Relationship between the supply of syphilis diagnosis and treatment in primary care and incidence of gestational and congenital syphilis.

[Relationship between the supply of syphilis diagnosis and treatment in primary care and incidence of gestational and congenital syphilis]. Cad Saude Publica. 2020;36(3):e00074519 Authors: Figueiredo DCMM, Figueiredo AM, Souza TKB, Tavares G, Vianna RPT Abstract Brazil has reported an increase in the incidence of both gestational and congenital syphilis, posing a serious public health problem in the country. The study aimed to analyze the relationship between the supply of syphilis diagnosis and treatment in primary care and the incidence rates of gestational and congenital syphilis. An ecological study analyzed these incidence rates and the coverage of diagnostic and therapeutic measures in primary care. The study sample consisted of municipalities (counties) with population over 20,000, with coverage by primary care over 50%, and where the majority of the teams were assessed in the second cycle of the National Program for Improvement of Access and Quality of Basic Care. Analysis of the effectiveness of detection and treatment measures was based on the development of the Index of Variation in Vertical Syphilis Transmission. The administration of penicillin and application of the rapid test in these municipalities showed median rates of 41.9% and 67.14%, respectively, with regional differences. Median incidence of gestational syphilis was 6.24 (IQR: 2.63-10.99) in municipalities with a higher supply of the rapid test and 3.82 (IQR: 0.00-8.21) in those wi...
Source: Cadernos de Saude Publica - Category: International Medicine & Public Health Authors: Tags: Cad Saude Publica Source Type: research

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Authors: Rath T, Scheel M, Kriegel M, Heiligenhaus A Abstract Syphilis is a bacterial infectious disease transmitted by the spirochaete Treponema pallidum. The rate of infection has increased during the last decade. Ocular syphilis is an underestimated presentation of the disease, and it is increased in HIV-positive patients. Even though every part of the eye may be affected, syphilis most commonly occurs with posterior or panuveitis. A distinctive pattern is acute syphilitic placoid chorioretinitis, with typical features in multimodal imaging. If syphilis is suspected, specific and nonspecific Treponema pallidum s...
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Source: Journal of Obstetrics and Gynaecology Canada : JOGC - Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research
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Source: The Obstetrician and Gynaecologist - Category: OBGYN Authors: Tags: REVIEW Source Type: research
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