Document Detail


Mortality associated with congenital syphilis in the United States, 1992-1998.
MedLine Citation:
PMID:  11986485     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To summarize national trends in the incidence of congenital syphilis (CS) and associated mortality. METHODS: We analyzed CS surveillance data reported to the Centers for Disease Control and Prevention by 50 states and the District of Columbia from 1992-1998. RESULTS: From 1992-1998, 942 deaths, including 760 stillbirths, were reported among 14 627 cases of CS, yielding a case fatality ratio (stillborns and deaths/all cases) of 6.4%. Untreated, inadequately treated, or undocumented treatment of syphilis during pregnancy accounted for 87.4% of reported cases. Among CS cases, there was an inverse relationship between the number of prenatal care visits (0, 1-4, 5-9, >/=10) and risk of fatal outcome. Among deaths, 52% of deliveries occurred by 30 weeks' gestation. Among live born infants with CS, death occurred more often in infants for whom no radiograph or cerebrospinal fluid evaluation was reported. Although both cases and deaths from CS declined from 1992-1998, there was no significant change in the case fatality ratio. CONCLUSION: Mortality associated with CS continues to be an important public health problem that will resurge if adult syphilis rates increase. Because a large proportion of deaths occur at low gestational age, earlier diagnosis and treatment of maternal syphilis may substantially reduce the case fatality ratio.
Authors:
Deborah A Gust; William C Levine; Michael E St Louis; Jim Braxton; Stuart M Berman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  109     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-05-02     Completed Date:  2002-05-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E79-9     Citation Subset:  AIM; IM    
Affiliation:
Division of STD Prevention, National Center for HIV, STD and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA. dgg6@cdc.gov
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MeSH Terms
Descriptor/Qualifier:
Adult
Birth Weight
Centers for Disease Control and Prevention (U.S.) / statistics & numerical data
Female
Fetal Death / epidemiology
Gestational Age
Humans
Incidence
Infant
Infant Mortality / trends
Infant, Newborn
Male
Maternal Age
Population Surveillance
Pregnancy
Pregnancy Complications, Infectious / epidemiology
Pregnancy Outcome / epidemiology
Prenatal Care
Prevalence
Syphilis, Congenital / diagnosis,  epidemiology*,  mortality*
United States / epidemiology

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


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