Prevalence of Syphilis Seroreactivity in the United States: Data From the National Health and Nutrition Examination Surveys (NHANES) 2001–2004

Moretti

Rev. Soc. Bras. Med. Trop.

et al. 2014

Introduction:The aim of this study was to establish the incidence rates of congenital syphilis in the South Region of Brazil from 2001 to 2009. Methods: Temporal ecological and descriptive study based on the cases recorded by the System of Information of Notifi able Diseases. Results: The incidence of congenital syphilis has been increasing in the South Region of Brazil since 2004; the highest incidence rates were in women who received prenatal care (113.5 new cases per 100,000 births, p<0.001), who were diagnosed with syphilis at pregnancy (69.8 new cases per 100,000 births, p=0.001), and whose partner did not undergo treatment for syphilis (53.1 new cases per 100,000 births, p=0.001). Conclusions: The population of the present study mostly consisted of adult black women with low educational levels who attended prenatal care, who were diagnosed with syphilis during pregnancy, and whose partners were not treated for syphilis. Based on these results, actions are recommended to reduce the incidence of this disease, which is preventable by early diagnosis and appropriate treatment. The present was merely an ecological study; therefore, further investigations are necessary to elucidate the causes of these fi ndings.

Section: Resultsmentioning

confidence: 99%

Incidence of congenital syphilis in the South Region of Brazil

Moretti

Rev. Soc. Bras. Med. Trop.

et al. 2014

“…Therefore, the distribution of the investigated disease refl ects social inequalities in healthcare that have previously been observed by others in both Brazil 13,15,16 and other countries. 4,6,25 Inequalities in access to and the quality of prenatal care might somehow explain the higher exposure of children belonging to the less privileged classes to the risk of CS. This hypothesis is supported by data from Sinasc and reports by different authors, 1 which also point to greater barriers to prenatal care among black women and those with low levels of education.…”

Section: Discussionmentioning

confidence: 99%

Incidência da sífilis congênita no Brasil e sua relação com a Estratégia Saúde da Família

et al. 2012

OBJECTIVE: To estimate the incidence of congenital syphilis and identify its relationship with Family Health Strategy coverage. METHODS:An observational ecological study was carried out with both descriptive and analytical components, by two different approaches: one that explores a temporal series (2003 to 2008) RESULTS:Increasingly trends of congenital syphilis notifi cation in Brazil refl ect social inequalities in the distribution of cases. The incidence of congenital syphilis was lower in the municipalities with high Family Health Strategy coverage; however, after controlling for the co-variables, such an effect might be attributed to the coverage of prenatal care and the demographic characteristics of the municipalities where the implementation of the Strategy was a priority. CONCLUSIONS:Despite the increase in prenatal care coverage, the actions implemented still exhibit low effectiveness in the prevention of congenital syphilis. Prenatal care performed by Family Health Strategy teams did not control syphilis better than the prenatal care performed within the context of other models of assistance.

Journal of Blood Transfusion

“…In many parts of the world, the incidence and prevalence of syphilis still remain high in both volunteer and family/replacement blood donors [10–15]. There are numerous reports in high-risk groups in the literature, both from developed and developing countries, indicating rising prevalence and incidence of syphilis [16–20].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Incidence of Syphilis among Volunteer Blood Donors in Israel

Leibovici¹,

Donchin

Strauss-Liviatan³

et al. 2014

Data of 1,290,222 volunteer blood donors, in a 5-year period, was analyzed for prevalence and incidence of syphilis. Subsequent testing of donations positive in Treponema pallidum hemagglutination assay included Venereal Disease Research Laboratory and fluorescent Treponemal antibody absorption. Stepwise logistic regression model was used to identify positive syphilis serology. Prevalence of syphilis was 47 : 100,000, similar in men and women and increased significantly with age (P < 0.001). Native Israelis had the lowest prevalence rate of syphilis (21 : 100,000), while a significantly higher prevalence was found among immigrants from Africa, Eastern Europe, and South America (odds ratios of 19.0, 10.8, and 7.3, resp., P < 0.001 for each). About 33.2% of the seropositive donors had evidence of recent infection, and 66.8% had past infections. Incidence rate reached 8 : 100,000 person-years. Coinfection with HIV, HCV, and HBV was calculated as 8%, 1.88%, and 0.37% for positive donations, respectively. The data support the need to continue screening blood donors in Israel for syphilis and employ preventive measures to populations at risk, in order to improve public health, blood safety, and quality. A subsequent study to assess blood donors' knowledge, attitude, and behavior is planned. In times of global migration this information may be useful to blood services worldwide.