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An epidemic of congenital syphilis in Jefferson County, Texas, 1994-1995: inadequate prenatal syphilis testing after an outbreak in adults.

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Title: An epidemic of congenital syphilis in Jefferson County, Texas, 1994-1995: inadequate prenatal syphilis testing after an outbreak in adults.
Authors: Southwick KL (AUTHOR), Guidry HM (AUTHOR), Weldon MM (AUTHOR), Mertz KJ (AUTHOR), Berman SM (AUTHOR), Levine WC (AUTHOR)
Source: American Journal of Public Health. Apr99, Vol. 89 Issue 4, p557-560. 4p.
Subjects: Syphilis, Genetic disorders, Epidemics, Medical screening
Geographic Terms: Jefferson County (Tex.), Texas, United States
Abstract: OBJECTIVES: After a syphilis epidemic in Jefferson County, Texas, in 1993 and 1994, congenital syphilis prevalence and risk factors were determined and local prenatal syphilis screening practices were assessed. METHODS: Medical records were reviewed, pregnant women with syphilis were interviewed, and prenatal care providers were surveyed. RESULTS: Of 91 women, 59 (65%) had infants with congenital syphilis. Among African Americans, the prevalence per 1000 live births was 24.1 in 1994 and 17.9 in 1995. Of the 50 women with at least 2 prenatal care visits who had infants with congenital syphilis, 15 (30%) had received inadequate testing. Only 16% of 31 providers obtained an early third-trimester syphilis test on all patients. CONCLUSIONS: Inadequate prenatal testing contributed to this outbreak of congenital syphilis. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: An epidemic of congenital syphilis in Jefferson County, Texas, 1994-1995: inadequate prenatal syphilis testing after an outbreak in adults.
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  Data: <searchLink fieldCode="AR" term="%22Southwick+KL%22">Southwick KL</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Guidry+HM%22">Guidry HM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Weldon+MM%22">Weldon MM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mertz+KJ%22">Mertz KJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Berman+SM%22">Berman SM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Levine+WC%22">Levine WC</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Apr99, Vol. 89 Issue 4, p557-560. 4p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Syphilis%22">Syphilis</searchLink><br /><searchLink fieldCode="DE" term="%22Genetic+disorders%22">Genetic disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Epidemics%22">Epidemics</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Jefferson+County+%28Tex%2E%29%22">Jefferson County (Tex.)</searchLink><br /><searchLink fieldCode="DE" term="%22Texas%22">Texas</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVES: After a syphilis epidemic in Jefferson County, Texas, in 1993 and 1994, congenital syphilis prevalence and risk factors were determined and local prenatal syphilis screening practices were assessed. METHODS: Medical records were reviewed, pregnant women with syphilis were interviewed, and prenatal care providers were surveyed. RESULTS: Of 91 women, 59 (65%) had infants with congenital syphilis. Among African Americans, the prevalence per 1000 live births was 24.1 in 1994 and 17.9 in 1995. Of the 50 women with at least 2 prenatal care visits who had infants with congenital syphilis, 15 (30%) had received inadequate testing. Only 16% of 31 providers obtained an early third-trimester syphilis test on all patients. CONCLUSIONS: Inadequate prenatal testing contributed to this outbreak of congenital syphilis. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.2105/AJPH.89.4.557
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      – Code: eng
        Text: English
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        PageCount: 4
        StartPage: 557
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      – SubjectFull: Syphilis
        Type: general
      – SubjectFull: Genetic disorders
        Type: general
      – SubjectFull: Epidemics
        Type: general
      – SubjectFull: Medical screening
        Type: general
      – SubjectFull: Jefferson County (Tex.)
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      – SubjectFull: Texas
        Type: general
      – SubjectFull: United States
        Type: general
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      – TitleFull: An epidemic of congenital syphilis in Jefferson County, Texas, 1994-1995: inadequate prenatal syphilis testing after an outbreak in adults.
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              Text: Apr99
              Type: published
              Y: 1999
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