagmus and congenital nystagmus: similarities in possibly inher...
23113609 - Heterotopic brain tissue on the face and neck in a neonate: a rare case report and lite...
6939429 - Congenital duodenal diaphragm in an adult.
8841669 - Intraventricular rhabdomyosarcoma after resection of hyperplastic choroid plexus.
23324549 - Hemihydranencephaly: living with half brain dysfunction.
23375369 - Impact of brain injury on driving skills.
19337779 - Malformations of the midbrain and hindbrain: a retrospective study and review of the li...
8291529 - Lethal bone dysplasia in a fetus with manifestations of atelosteogenesis i and boomeran...
15456559 - Colonic perforations in enteric fever.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Sexually transmitted diseases     Volume:  22     ISSN:  0148-5717     ISO Abbreviation:  Sex Transm Dis     Publication Date:    1995 Nov-Dec
Date Detail:
Created Date:  1996-03-11     Completed Date:  1996-03-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7705941     Medline TA:  Sex Transm Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  364-9     Citation Subset:  IM    
Affiliation:
Epidemic Intelligence Service, Division of Field Epidemiology, Epidemiology Program Office, National Center for Prevention Services, Centers for Disease Control and Prevention, Atlanta, GA 30341-3724, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Bias (Epidemiology)
Cohort Studies
Female
Humans
Incidence
Infant, Newborn
Maryland / epidemiology
Population Surveillance / methods
Prenatal Care
Retrospective Studies
Risk Factors
Syphilis, Congenital / diagnosis*,  epidemiology*,  prevention & control

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The influence of sexual and social factors on the risk of Chlamydia trachomatis infections: a popula...
Next Document:  Metronidazole: utilization in the obstetric and gynecologic patient.