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    
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.
B L Thompson; D Matuszak; D M Dwyer; A Nakashima; H Pearce; E Israel
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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    
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.
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MeSH Terms
Bias (Epidemiology)
Cohort Studies
Infant, Newborn
Maryland / epidemiology
Population Surveillance / methods
Prenatal Care
Retrospective Studies
Risk Factors
Syphilis, Congenital / diagnosis*,  epidemiology*,  prevention & control

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