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1
Callahan, Bryan Thomas. "Syphilis and civilization a social and cultural history of sexually transmitted disease in colonial Zambia and Zimbabwe, 1890-1960 /". [S.l. : s.n.], 2002. http://books.google.com/books?id=JQnbAAAAMAAJ.
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Parsonson, Ian M. "Syphilis and AIDS historical and social comparisons /". Connect to this title online, 1992. http://tux.lib.deakin.edu.au/adt-VDU/public/adt-VDU20031118.111824/.
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Julienne, Isabelle. "La syphilis congénitale précoce". Caen, 1990. http://www.theses.fr/1990CAEN3049.
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Meyer, Michael Peter. "Congenital syphilis and rheumatoid factor". Doctoral thesis, University of Cape Town, 1990. http://hdl.handle.net/11427/26298.
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Sabisch, Katja. "Das Weib als Versuchsperson medizinische Menschenexperimente im 19. Jahrhundert am Beispiel der Syphilisforschung". Bielefeld Transcript, 2007. http://deposit.d-nb.de/cgi-bin/dokserv?id=3015478&prov=M&dok_var=1&dok_ext=htm.
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Mercier, Cassandre Stalder Jean-François. "Epidémie de syphilis dans la région nantaise à propos de 39 cas /". [S.l.] : [s.n.], 2004. http://theses.univ-nantes.fr/thesemed/PHmercier.pdf.
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7
Fournier, Alfred. "De la contagion syphilitique thèse pour le doctorat en médecine présentée et soutenue le 14 février 1860 /". Paris : BIUM, 2003. http://www.bium.univ-paris5.fr/histmed/medica/cote?TPAR1860x024.
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BOURRIERES, CATHERINE. "Histoire de la syphilis maligne precoce". Aix-Marseille 2, 1994. http://www.theses.fr/1994AIX20090.
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Dobson, Simon R. M. "Immune responses in congenital syphilis". Thesis, University of Newcastle Upon Tyne, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.352919.
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Brou-Paris, Akoua Dellion Sophie. "Recrudescence de la syphilis cas du centre hospitalier intercommunal de Villeneuve-Saint-Georges dans le Val de Marne /". Créteil : Université de Paris-Val-de-Marne, 2006. http://doxa.scd.univ-paris12.fr:80/theses/th0236687.pdf.
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Dasaah, Edward Tieru. "Evaluation of access to antenatal syphilis screening and the performance of syphilis sentinel surveillance in Ghana". Thesis, London School of Hygiene and Tropical Medicine (University of London), 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.558358.
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GROSREY, ROUSSEAU CATHERINE. "La syphilis acquise precoce de l'enfant en milieu non endemique". Lyon 1, 1989. http://www.theses.fr/1989LYO1M457.
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CLARIOND, YVES. "Les hepatites au cours de la syphilis secondaire : a propos de trois observations". Aix-Marseille 2, 1989. http://www.theses.fr/1989AIX20137.
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Linöcker, Melanie. "Der Unzucht und Lastern derbey entspringende Krankheit Syphilis und deren Bekämpfung in der Frühen Neuzeit am Beispiel des Wiener Bürgerspitals St. Marx". Saarbrücken VDM Verlag Dr. Müller, 2006. http://d-nb.info/988567938/04.
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Bircks, Anna [Verfasser]. "Syphilis - eine szientometrische Analyse / Anna Bircks". Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2009. http://d-nb.info/1023784750/34.
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Samson, Gregory Raymond. "An immune study of newborn infants with congenital syphilis". Thesis, University of Cape Town, 1995. http://hdl.handle.net/11427/26182.
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MESSA, JEAN-LOUIS. "Syphilis congenitale precoce : etude a propos de 65 cas". Aix-Marseille 2, 1989. http://www.theses.fr/1989AIX20136.
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Lin, Luyang. "The transmission and control of syphilis in Guangzhou". Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B41711191.
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Froidefond, Claudine. "Syphilis congénitale : à propos d'une observation à IGM initialement négatives chez un enfant adopté, avec syndrome néphrotique, anémie pseudoleucémique, neuro-syphilis, atteinte hépatique et osseuse : mise au point sur les données de la littérature". Bordeaux 2, 1991. http://www.theses.fr/1991BOR2M106.
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Tissot-Guerraz, Françoise. "Contribution a l'étude de la biologie des tréponématoses". Lyon 1, 1991. http://www.theses.fr/1991LYO1H096.
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Parsonson, Ian Malcolm, i kimg@deakin edu au. "SYPHILIS AND AIDS: HISTORICAL AND SOCIAL COMPARISONS". Deakin University. School of Humanities, 1992. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20031118.111824.
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Drawing on the literatures of history, sociology, epidemiology, and microbiology, this thesis compares syphillis with human immunodeficiency virus, with special reference to the social and historical factors likely to be relevant to the control or eradication of acquired imune dificiency syndrom (AIDS).
The sudden appearance of a new disease causing suffering and death in a community, engenders apprehension and fear which is often manifested as hysteria against, and vilification of, those who have the disease. This fear is greatly increased should the disease be sexually-transmitted.
Syphilis in a venereal form, occured in Europe toward the end of the 15th Century. Initially it was an acute, fulminating disease which rapidly spread through Europe and Asia. Attempts to control the disease have gone through periods of either partial successes or massive failures and have ended in frustration for the authorities.
When the syndrome of acquired immune deficiency (AIDS) was first reported, it was seen in Western countries in homosexual men. However, as non-homosexual community members and children became infected, it became apparent to authorities that a pandemic was accurring. Within a few years, the disease was identified worldwide. Isolation of the virus (HIV-1), and development of test for detection of carriers, plus restoration of clean blood and blood-product supplies, have reassured the community to some extent.
The history of syphilis shows that neither the epidemiological medical, nor the economic political approaches to disease control work, although there are positive aspects resulting from both. It is social responses that will offer the most hope in the long term for the control of AIDS and other sexually-transmitted diseases.
22
MOULY, PAU ISABELLE. "Un cas d'atteinte syphilitique non anevrysmale de l'aorte sous renale". Toulouse 3, 1991. http://www.theses.fr/1991TOU31104.
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Сулим, Анатолій Григорович, Анатолий Григорьевич Сулим i Anatolii Hruhorovych Sulym. "Випадок помилкової діагностики вторинного свіжого сифілісу". Thesis, Видавництво СумДУ, 1997. http://essuir.sumdu.edu.ua/handle/123456789/24770.
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Кутова, В. В., О. М. Білоконь i В. М. Волкославська. "Специфічні скринінгові дослідження на сифіліс". Thesis, Сумський державний університет, 2017. http://essuir.sumdu.edu.ua/handle/123456789/64425.
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Безперечним є твердження, що лабораторна
діагностика соціально значимих захворювань залишається
актуальною. Насамперед це стосується сифілісу,
епідеміологічний чинник якого в Україні ускладнений
економічною складовою. Загально-державні процеси також
мають свій вплив на лабораторну діагностику. Зокрема, це
стосується українського законодавства щодо закупівельної
політики. Лікувальні заклади, які проводять лабораторні
дослідження на сифіліс за останні два роки опинилися в
складному положенні.Comparative evaluation of the effectiveness of specific diagnostic tests for treponemа population screening diagnosis of syphilis.
25
MAY, REGINE. "De la syphilis au sida, de la paralysie cerebrale a la demence du sida". Lille 2, 1994. http://www.theses.fr/1994LIL2M085.
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26
林路洋 i Luyang Lin. "The transmission and control of syphilis in Guangzhou". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B41711191.
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Plumb, Ellen Joyce. "Syphilis and AIDS in Uganda: an historical perspective". Thesis, Boston University, 2002. https://hdl.handle.net/2144/27745.
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Boston University. University Professors Program Senior theses.PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
2031-01-02
28
Randall, Lesa Beth. "Representations of syphilis in sixteenth-century French literature". Diss., The University of Arizona, 1999. http://hdl.handle.net/10150/284029.
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Syphilis caused unprecedented terror as it rapidly spread through Western Europe at the onset of the sixteenth century. In France, a flourish of literary production specifically about syphilis provides an important record of various reactions to what constituted the first known experience of deadly disease, sexually transmitted. This dissertation examines three types of literary representations of syphilis in texts dating from 1500-1550, by authors as familiar as Rabelais and Jean LeMaire de Belges, in addition to many that remain anonymous. With a foundation of anthropological theories of sickness as danger and pollution, psychoanalytic theory is employed to elucidate the thought processes that led to the pervasive blaming and scapegoating of women, the most common social reaction to syphilis seen in this literature. Organization of texts on the same subject into separate units was achieved by considering the tone with which they deal with syphilis. Chapter One presents and analyses Le Triomphe de Treshaulte et Puissante Dame Verolle, the only known Renaissance compilation of texts about syphilis. Reliance on allegory and myth to explain the origins and causes of syphilis make this text a prime example of socially sanctioned literary reaction to the disease, clearly the most polite discourse found to date. Chapter Two examines the cornucopian representations of syphilis found in Rabelais. As a monk, physician and writer, Rabelais had a unique and varied perspective on the disease. His text imitates, reverses or mocks most common reactions to syphilis while advancing the important message of 'temperance in all things' that forms and informs his works. Twelve popular poems, mostly anonymous, are presented in Chapter Three. Analysis of vivid, realistic descriptions of loss associated with syphilis and a discourse of warning whose foundation rests on the denigration of women demonstrate that these texts were both cathartic and didactic. A compilation and translation of the works discussed in chapters one and three appear as special appendices, so that these cultural artifacts may be considered in future studies of social reaction to deadly, sexually transmitted disease in Renaissance France.
29
Esselaar, Annette. "Congenital syphilis : a study at Provincial Hospital Uitenhage". Master's thesis, University of Cape Town, 1998. http://hdl.handle.net/11427/27002.
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Aims: 1. To establish the extent of Syphilis in Pregnancy and the association of syphilis with unbooked status and perinatal deaths. 2. To determine why the diagnosis was not made in forty cases of Early Congenital Syphilis. Objectives: 1. To establish the percentage of patients with syphilis at delivery and possible association between unbooked status and positive syphilis serology. 2. To determine the Perinatal Mortality Rate and establish what percentage of perinatal death s occurred in unbooked patients and in those with positive syphilis serology. 3. To establish booking status, place of delivery, whether treated or not, serological findings, signs and symptoms of infants with Early Congenital Syphilis. Study Design: 1. A descriptive, retrospective study of deliveries in the month of March 1994. 2. A descriptive, prospective study of perinatal deaths over six-month period January to Jun e 1995. 3. A descriptive, retrospective study of Early Congenital Syphilis patients over five-year period 1990 - 1994. Setting: Maternity and paediatric wards at Provincial Hospital Uitenhage, East Cape. Patients and Methods: 1. Records were studied of 154 maternity patients delivering in March 1994 in order to ascertain booking status and serology results. 2. Data on sixty-one perinatal deaths weighing over 500 grams was examined to establish maternal booking and serological status. 3. Folders of forty patients with Early Congenital Syphilis admitted to the paediatric ward were examined. Results: 1. Syphilis in Pregnancy: i) Prevalence of syphilis at delivery was 9% for patients with titres =/> 1 :8. ii) Unbooked patients totalled 47% of deliveries (73/154). iii) Fifteen percent of deliveries had no syphilis serology tests performed and were discharged without screening (23/154). iv) No significant association was found between unbooked status and positive serology (p=0.35). 2. Perinatal Deaths: i) In instances of a perinatal death, a significant association was found between unbooked status and positive RPR serology (p=0.017). ii) Perinatal death rate due to syphilis totalled 10.8/1000 deliveries. 3. Early Congenital Syphilis: i) Eighty-five percent of cases (34/40) delivered at PHU and were mismanaged by personnel. ii) Eighteen of the thirty-four mothers had attended antenatal clinic and were untreated or inadequately treated by the time of delivery (53%). vii iii) Sixteen of the mothers had been unbooked and were discharged without screening or treatment (47%). iv) Four booked patients had negative sousveillance during the antenatal period. Conclusion: Provincial Hospital Uitenhage serves a poor community. This is reflected in the high prevalence of syphilis at delivery and the high proportion of unbooked patients. Time-consuming and inefficient methods of sero-surveillance plus separate clinics and staff for antenatal and Sexually Transmitted Diseases compounded existing problems. The standard of care anticipated at a Level 2 Referral Hospital was not delivered by Health Workers, largely due to lack of in-service training and guidelines for the management of Syphilis in Pregnancy. Recommendations: 1. In-service staff training by the Perinatal Education Programme (PEP) and adoption of protocols of management. 2. Rapid ("same-day") availability of serology results and initiation of treatment at Antenatal Clinic. 3. RPR at booking visit and repeated at delivery in all patients. 4. Monthly evaluation by Perinatal Problem Identification Programme (PPIP) and Obstetric/Paediatric meeting to monitor implementation.
30
GUERIN, BOUCKAERT MARIE-FRANCOISE, i Philippe Guérin. "Maladies infectieuses et toxicomanie : vih, vhb, vhd, syphilis". Lille 2, 1989. http://www.theses.fr/1989LIL2M421.
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LaFond, Rebecca E. "Variability of tprK and the immune response to tprK variants during Treponema pallidum infection /". Thesis, Connect to this title online; UW restricted, 2006. http://hdl.handle.net/1773/9298.
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Rubi, Gérald. "Neurosyphilis révélatrice d'une co-infection à VIH : à propos d'un cas". Montpellier 1, 1997. http://www.theses.fr/1997MON11151.
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Magalhães, Daniela Mendes dos Santos [UNESP]. "Fatores sócio-demográficos e antecedentes obstétricos relacionados à sífilis na gestação em uma amostra de gestantes do Distrito Federal". Universidade Estadual Paulista (UNESP), 2011. http://hdl.handle.net/11449/99203.
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magalhaes_dms_me_botfm.pdf: 206735 bytes, checksum: aa519bde82357abc38ac12018ce6a987 (MD5)Fundação de Ensino e Pesquisa em Ciências da Saúde (FEPECS)
A sífilis na gestação é um grave problema de saúde pública, responsável por altos índices de morbimortalidade intrauterina. Estima-se que leve, em pelo menos 50% das gestações acometidas, a desfechos perinatais adversos. Esses dados remetem à falta de controle das doenças sexualmente transmissíveis (DST) e à deficiência na assistência pré-natal. O objetivo deste estudo transversal foi conhecer o perfil sócio-demográfico e os antecedentes obstétricos das gestantes com VDRL reagentes no DF no ano de 2010. Verificou-se o percentual de gestantes que tiveram acesso ao pré-natal e foram inadequadamente tratadas de acordo com as recomendações do MS. Foram entrevistadas 67 gestantes/ puérparas notificadas no SINAN, em cinco maternidades públicas do DF e consultadas as informações do prontuário e cartão da gestante quando disponível. Foram avaliados dados sóciodemográficos, obstétricos, informações relacionadas ao diagnóstico e tratamento da gestante/puérpara e parceiro. Apenas 41,8% gestantes foram adequadamente tratadas e o principal motivo para a inadequação do tratamento foi a falta (83,6%) ou inadequação do tratamento do parceiro (88,1%). Foi constatada a necessidade de novo tratamento da gestante na maternidade por falta de documentação do tratamento realizado no pré-natal. Os dados demonstram que a qualidade do pré-natal recebido pela gestante não é suficiente para garantir o controle da sífilis congênita e o atingimento da meta de controle da doença
Syphilis during pregnancy is a serious public health problem responsible for high rates of intrauterine mortality. It is estimated that in at least 50% of pregnancies affected, adverse perinatal outcomes happen. These findings reflect the lack of control of sexually transmitted diseases (STDs) and disability in prenatal care. The goal of this survey was to understand the epidemiological profile of women with VDRL reagents in the Federal District in 2010. The study verified the percentage of pregnant women who had access to prenatal care and were inadequately treated in accordance with the recommendations of the Ministry of Health. We interviewed 67 pregnant and postpartum women who reported to the SINAN, users of five public hospitals of the DF and consulted information from medical records and from prenatal care charts, when available. Data were collected on sociodemographic, obstetric, information related to diagnosis and treatment of pregnant and puerperal women and their partners. Only 28 (41.8%) patients were adequately treated and the main reason for inadequacy was the lack of treatment (83.6%) or inadequate treatment of the partner (88.1%). The study demonstrated the need for new treatment of the mother at the hospital for lack of documentation of the treatment in prenatal care. Our data demonstrates that the quality of prenatal care received by pregnant women is not sufficient to ensure control of congenital syphilis and reaching the goal of controlling the disease
34
Ussher, Greg. "'The medical gaze and the watchful eye' : the treatment, prevention and epidemiology of venereal diseases in New South Wales c.1901 - 1925". University of Sydney, 2007. http://hdl.handle.net/2123/3565.
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Doctor of Philosophy(PhD)From Federation in 1901 through the first three decades of the twentieth century there was a perceptible shift in modes of rule in New South Wales (NSW) related to the management of venereal diseases. At the beginning of the twentieth century a medicopenal approach was central. By 1925, persuasion and ‘responsibilisation’ were becoming important modes, and young people rather than ‘case-hardened prostitutes' were assessed as being a ‘venereal’ risk. Framing this period were three important legislative developments which informed, and were informed by, these shifts: the NSW Prisoners Detention Act 1909, the NSW Select Committee into the Prevalence of Venereal Diseases 1915 and the NSW Venereal Diseases Act 1918. At its core this thesis is concerned with examining shifting modes of rule. This thesis closely examines each. I suggest that these modes of rule can be viewed through the lens of biopolitics, and following Foucault, deploy the ‘medical gaze’ and the ‘watchful eye’ as constructs to examine the relationship between the government of self, government of others and government of the state. I use the medical gaze to describe not only the individual venereal patient attending a hospital and the body of the patient diagnosed with syphilis and/or gonorrhoea, but most importantly to describe the power relationship between the medical practitioner, the teaching hospital and the patient. I use the watchful eye in a more overarching way to suggest the suite of techniques and apparatus deployed by government to monitor and regulate the venereal body politic, both the populations perceived to be posing a venereal risk, and populations at risk of venereal infection. In relation to the venereal body and the venereal body politic, I analyse three fundamental aspects of the management of venereal diseases: treatment, prevention and epidemiology. Treatment: Over this period, treatment moved from lock institutions to outpatient clinics. Embodied in this change was a widespread institutional ambivalence towards treating venereal patients. I contend that treatment of venereal diseases was painful, prolonged and punitive precisely because of the moral sickness perceived to be at the iv heart of venereal infection. I track this ambivalence to a systemic fear of institutional ‘venerealisation’, which decreased perceptibly across the period. Closely analysing surviving patient records, I argue that in their conduct, venereal patients were often compliant, conscientious and responsible. Prevention: I argue that preventative approaches to venereal diseases became increasingly complex, and operated in three domains – preventative medicine (diagnosis, treatment and vaccination); public health prevention (notification, isolation and disinfection); and prevention education (social purity campaigns and sex hygiene). An emerging plethora of community-based organisations and campaigns began to shift the sites and practices of power. Epidemiology: I suggest that there was a shift from danger to risk in the conceptualisation of venereal diseases. This shift necessitated a focus on factors affecting populations, as opposed to factors affecting individuals. This in turn led to the deployment of various techniques to monitor the conduct of venereal populations. The NSW Venereal Diseases Act 1918 created two important new venereal categories: the ‘notified person’ and the ‘defaulter,’ both of which came to permeate renditions of venereal patients throughout the 20th century.
35
Chan, Cucciniello Christine. "Les comportements psychosociaux face a deux maladies : la syphilis avant le xxeme siecle et le sida". Clermont-Ferrand 1, 1991. http://www.theses.fr/1991CLF13012.
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LAGRANGE, JEAN-PIERRE. "Relation entre la syphilis et le risque d'hépatite B en Loire-Atlantique". Nantes, 1988. http://www.theses.fr/1988NANT159M.
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SWIADER, LAURE. "Pheochromocytome malin et aortite vegetante : discussion nosologique". Aix-Marseille 2, 1994. http://www.theses.fr/1994AIX20806.
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PEREZ, LAUREAU CHRISTINE. "Neurosyphilis et infection par le virus de l'immunodeficience humaine". Aix-Marseille 2, 1990. http://www.theses.fr/1990AIX20112.
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Dallé, Jessica. "Sífilis em gestantes e o tratamento do parceiro sexual". reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2017. http://hdl.handle.net/10183/159600.
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Introdução: A sífilis em gestantes é um problema de saúde pública, com casos crescentes a cada ano. O tratamento do parceiro sexual da gestante com sífilis, é de suma importância, pois a falta de tratamento deste pode invalidar todas as medidas de controle instituídas durante o cuidado pré-natal. Objetivo: Descrever a ocorrência de tratamento do parceiro sexual e avaliar fatores maternos que favorecem a realização do tratamento do parceiro sexual das gestantes com sífilis gestacional atendidas no Hospital Fêmina (HFE). Método: Estudo transversal descritivo onde foram descritos os casos de pacientes com diagnóstico de sífilis gestacional atendidas no Serviço de Obstetrícia do HFE no período de 01 de janeiro de 2007 a 31 de dezembro de 2014, e seus respectivos parceiros. A coleta de dados foi realizada através dos dados encaminhados pelo Serviço de Controle de Infecção Hospitalar do Hospital Fêmina à Vigilância em Saúde do Município de Porto Alegre em sífilis, em conjunto com os prontuários das pacientes estudadas. O projeto teve aprovação do Comitê de Ética em Pesquisa do Grupo Hospitalar Conceição com protocolo de número 47914815.2.0000.5530. Resultados: Foram identificados 771 casos de sífilis em gestantes, e desses 570 não tinham informações sobre o tratamento do parceiro sexual da gestante. Dos 201 casos de gestantes com informações sobre o tratamento do parceiro sexual, 25 (12,44%) parceiros foram adequadamente tratados. Na análise univariada comparando gestantes com parceiros tratados para sífilis e não tratados, identificaram-se características associadas à ocorrência de tratamento adequado do parceiro em relação a mulheres que apresentaram sífilis gestacional: a) mais de oito anos de estudo (p=0.022), b) acompanhamento pré-natal adequado (p=0.010) e diagnóstico da sífilis no pré-natal (p=0.003). Conclusão: Escolaridade, diagnóstico precoce de sífilis, e a realização de pré-natal adequado parecem ser fatores determinantes para o adequado tratamento do parceiro e prevenção da transmissão vertical da doença.Introduction: Syphilis in pregnant women is a public health problem, with increasing cases each year. Treatment of the sexual partner of the pregnant women with syphilis is very important because the lack of treatment may invalidate all control measures imposed during prenatal care. Objective: to describe the occurrence of treatment of the sexual partner and evaluate maternal factors that favor the realization of the treatment of the sexual partner of pregnant women with gestational syphilis treated in Hospital Fêmina. Method: This is a cross-sectional descriptive study, in which were described the cases of patients diagnosed with gestational syphilis in the Obstetrics Department of Hospital Fêmina, and their partners, from January 1st 2007 to December 31st 2014. Data collection was done through the data sent by the Department of Infection Control to Department of Health Surveillance of Porto Alegre in syphilis, along with the records of patients. Ethical principles will be were respected. The project had approval of the ethics committee of Grupo Hospitalar Conceição under protocol number 47914815.2.0000.5530. Results: 771 cases of syphilis in pregnant women were identified. No information on the treatment of the sexual partners was available in 570 of these cases. Among the 201 cases presenting information about the partners treatment, 25 (12.44%) of them were adequately treated. In the univariate analysis comparing women whose partners were treated for syphilis with those untreated demonstrates the associated characteristics as: a) more than eight years of study (p =0.022); b) adequate prenatal care (p= 0.010) and diagnosis of syphilis in prenatal care (p= 0.003). Conclusion: The years of study, the early diagnosis of syphilis and an adequate prenatal care appear to be determining factors for appropriate partner treatment and prevention of the vertical transmission of the disease.
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Kitayama, Ken, Eddy R. Segura, Jordan E. Lake, Amaya G. Perez-Brumer, Catherine E. Oldenburg, Bethany A. Myers, Paria Pourjavaheri, Chinomnso N. Okorie, Robinson L. Cabello i Jesse L. Clark. "Syphilis in the Americas: a protocol for a systematic review of syphilis prevalence and incidence in four high-risk groups, 1980–2016". Biomed Central Ltd, 2017. http://hdl.handle.net/10757/622278.
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Background: Syphilis infection has recently resurfaced as a significant public health problem. Although there has been a tremendous amount of research on the epidemiology of syphilis, there has been limited work done to synthesize the extensive body of research and systematically estimate patterns of disease within high-risk groups in the Americas. The purpose of this systematic review and meta-analysis is to (1) summarize recent patterns of syphilis infection in North and South America among four high-risk groups (MSM, transgender women, sex workers, and incarcerated individuals) from 1980 to 2016, (2) identify and differentiate regional geographic epidemiologic characteristics, and (3) compare the epidemics of the economically developed countries of North America from the developing countries and public health systems of Latin America and the Caribbean. Methods/design: Primary studies reporting syphilis prevalence and/or incidence in at least one of the four high-risk groups will be identified from Medline/PubMed, Embase, Lilacs, SciELO, The Cochrane Library, Web of Science, Scopus, ProQuest, CINAHL, Clase, and Periódica, as well as "gray" literature sources (conference abstracts, country reports, etc.). Studies published from 1980 through 2016 will be included. Data will be extracted from studies meeting inclusion and exclusion criteria and a random effects meta-analysis of prevalence and incidence estimates will be conducted. Heterogeneity, risk of bias, and publication bias will be assessed. Pooled prevalence and incidence estimates will be calculated for comparisons based on geographic region, risk factors, and time period. Discussion: Our systematic review and meta-analysis aims to contribute to an improved understanding of global epidemiologic patterns of syphilis infection in most-at-risk populations. Through systematic classification of the existing literature, and comparison of disease patterns across regional, temporal and socio-behavioral differences, we hope to improve public health surveillance and improve efforts to control the spread of disease across the Americas. Systematic review registration: PROSPERO CRD42016047306.
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Armour, Patricia. "Usefulness of the Captia Syphilis IgG EIA test method and reverse algorithm for detection of syphilis infection in a public health setting". VCU Scholars Compass, 2018. https://scholarscompass.vcu.edu/etd/5341.
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Syphilis, a systemic sexually transmitted disease, is on the rise in the US, with infection rates the highest recorded since 1994 according to the CDC. Useful laboratory testing is an important diagnostic tool for determining individual syphilis infection and preventing community-wide disease spread.
The purpose of this study was to determine the usefulness of a specific automated treponemal test method, the CaptiaTM Syphilis IgG EIA, and the syphilis reverse algorithm interpretation for detecting syphilis infection among patients seeking care in a public health clinic. The study employed a retrospective, nonexperimental descriptive correlational design with data collected between 2012-2013 from 4,077 public health clinic patients with 21% of the patients diagnosed with syphilis infection.
There was a statistically significant difference between the CaptiaTM Syphilis IgG and the Fujirebio Serodia TP-PA test results; between the CaptiaTM Syphilis IgG Signal to Cutoff (S/CO) and the MacroVue RPR titer continuous variables; and between the reverse and traditional syphilis interpretation algorithms. The reverse algorithm using the CaptiaTM Syphilis IgG test method provided more useful performance measures with a sensitivity of 82%; specificity of 99%; accuracy of 95%; positive likelihood ratio of 63.06 and negative likelihood of 0.18 than the traditional algorithm using the MacroVue RPR test method. Statistical comparison of the area under the curve (AUC) for the continuous variables, CaptiaTM Syphilis IgG S/CO and RPR titer, concluded that the Syphilis IgG AUC (0.9500) was higher than the RPR titer (0.8155) indicating greater accuracy for detecting syphilis infection.
This was the first study to determine that the CaptiaTM Syphilis IgG, the S/CO value, and reverse algorithm are useful diagnostic predictors of syphilis infection among public health clinic patients. The data from this study can be utilized by future researchers and scientists who are developing or improving syphilis detection methods.
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Silva, Vivian Sauer Torres da [UNESP]. "Os (Des) caminhos da sífilis congênita em Botucatu/São Paulo". Universidade Estadual Paulista (UNESP), 2016. http://hdl.handle.net/11449/138179.
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A sífilis congênita é um evento sentinela e um dos mais graves desfechos adversos que podem ser prevenidos durante a gestação. Sua eliminação configura-se como desafio diretamente ligado ao controle da sífilis na gestação, tanto pela atenção à saúde da gestante, quanto à de seus parceiros. A alta prevalência da transmissão vertical vem apontando perdas de oportunidades durante todas as fases da doença na gestação, justificando o presente estudo que teve por objetivo analisar o itinerário terapêutico percorrido por mães que tiveram filhos notificados como caso de sífilis congênita no Sistema de Informação de Agravos de Notificação e propor fluxo de cuidados a gestantes diagnosticadas com sífilis no âmbito da Atenção Primária à Saúde. Trata-se de pesquisa exploratória de cunho qualitativo embasada no referencial teórico do Itinerário Terapêutico. Fizeram parte do estudo 17 mães que tiveram filhos nascidos no período de janeiro de 2013 a dezembro de 2014. Os dados foram obtidos por consulta as ficha de notificação de sífilis em gestante e de sífilis congênita, ficha de acompanhamento domiciliar de sífilis congênita do Programa Municipal de Doenças Sexualmente Transmissíveis/Aids, prontuários e por meio de entrevista semiestruturada com as mães. A análise dos dados foi realizada segundo a técnica de Análise de Conteúdo de Bardin, na vertente Temática. Predominaram as mães que tinham alto nível de escolaridade, baixa renda, multiplicidade de parceiros sexuais na vida, multiparidade e antecedente de sífilis. Verificou-se que houve o uso de drogas ilícitas durante o período gestacional por duas mães investigadas. A maioria das mães realizou o pré-natal em unidades básicas de saúde do município, com seis ou mais consultas, entretanto, cinco mães iniciaram o pré-natal no terceiro trimestre de gestação, sete tiveram o diagnóstico de sífilis no terceiro trimestre de gestação e uma no parto, seis mães não finalizaram o tratamento em até 30 dias antes do parto, e ocorreram dois óbitos fetais. A maioria dos bebês apresentou sinais clínicos e/ou alterações laboratoriais sugestivas de sífilis congênita. A maior parte dos parceiros não foi tratada. A análise das entrevistas permitiu a exploração de três temas e seus respectivos núcleos de sentido: Tema 1 - Foi muito difícil ter sífilis na gestação; Tema 2 - Foi bem doloroso ver meu bebê ficar internado e Tema 3 - Apesar de tudo, ainda sei pouco sobre sífilis. Pela análise do itinerário terapêutico das mães, pôde-se depreender que este foi marcado por preocupação, medo, decepção, dor, violência institucional e cuidado desumanizado que implicaram sofrimento, superado com apoio de familiares e profissionais de saúde. Com base nos achados deste estudo foi elaborada uma proposta de fluxo de cuidados dirigido as gestantes com sífilis focado no processo de trabalho das equipes da rede de atenção primária à saúde, desde o diagnóstico até o nascimento. Por fim, considera-se que este estudo vem contribuir para o planejamento de ações mais abrangentes voltadas ao cuidado integral de gestantes com diagnóstico de sífilis e à prevenção da sífilis congênita, uma vez que revela dificuldades enfrentadas por mulheres que tiveram filhos notificados como caso de sífilis congênita, além de aspectos da vulnerabilidade individual, social e programática que devem ser abordados na atenção integral à saúde deste grupo populacional.
Congenital syphilis is a sentinel event and one of the most severe adverse outcomes that can be prevented during pregnancy. Its elimination represents a challenge directly linked to syphilis control during pregnancy, because of the care for the pregnant woman’s and her partners’ health. The high prevalence of vertical transmission has appointed the loss of opportunities during all phases of the disease during pregnancy, justifying this study, which was intended to analyze the therapeutic itinerary of mothers whose infants were notified as cases of congenital syphilis in the Reportable Disease Information System and to propose a care flow for pregnant women diagnosed with syphilis in Primary Health Care. An exploratory and qualitative research was undertaken based on the theoretical framework of the Therapeutic Itinerary. The study participants were 17 mothers who had children born between January 2013 and December 2014. The data were collected by consulting the notification forms for syphilis in pregnant women and congenital syphilis, as well as the domestic monitoring form of congenital syphilis of the Municipal Program for Sexually Transmitted Diseases/Aids, patient histories and semistructured interviews with the mothers. The data were analyzed using Bardin’s Thematic Content Analysis. Mothers were predominant with a high education level, low income, multiple sexual partners in life, multiple births and a history of syphilis. Two of the mothers had used illegal drugs during pregnancy. Most of the mothers received antenatal care at primary health care services in the cities, with six or more consultations, but five mothers started antenatal care in the third pregnancy term, seven were diagnosed with syphilis in the third term and one when giving birth, six mothers did not get treatment in the first 30 days after birth and two fetal deaths occurred. Most of the infants presented clinical signs and/or laboratory changes suggesting congenital syphilis. Most of the partners were not treated. The analysis of the interviews permitted exploring three themes and their respective central meanings: Theme 1 – It was very difficult to have syphilis during pregnancy; Theme 2 – It was very difficult to see my baby in hospital and Theme 3 – Despite everything, I still know little about syphilis. Based on the analysis of the mothers’ therapeutic itinerary, it could be inferred that it was marked by concern, fear, deceit, pain, institutional violence and dehumanized care, which implied suffering, overcome with the support of family members and health professionals. Based on these study findings, a care flow proposal was elaborated focused on the pregnant women with syphilis. Finally, this study contributes to the planning of more comprehensive actions focused on integral care delivery to pregnant women diagnosed with syphilis and on the prevention of congenital syphilis, as it reveals difficulties faced by women with children notified as cases of congenital syphilis, besides aspects of individual, social and program vulnerability, which should be addressed in integral health care for this population group.
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Sampson, Lynne Arlene Miller William C. "Screening for syphilis and HIV in North Carolina jails". Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2008. http://dc.lib.unc.edu/u?/etd,1980.
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Thesis (Ph. D.)--University of North Carolina at Chapel Hill, 2008.Title from electronic title page (viewed Dec. 11, 2008). "... in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Department of Epidemiology." Discipline: Epidemiology; Department/School: Public Health.
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Watson-Jones, Deborah Lindsay. "Impact of syphilis on outcome of pregnancy and evaluation of syphilis screening strategies for the reduction of adverse pregnancy outcomes in Mwanza, Tanzania". Thesis, London School of Hygiene and Tropical Medicine (University of London), 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.246851.
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Almeida, Anelisa Soares de. "Gestantes notificadas com sífilis e ocorrência de sífilis congênita estudo de coorte retrospectiva /". Botucatu, 2018. http://hdl.handle.net/11449/157351.
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Orientador: Cristina Maria Garcia de Lima Parada ParadaResumo: A sífilis é doença causada pelo Treponema pallidium e transmitida por via sexual, hematogênica ou vertical. Sua forma congênita ocorre quando a gestante com sífilis não tratada ou tratada inadequadamente transmite a doença para o recém-nascido. Tem-se por objetivo investigar a ocorrência e a influência de fatores maternos e relativos ao pré-natal sobre a sífilis congênita. Trata-se de estudo de coorte retrospectiva, formada por 158 casos de sífilis em gestantes notificados no período de 2013 a 2015, com seguimento realizado pelo Programa de DST/Aids de município de médio porte do interior paulista. A análise estatística foi realizada descritivamente e por regressão logística múltipla, sendo considerado p crítico <0,05. A maior parte das gestantes notificadas em decorrência da sífilis era branca, tinha nove ou mais anos de escolaridade e trabalho não remunerado; quase a totalidade havia feito pré-natal (96,8%). Do total de gestantes incluídas na coorte, 74 (46,8%) tiveram recém-nascido classificado com sífilis. A análise univariada evidenciou que a chance de sífilis congênita foi menor entre as mulheres com maior escolaridade, maior número de consultas e realização de acompanhamento pré-natal em Unidade de Saúde da Família e foi maior quanto maior a idade gestacional no início do tratamento e quanto maior a titulação do exame não treponêmico materno (p<0,20). Essas variáveis foram incluídas em modelo de regressão logística final, que evidenciou ser o número de consultas pré-na... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: Syphilis is a recent disease caused by Treponema pallidium and transmitted sexually, hematogenously or vertically. Its congenital form occurs when a pregnant woman with syphilis is not treated or treated improperly to make the newborn. It aims to investigate the occurrence and influence of maternal and prenatal factors on congenital syphilis. This is a retrospective study, formatted for 158 cases of syphilis in pregnant women reported in the period from 2013 to 2015, with follow-up performed by the STD / AIDS Program of a medium-sized municipality in the state of São Paulo. Statistical analysis was performed descriptively and by regression, with the announcement of p <0.05. The majority of the pregnant women noticed the result of syphilis was white, superior or superior to schooling and unpaid work; already had a prenatal care (96.8%). Of the total number of pregnant women included in the cohort, 74 (46.8%) had newborns classified as having syphilis. The univariate analysis showed that the chance of congenital syphilis was lower among women with higher schooling, higher number of visits and prenatal follow-up in the Family Health Unit, and the higher the greater the gestational age at the beginning of treatment and the maternal non-treponemal test (p <0.20). These variables were included in a final logistic regression model, which showed that the number of prenatal consultations was the only factor independently associated with the occurrence of congenital syphilis, with a lo... (Complete abstract click electronic access below)
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Sandes, Valcieny de Souza. "Análise de nova metodologia na triagem sorológica para sífilis em doadores de sangue". Niterói, 2017. https://app.uff.br/riuff/handle/1/3050.
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Introdução: Após 110 anos da descoberta do primeiro teste sorológico para sífilis, a doença continua sendo um problema de saúde pública. Os testes sorológicos desempenham papel fundamental no diagnóstico da doença. A evolução de vários testes e a introdução de novas metodologias de testes treponêmicos frequentemente geram dúvidas na hora da interpretação dos resultados. Nos bancos de sangue, resultados discordantes e falsos positivos geram desconforto na relação com o doador. O presente trabalho se propõe a fazer uma análise da introdução recente do teste treponêmico por quimioluminescência na triagem sorológica para sífilis em doadores de sangue do Serviço de Hemoterapia do Instituto Nacional de Câncer José Alencar Gomes da Silva no Rio de Janeiro. Metodologia: Trata-se de um estudo retrospectivo e exploratório a partir dos resultados de triagem e confirmatórios de testes para Sífilis no Laboratório de Sorologia do Serviço de Hemoterapia do INCA no período de Janeiro de 2010 a Junho de 2014. Na primeira parte do estudo, foi realizada uma revisão bibliográfica sobre sensibilidade e especificidade dos principais testes sorológicos para sífilis. A segunda parte foi dividida em três fases: i) uma análise comparativa do perfil de resultados na triagem sorológica utilizando os testes VDRL (Veneral Disease Research Laboratory) entre 2010 e 2011 e ChLIA (Chemiluminescent Immunoassay) entre 2012 e 2013); ii) análise das propriedades e concordância de dois testes ChLIA (Architect® Syphilis TP e Liaison® Treponema Scren) com o FTA-ABS (Fluorescent Treponemal Antibody-Absortion) como comparador; iii) e análise de possíveis associações das variáveis idade, gênero, estado civil, nível de escolaridade, utilização de medicamentos e concomitância de reatividade para outros agentes infecciosos com resultados positivos e/ou falsos positivos. Resultados: A revisão bibliográfica incluiu 49 artigos. A variação da sensibilidade e da especificidade encontrada foi: 62,2 – 83,7 e 83,9 – 100 para o VDRL; e 95,8 – 100 e 78,4 – 100 para o ChLIA, respectivamente. No período em que foi utilizado o VDRL, a taxa de reatividade para sífilis foi de 1,01% (N = 28.158). Dos inicialmente reativos, foi possível confirmar o resultado após coleta da segunda amostra de 65,96% (188) dos doadores. Já no período em que foi utilizado o ChLIA, foram triados 25.577 doadores e a taxa de reatividade para sífilis aumentou para 2,66%. Retornaram para coleta de segunda amostra 52,48% (360) doadores. Foi encontrado perfil de resultados semelhantes com taxas de falsos positivos de 40,5% para o VDRL e 37,4% para o ChLIA (p = 0,5266). Entre os testes ChLIA, o Liaison® Treponema Scren apresentou melhores resultados de concordância com o FTA-ABS e especificidade (81% e 87% respectivamente) do que o Architect® Syphilis TP (71% e 79%). Foi encontrada associação entre idade mais avançada e níveis de escolaridade mais baixos com os resultados positivos para sífilis. Conclusão: A nova metodologia introduzida na triagem sorológica apresentou desempenho inferior ao esperado quanto à especificidade. Este resultado sugere a importância de se investir em estudos para avaliar custo-efetividade de novas estratégias para redução das perdas de doadores em casos de falsos positivos
Introduction: Since the discovery of the first syphilis serological test 110 years ago, the disease remains a public health problem. Serologic tests play an important role in diagnosis of the disease. Various tests have become available and the introduction of new treponemal tests often raises questions at the time of interpretation. In blood banks, discordant and false positives results causing discomfort in the relationship with donor. This study analyzed the recent introduction of a treponemal chemiluminescent assay in syphilis screening in blood donors of the Hemotherapy Service/INCA/RJ. Methodology: A retrospective exploratory study was performed based on results of screening and confirmatory tests for syphilis in the Hemotherapy Service of INCA from January 2010 to June 2014. In the first part of the study, a literature review on sensitivity and specificity of the main serologic tests for syphilis was performed. The second part was divided into three phases: i) a comparative analysis of positives, negatives and false positives results in screening using the VDRL test (Venereal Disease Research Laboratory) between 2010 and 2011 and ChLIA (Chemiluminescent Immunoassay) between 2012 and 2013; ii) a concordance analysis of two ChLIA tests (Architect® Syphilis TP and Liaison® Treponema Scren) with the FTA-ABS (Fluorescent Treponemal Antibody-Absorption) as a comparator; iii) and an analysis of possible association of age, gender, marital status, educational level, use of medicines and reactivity for other infectious agents with positive and/or false positive test results. Results: The literature review includes 49 articles. The variation of sensitivity and specificity found was: 62.2 to 83.7 and from 83.9 to 100 for VDRL; and 95.8 - 78.4 and 100 - 100 for ChLIA respectively. In VDRL test period the reactivity rate for syphilis was 1.01% (N = 28 158). It was possible to confirm the result after collecting the second sample in 65.96% (188) of donors with initially reactive test results. In ChLIA period, 25,577 donors were screened and the reactivity rate for syphilis increased to 2.66%. Second samples were collected from 52.48% (360) donors. A similar profile was found with false positive rate of 40.5% for VDRL and 37.4% for ChLIA (p = 0.5266). In the ChLIA tests assessed, Liaison® Treponema Screen showed a better agreement with FTA-ABS and specificity (81% and 87% respectively) than the Architect® Syphilis TP (71% and 79%). An association between elderly and lower education status with positive results for syphilis was found. Conclusion: The new methodology introduced in serological screening showed a lower performance than expected in specificity. This result suggests the importance of investing in studies to evaluate cost-effectiveness of new strategies for reducing losses of donors in cases of false positives
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Magalhães, Daniela Mendes dos Santos. "Fatores sócio-demográficos e antecedentes obstétricos relacionados à sífilis na gestação em uma amostra de gestantes do Distrito Federal /". Botucatu : [s.n.], 2011. http://hdl.handle.net/11449/99203.
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Orientador: Adriano DiasBanca: Iracema de Mattos Paranhos Calderon
Banca: Maria do Socorro Nantua Evangelista
Resumo: A sífilis na gestação é um grave problema de saúde pública, responsável por altos índices de morbimortalidade intrauterina. Estima-se que leve, em pelo menos 50% das gestações acometidas, a desfechos perinatais adversos. Esses dados remetem à falta de controle das doenças sexualmente transmissíveis (DST) e à deficiência na assistência pré-natal. O objetivo deste estudo transversal foi conhecer o perfil sócio-demográfico e os antecedentes obstétricos das gestantes com VDRL reagentes no DF no ano de 2010. Verificou-se o percentual de gestantes que tiveram acesso ao pré-natal e foram inadequadamente tratadas de acordo com as recomendações do MS. Foram entrevistadas 67 gestantes/ puérparas notificadas no SINAN, em cinco maternidades públicas do DF e consultadas as informações do prontuário e cartão da gestante quando disponível. Foram avaliados dados sóciodemográficos, obstétricos, informações relacionadas ao diagnóstico e tratamento da gestante/puérpara e parceiro. Apenas 41,8% gestantes foram adequadamente tratadas e o principal motivo para a inadequação do tratamento foi a falta (83,6%) ou inadequação do tratamento do parceiro (88,1%). Foi constatada a necessidade de novo tratamento da gestante na maternidade por falta de documentação do tratamento realizado no pré-natal. Os dados demonstram que a qualidade do pré-natal recebido pela gestante não é suficiente para garantir o controle da sífilis congênita e o atingimento da meta de controle da doença
Abstract: Syphilis during pregnancy is a serious public health problem responsible for high rates of intrauterine mortality. It is estimated that in at least 50% of pregnancies affected, adverse perinatal outcomes happen. These findings reflect the lack of control of sexually transmitted diseases (STDs) and disability in prenatal care. The goal of this survey was to understand the epidemiological profile of women with VDRL reagents in the Federal District in 2010. The study verified the percentage of pregnant women who had access to prenatal care and were inadequately treated in accordance with the recommendations of the Ministry of Health. We interviewed 67 pregnant and postpartum women who reported to the SINAN, users of five public hospitals of the DF and consulted information from medical records and from prenatal care charts, when available. Data were collected on sociodemographic, obstetric, information related to diagnosis and treatment of pregnant and puerperal women and their partners. Only 28 (41.8%) patients were adequately treated and the main reason for inadequacy was the lack of treatment (83.6%) or inadequate treatment of the partner (88.1%). The study demonstrated the need for new treatment of the mother at the hospital for lack of documentation of the treatment in prenatal care. Our data demonstrates that the quality of prenatal care received by pregnant women is not sufficient to ensure control of congenital syphilis and reaching the goal of controlling the disease
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RIVAS, RUBEN. "Les gommes syphilitiques cerebrales : a propos d'une observation". Clermont-Ferrand 1, 1988. http://www.theses.fr/1988CLF13030.
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49
Quemar-Huilizen, Anne. "Conceptions actuelles du dépistage et de traitement de la syphilis de l'oreille : à propos de 4 observations". Nantes, 1985. http://www.theses.fr/1985NANT3393.
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50
Барановская, Ю. А., i М. Н. Лебедюк. "Эпидемиология сифилиса и гонореи у несовершеннолетних лиц Одесской области". Thesis, Издательство СумГУ, 2008. http://essuir.sumdu.edu.ua/handle/123456789/11308.
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