کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3954175 1600312 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Assessment of the impact of rapid syphilis tests on syphilis screening and treatment of pregnant women in Zambia
ترجمه فارسی عنوان
بررسی تأثیر تستهای سریع سیفیلیس بر روی غربالگری سیفلیس و درمان زنان باردار در زامبیا
کلمات کلیدی
مراقبت های دوران بارداری، سیفلیس مادرزادی پنیسیلین، آزمایش سریع سیفلیس
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

ObjectiveTo evaluate the impact of rapid syphilis tests (RSTs) on syphilis testing and treatment in pregnant women in Kalomo District, Zambia.MethodsIn March 2012, health workers at all 35 health facilities in Kalomo Distract were trained in RST use and penicillin treatment. In March 2013, data were retrospectively abstracted from 18 randomly selected health facilities and stratified into three time intervals: baseline (6 months prior to RST introduction), midline (0–6 months after RST introduction), and endline (7–12 months after RST introduction).ResultsData collected on 4154 pregnant women showed a syphilis-reactive seroprevalence of 2.7%. The proportion of women screened improved from baseline (140/1365, 10.6%) to midline (976/1446, 67.5%), finally decreasing at endline (752/1337, 56.3%) (P < 0.001). There was no significant difference in the proportion of syphilis-seroreactive pregnant women who received 1 dose of penicillin before (1/2, 50%) or after (5/48, 10.4%; P = 0.199) RST introduction with low treatment rates throughout.ConclusionWith RST scale-up in Zambia and other resource-limited settings, same-day test and treatment with penicillin should be prioritized to achieve the goal of eliminating congenital syphilis.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Gynecology & Obstetrics - Volume 130, Supplement 1, June 2015, Pages S58–S62
نویسندگان
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