Prevalencia de sífilis materna y evaluación de una prueba diagnóstica rápida en Cochabamba, Bolivia

Background: Syphilis is still a public health problem in Latin America and the Caribbean. Therefore maternal screening is of great importance for public health. Aim: To estímate the prevalence of maternal syphilis and to evaluate a rapid diagnostic test for the disease among Bolivian women. Material...

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Autores principales:	Villazón-Vargas,Nayrah, Conde-Glez,Carlos J, Juárez-Figueroa,Luis, Uribe-Salas,Felipe
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2009
Materias:	Health services Public health Syphilis serodiagnosis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000400009
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spelling	oai:scielo:S0034-988720090004000092009-06-25Prevalencia de sífilis materna y evaluación de una prueba diagnóstica rápida en Cochabamba, BoliviaVillazón-Vargas,NayrahConde-Glez,Carlos JJuárez-Figueroa,LuisUribe-Salas,Felipe Health services Public health Syphilis serodiagnosis Background: Syphilis is still a public health problem in Latin America and the Caribbean. Therefore maternal screening is of great importance for public health. Aim: To estímate the prevalence of maternal syphilis and to evaluate a rapid diagnostic test for the disease among Bolivian women. Material and methods: A total of 489 women delivering in a Public Hospital in Cochabamba, Bolivia, answered a questionnaire about socioeconomic and reproductive characteristics and access to health care services. Syphilis was diagnosed by using RPR and FTA-ABS tests. The rapid test Determine syphilis TP was evaluated taking as reference FTA-ABS test. Results: Twenty two women (4.5%) were positive both for RPR and FTA-ABS tests and fifty (10.2%) were positive for the rapid diagnostic test and FTA-ABS. Compared with FTA-ABS, the sensitivity and specificity of the rapid test were 98% and 99.8%, respectively Only 15% of women that had at least one antenatal care visit had a syphilis screening test and 40% of the women in whom the test was performed, did not receive its results. Increasing age, low socioeconomic level and a history of a sexually transmitted disease were independently associated with syphilis infection. Conclusions: The magnitude of syphilis infection among the studied women was still high in Cochabamba. The rapid test showed excellent overall performance for maternal syphilis screening. Few women of all attended in the hospital had a screening syphilis test and half of those screened were not aware of the results. Maternal syphilis affected older women of low socioeconomic level and with a history of a sexually transmitted disease.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.137 n.4 20092009-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000400009es10.4067/S0034-98872009000400009
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Health services Public health Syphilis serodiagnosis
spellingShingle	Health services Public health Syphilis serodiagnosis Villazón-Vargas,Nayrah Conde-Glez,Carlos J Juárez-Figueroa,Luis Uribe-Salas,Felipe Prevalencia de sífilis materna y evaluación de una prueba diagnóstica rápida en Cochabamba, Bolivia
description	Background: Syphilis is still a public health problem in Latin America and the Caribbean. Therefore maternal screening is of great importance for public health. Aim: To estímate the prevalence of maternal syphilis and to evaluate a rapid diagnostic test for the disease among Bolivian women. Material and methods: A total of 489 women delivering in a Public Hospital in Cochabamba, Bolivia, answered a questionnaire about socioeconomic and reproductive characteristics and access to health care services. Syphilis was diagnosed by using RPR and FTA-ABS tests. The rapid test Determine syphilis TP was evaluated taking as reference FTA-ABS test. Results: Twenty two women (4.5%) were positive both for RPR and FTA-ABS tests and fifty (10.2%) were positive for the rapid diagnostic test and FTA-ABS. Compared with FTA-ABS, the sensitivity and specificity of the rapid test were 98% and 99.8%, respectively Only 15% of women that had at least one antenatal care visit had a syphilis screening test and 40% of the women in whom the test was performed, did not receive its results. Increasing age, low socioeconomic level and a history of a sexually transmitted disease were independently associated with syphilis infection. Conclusions: The magnitude of syphilis infection among the studied women was still high in Cochabamba. The rapid test showed excellent overall performance for maternal syphilis screening. Few women of all attended in the hospital had a screening syphilis test and half of those screened were not aware of the results. Maternal syphilis affected older women of low socioeconomic level and with a history of a sexually transmitted disease.
author	Villazón-Vargas,Nayrah Conde-Glez,Carlos J Juárez-Figueroa,Luis Uribe-Salas,Felipe
author_facet	Villazón-Vargas,Nayrah Conde-Glez,Carlos J Juárez-Figueroa,Luis Uribe-Salas,Felipe
author_sort	Villazón-Vargas,Nayrah
title	Prevalencia de sífilis materna y evaluación de una prueba diagnóstica rápida en Cochabamba, Bolivia
title_short	Prevalencia de sífilis materna y evaluación de una prueba diagnóstica rápida en Cochabamba, Bolivia
title_full	Prevalencia de sífilis materna y evaluación de una prueba diagnóstica rápida en Cochabamba, Bolivia
title_fullStr	Prevalencia de sífilis materna y evaluación de una prueba diagnóstica rápida en Cochabamba, Bolivia
title_full_unstemmed	Prevalencia de sífilis materna y evaluación de una prueba diagnóstica rápida en Cochabamba, Bolivia
title_sort	prevalencia de sífilis materna y evaluación de una prueba diagnóstica rápida en cochabamba, bolivia
publisher	Sociedad Médica de Santiago
publishDate	2009
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000400009
work_keys_str_mv	AT villazonvargasnayrah prevalenciadesifilismaternayevaluaciondeunapruebadiagnosticarapidaencochabambabolivia AT condeglezcarlosj prevalenciadesifilismaternayevaluaciondeunapruebadiagnosticarapidaencochabambabolivia AT juarezfigueroaluis prevalenciadesifilismaternayevaluaciondeunapruebadiagnosticarapidaencochabambabolivia AT uribesalasfelipe prevalenciadesifilismaternayevaluaciondeunapruebadiagnosticarapidaencochabambabolivia
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Prevalencia de sífilis materna y evaluación de una prueba diagnóstica rápida en Cochabamba, Bolivia

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