Challenges in the Contemporary Management of Syphilis among Pregnant Women in New Orleans, LA
Joint Authors
Minard, Charles G.
Stafford, Irene A.
Berra, Alexandra
Fontenot, Virginia
Kopkin, Rachel H.
Rodrigue, Eliza
Roitsch, Charles M.
Rac, Martha W.
Hill, James B.
Source
Infectious Diseases in Obstetrics and Gynecology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-02-13
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
The aim of this retrospective review is to evaluate trends in the management of maternal and congenital syphilis (CS) in a tertiary care center in New Orleans, LA.
Study Design.
All cases of maternal and neonatal syphilis over a five year period at Touro Infirmary, New Orleans, LA, were identified using ICD-9/10 codes.
Charts were reviewed for demographic and obstetrical variables, stage of syphilis at diagnosis, lab values, and treatment regimen.
Newborn treatment and other outcomes were recorded.
Results.
During the study period 106 infected mother-baby pairs were identified.
Of these, 73 charts are available for review.
41% (n = 30) of women received inadequate therapy according to their stage of disease.
9% of newborns (n = 6) were found to be symptomatic for CS; however, only 83.3% of these were admitted to the neonatal intensive care unit.
Only 20% (n = 6) of infants were adequately treated with an extended penicillin regimen if the mother was not adequately treated.
Furthermore, only 63.0% of newborns had a nontreponemal titer performed.
Conclusion.
With rising rates of CS, strict adherence to the 2015 CDC guidelines for treatment of syphilis must be maintained.
American Psychological Association (APA)
Stafford, Irene A.& Berra, Alexandra& Minard, Charles G.& Fontenot, Virginia& Kopkin, Rachel H.& Rodrigue, Eliza…[et al.]. 2019. Challenges in the Contemporary Management of Syphilis among Pregnant Women in New Orleans, LA. Infectious Diseases in Obstetrics and Gynecology،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1155687
Modern Language Association (MLA)
Stafford, Irene A.…[et al.]. Challenges in the Contemporary Management of Syphilis among Pregnant Women in New Orleans, LA. Infectious Diseases in Obstetrics and Gynecology No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1155687
American Medical Association (AMA)
Stafford, Irene A.& Berra, Alexandra& Minard, Charles G.& Fontenot, Virginia& Kopkin, Rachel H.& Rodrigue, Eliza…[et al.]. Challenges in the Contemporary Management of Syphilis among Pregnant Women in New Orleans, LA. Infectious Diseases in Obstetrics and Gynecology. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1155687
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1155687