Preventing congenital syphilis – a regional audit of syphilis in pregnant women seen in Genitourinary Medicine services

Hussey, Jane; Mitchell, Lisa M.; Hew, Y; Foster, Kirsty; Waldram, Alison

doi:10.1177/0956462413512802

Cited by 9 publications

(11 citation statements)

References 2 publications

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“…To ensure agility in the diagnosis of syphilis, in its confirmation, and in accounting for the number of VDRL tests performed in prenatal care - an important indicator that measures the quality of care 16 - 18 − An internal flow of communication between the laboratory and the UBS was instituted in Londrina. Before the training, only 7.8% of the professionals knew this flow, although it had already been in practice for five months.…”

Section: Discussionmentioning

confidence: 99%

“…Before the training, only 7.8% of the professionals knew this flow, although it had already been in practice for five months. Faced with this reality, it is understood that permanent education actions and changes in the work process must have a planned continuity 18 , because their punctual action informs and updates the professionals, but the change of conduct in practice needs monitoring and correction of errors as learning, not punishment, reinforcing self-analysis and self-management activities of the health teams 19 - 20 . …”

Section: Discussionmentioning

confidence: 99%

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Educational intervention in Primary Care for the prevention of congenital syphilis

Lazarini

Barbosa

2017

Rev. Latino-Am. Enfermagem

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Objectives:to evaluate the efficiency of educational interventions related to the knowledge of health care professionals of Primary Care and to verify the impact on the vertical transmission rates of congenital syphilis. Method:a quasi-experimental study conducted in the city of Londrina, Paraná, between 2013 and 2015. An educational intervention on diagnosis, treatment and notification was carried out with 102 professionals with knowledge measurement before and after the intervention. Incidence and mortality data from congenital syphilis were taken from the system for notifiable diseases (SINAN) and the Mortality Information System (SIM). Excel tabulation and statistical analysis was done in the Statistical Package for Social Sciences, version 2.1. A descriptive and inferential analysis was performed. Results:the mean number of correct responses increased from 53% to 74.3% after the intervention (p < 0.01). The adherence to professional training was 92.6%. There was a significant reduction in the vertical transmission rate of syphilis from 75% in 2013 to 40.2% in 2015. In 2014 and 2015 there were no records of infant mortality from this condition. Conclusion:the educational intervention significantly increased the knowledge of health professionals about syphilis and collaborated to reduce the rate of vertical transmission of the disease.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Educational intervention in Primary Care for the prevention of congenital syphilis

Lazarini

Barbosa

2017

Rev. Latino-Am. Enfermagem

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“…Maintaining the integrity of clinical care pathways to ensure timely treatment, management and partner notification of identified cases is therefore crucial, and should be subject to regular review [ 14 - 16 ]. Reviewing the performance of these pathways together with clinical outcomes will form part of a new Infectious Disease in Pregnancy Screening Integrated Outcomes System of Maternal and Paediatric Surveillance that is being extended to include syphilis in 2018 [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with four atypical cases of congenital syphilis in England, 2016 to 2017: an ecological analysis

et al. 2017

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Four isolated cases of congenital syphilis born to mothers who screened syphilis negative in the first trimester were identified between March 2016 and January 2017 compared with three cases between 2010 and 2015. The mothers were United Kingdom-born and had no syphilis risk factors. Cases occurred in areas with recent increases in sexually-transmitted syphilis among women and men who have sex with men, some behaviourally bisexual, which may have facilitated bridging between sexual networks.

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“…Locally developed standards on multidisciplinary working and communication were met less well, with particular issues regarding the documentation of pregnancy outcomes in the records and communication between medical specialties being highlighted. The research resulted in a regional good practice guide to address standards not met, reduce adverse outcomes and prevent future cases of congenital syphilis [23].…”

Section: Discussionmentioning

confidence: 99%

Lessons about the reliability of congenital syphilis and vertical HIV transmission data learned from case reviews in Uruguay: a cross-sectional study

Cabrera

Silveira²,

Visconti

et al. 2019

BMC Pregnancy Childbirth

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BackgroundIn Uruguay it is mandatory to review all cases of positive HIV or reactive syphilis tests in pregnancy and peripartum. We compared the rates of mother-to-child transmission of syphilis and HIV detected by case reviews to those obtained from the usual surveillance system and described the characteristic of vertical transmission cases.MethodsThis is a cross-sectional study performed with secondary data obtained from official government sources, for all the country cases of maternal to child transmission of HIV and syphilis from 2012 to 2017, with descriptive analyses. For congenital syphilis analyses, the following pregnancy characteristics were investigated: number of antenatal checks, gestational age at pregnancy diagnosis, gestational age at syphilis test and diagnosis, adequate treatment, and treatment of partners. Sociodemographic characteristics included type of health care (public/private), maternal age, distribution of ethnic minorities, maximum educational attainment, presence of partner, planned pregnancy, drug and alcohol use, domestic violence, previous maternal diagnosis of syphilis, and previous children with congenital syphilis.ResultsCoverage of syphilis case reviews increased from 82% in 2014 to 97.4% in 2017. For HIV, this coverage reached 100% in 2017 and elimination of mother to child transmission was achieved. A marked decline in congenital syphilis was noted in the public health care sector, especially in the capital Montevideo, whereas the private sector has remained below the elimination target. Variables related with congenital syphilis in exposed children were late pregnancy diagnosis, < 5 antenatal checks, delayed diagnosis of gestational syphilis, lower rate of correct treatment for gestational syphilis, untreated partner, low maternal schooling, unplanned pregnancy, history of syphilis, and having other children with syphilis.ConclusionThe use of case reviews provided knowledge regarding the accurate number of mother-to-child transmission cases and the evolution of elimination of mother to child transmission in the country. The results suggest that rates must be adjusted, providing an opportunity to improve the reliability of surveillance data, and point the need to address specific gaps in order to improve the quality of care during pregnancy, delivery, and the neonatal period.

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Preventing congenital syphilis – a regional audit of syphilis in pregnant women seen in Genitourinary Medicine services

Cited by 9 publications

References 2 publications

Educational intervention in Primary Care for the prevention of congenital syphilis

Educational intervention in Primary Care for the prevention of congenital syphilis

Factors associated with four atypical cases of congenital syphilis in England, 2016 to 2017: an ecological analysis

Lessons about the reliability of congenital syphilis and vertical HIV transmission data learned from case reviews in Uruguay: a cross-sectional study

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