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Vital Signs: Missed Opportunities for Preventing Congenital Syphilis - United States, 2022.
- Source :
-
MMWR. Morbidity and mortality weekly report [MMWR Morb Mortal Wkly Rep] 2023 Nov 17; Vol. 72 (46), pp. 1269-1274. Date of Electronic Publication: 2023 Nov 17. - Publication Year :
- 2023
-
Abstract
- Introduction: Congenital syphilis cases in the United States increased 755% during 2012-2021. Syphilis during pregnancy can lead to stillbirth, miscarriage, infant death, and maternal and infant morbidity; these outcomes can be prevented through appropriate screening and treatment.<br />Methods: A cascading framework was used to identify and classify missed opportunities to prevent congenital syphilis among cases reported to CDC in 2022 through the National Notifiable Diseases Surveillance System. Data on testing and treatment during pregnancy and clinical manifestations present in the newborn were used to identify missed opportunities to prevent congenital syphilis.<br />Results: In 2022, a total of 3,761 cases of congenital syphilis in the United States were reported to CDC, including 231 (6%) stillbirths and 51 (1%) infant deaths. Lack of timely testing and adequate treatment during pregnancy contributed to 88% of cases of congenital syphilis. Testing and treatment gaps were present in the majority of cases across all races, ethnicities, and U.S. Census Bureau regions.<br />Conclusions and Implications for Public Health Practice: Addressing missed opportunities for prevention, primarily timely testing and appropriate treatment of syphilis during pregnancy, is important for reversing congenital syphilis trends in the United States. Implementing tailored strategies addressing missed opportunities at the local and national levels could substantially reduce congenital syphilis.<br />Competing Interests: All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.
- Subjects :
- Infant
Infant, Newborn
Pregnancy
Female
Humans
United States epidemiology
Population Surveillance
Stillbirth
Vital Signs
Syphilis, Congenital epidemiology
Syphilis, Congenital prevention & control
Syphilis diagnosis
Syphilis epidemiology
Syphilis prevention & control
Pregnancy Complications, Infectious diagnosis
Pregnancy Complications, Infectious epidemiology
Pregnancy Complications, Infectious prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1545-861X
- Volume :
- 72
- Issue :
- 46
- Database :
- MEDLINE
- Journal :
- MMWR. Morbidity and mortality weekly report
- Publication Type :
- Academic Journal
- Accession number :
- 37971936
- Full Text :
- https://doi.org/10.15585/mmwr.mm7246e1