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Congenital syphilis in the United Kingdom

Sexually Transmitted Infections (Impact Factor: 3.08). 03/2006; 82(1):1. DOI: 10.1136/sti.2005.019349
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Available from: Ian Simms, Jun 02, 2015
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    ABSTRACT: RESUMEN Objetivo La sífilis es una enfermedad infectocontagiosa, sistémica, de transmisión sexual causada por la espiroqueta Treponema pallidum. Las intervenciones que disminuyan la incidencia de la sífilis congénita contribuyen con dos de las metas de desarrollo del milenio (MDG). Existen métodos de diagnóstico y tratamiento para manejar la sífilis congénita, aunque, existen variaciones en seroprevalencia y el número de casos anuales mundialmente, la situación sigue siendo preocupante. El objetivo del estudio fue describir las disparidades por Departamentos en la incidencia de sífilis congénita, en Colombia durante el período 2005 a 2011. Metodología Se tomaron los registros del sistema de vigilancia del Instituto Nacional de Salud (INS), y de nacidos vivos (NV) y necesidades básicas insatisfechas del Departamento Administrativo Nacional de Estadística–DANE de los años 2005 a 2011. Resultados En Colombia la Incidencia global aumento de 2,15 casos por 1 000 NV en el año 2005, (1 550 casos), hasta 3,28 Casos por 1 000 NV 2011 (2 078 casos), alejándose cada vez más de la MDG (0,5 por 1 000 NV). Conclusiones El número creciente de casos de sífilis congénita indica que sigue siendo un problema prioritario de salud pública, que el Sistema General de Seguridad Social en Salud no ha sido capaz de resolver, a pesar del aumento de cobertura y recursos que éste ha tenido en los últimos años, lo que exige una re-evaluación del impacto real que el Sistema ha tenido sobre los resultados en salud. Palabras Clave: Sífilis congénita, desigualdades en la salud, sistemas de salud, incidencia (fuente: DeCS, BIREME). Rev. salud pública. 14 (6): 965-977, 2012 965 ABSTRACT Objective Syphilis is a systemic, infecto-contagious, sexually-transmitted disease caused by the spirochete bacterium Treponema pallidum. Interventions reducing congenital syphilis incidence represent two of the Millennium Development Goals (MDG). Diagnostic and treatment methods are available for managing congenital syphilis; even so, variations occur in seroprevalence and the number of annual cases worldwide, so the situation continues to be worrying. This study was aimed at describing disparities per department regarding congenital syphilis incidence in Colombia from 2005 to 2011. Methodology Colombian Institute of Health (Instituto Nacional de Salud-INS) surveillance system records and Colombian Statistics Department (Departamento Administrativo Nacional de Estadística-DANE) records of live births (LB) and basic unsatisfied needs (BUN) from 2005 to 2011 were analyzed. Results Overall incidence in Colombia rose from 2.15 cases per 1,000 LB in 2005, (1,550 cases) to 3.28 cases per 1,000 LB in 2011 (2,078 cases), thereby moving further away from the MDG (0.5 per 1,000 LB). Conclusions The growing number of cases of congenital syphilis indicates that this continues being a priority problem for public health and that the Overall Healthcare-related Social Security System (OHSSS) has not been able to resolve it, in spite of increased coverage and the resources which this entity has received during the last few years. Such situation demands a re-evaluation of the OHSSS's real impact on public healthcare results.
    Revista de salud publica (Bogota, Colombia) 01/2012; 14(6):965-977.
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    ABSTRACT: Untreated maternal syphilis can result in the fetuses being infected. Severe adverse pregnancy outcomes include stillbirth, perinatal death, low birth weight, and congenital syphilis (CS). The World Health Organization has already classified global elimination of CS as a priority. However, this preventable disease is still threatening people's health in the world. A Programme of Prevention of Mother-to-Child Transmission of Syphilis in Shenzhen was launched in 2002. All pregnant women in Shenzhen were screened for syphilis by serological methods at their first prenatal care visit. The infected individuals were treated with 3 weekly injections of 2.4 million units of benzathine penicillin. The babies were followed up until 18 months old to diagnose CS. Up to 2011, the Programme of Prevention of Mother-to-Child Transmission of Syphilis in Shenzhen screened 2,077,362 pregnant women and intervened in 7668 mothers infected with syphilis. The screened rate among pregnant women increased from 89.8% in 2002 to 97.4% in 2011. The proportion of those having adverse pregnant outcomes (including spontaneous abortion, premature delivery, and stillbirth) decreased from 27.3% in 2003 to 8.2% in 2011. The incidence of CS decreased from 115/100,000 in 2002 to 10/100,000 (live births) in 2011. In 2002, in the face of rising CS numbers, Shenzhen adapted a syphilis control program that involved cost-free testing for pregnant women, commitment and collaboration at multiple levels of the health system, and strong supervision and government guidance. Local program and surveillance data suggest that the program has been very successful in reducing CS incidence.
    Sexually transmitted diseases 03/2014; 41(3):188-93. DOI:10.1097/OLQ.0000000000000097 · 2.75 Impact Factor
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    ABSTRACT: Objective Syphilis is a systemic, infecto-contagious, sexually-transmitted disease caused by the spirochete bacterium Treponema pallidum. Interventions reducing congenital syphilis incidence represent two of the Millennium Development Goals (MDG). Diagnostic and treatment methods are available for managing congenital syphilis; even so, variations occur in seroprevalence and the number of annual cases worldwide, so the situation continues to be worrying. This study was aimed at describing disparities per department regarding congenital syphilis incidence in Colombia from 2005 to 2011.
    Revista de salud publica (Bogota, Colombia) 12/2012; 14(6):71-80.