Frequency of nontreponemal testing (VDRL) and prevalence of test reactivity in patients with miscarriage at Hospital Local del Norte in Bucaramanga, Colombia
DOI:
https://doi.org/10.18597/rcog.73Keywords:
Miscarriage, syphilis, nontreponemal test, requestAbstract
Introduction: Adherence to the recommendations for syphilis screening in pregnant women is critical for congenital syphilis prevention. The objective of this study was to estimate the frequency of nontreponemal test orders and prevalence of test reactivity in women with miscarriage.
Materials and methods: Cross-sectional study based on the registry of patients coming to the obstetrical emergency service at Hospital Local del Norte, Bucaramanga, between January 1st and December 31st, 2011, diagnosed with miscarriage. The prevalence of nontreponemal testing (VDRL) orders as well as of reactive results was assessed in these patients.
Results: During the study period, 233 women were identified to have a confirmed miscarriage. The mean age was 24.2 ± 7.3 and the mean gestational age was 9.1 ± 3.3 weeks. Evidence for nontreponemal test orders was documented in 135 patients (57.9 %; CI 95 %: 51.6-64.3); of them, 5 (3.7 %; CI 95 %: 0.5-6.9) had reactive results: 1 with 1:2 titres; 3 with 1:4 titres and 1 with 1:32 titres.
Conclusion: Despite existing recommendations, the prevalence of nontreponemal test orders in patients with miscarriage is low. This points to the need to create awareness among the staff about the importance of following closely the protocol for the care of pregnant patients.
Author Biographies
Ricardo Ortiz-Serrano
Víctor Mauricio Herrera-Galindo
Catalina Acuña-Padilla
References
Schmid GP, Stoner BP, Hawkes S, Broutet N. The need and plan for global elimination of congenital syphilis. Sex Transm Dis. 2007;34:S5-10.
Doherty L, Fenton KA, Jones J, Paine TC, Higgins SP, Williams D, et al. Syphilis: old problem, new strategy. BMJ. 2002;325:153-6.
Organización Panamericana de la Salud, Unidad VIH/SIDA. Hoja informativa sobre sífilis congénita. Washington, D.C; 2004. [Visitado 2014 Feb 11]. Disponible en: http://www.paho.org/Spanish/AD/FCH/AI/EliminaSifilisLAC.pdf
Noyola DE, Malacara-Alfaro O, Lima-Rogel V, Torres-Montes A. Seroprevalence of syphilis in pregnant women in San Luis Potosí. Salud Pública Mex. 2006;48:151-4.
Revollo R, Tinajeros F, Hilari C, García SG, Zegarra L, Díaz-Olavarrieta C, et al. Maternal and congenital syphilis in four provinces in Bolivia. Salud Pública Mex. 2007;49:422-8.
Lomotey CJ, Lewis J, Gebrian B, Bourdeau R, Dieckhaus K, Salazar JC. Maternal and congenital syphilis in rural Haiti. Rev Panam Salud Pública. 2009;26:197-202.
Ministerio de Protección Social. Guías de promoción de la salud y prevención de enfermedades en la salud pública. Bogotá, Colombia, mayo 2007. [Visitado 2014 Feb 11]. Disponible en: http://www.minsalud.gov.co/Documentos%20y%20Publicaciones/GUIA%20DE%20ATENCION%20DE%20LA%20SIFILIS%20CONGENITA.pdf.
Rojas-Higuera R, Londoño-Cardona JG, Arango-Gómez F. Clinical practice in looking after breastfeeding women and the new-born in some hospitals in Bogotá, Colombia. Rev Salud Pública (Bogotá). 2006;8:223-34.
Ochoa M. Sífilis gestacional y congénita. Santander, 2009-2012. Informe Epidemiológico de Santander. 2012;6(3).
Valderrama, J. Eliminación de sífilis congénita en América Latina y el Caribe: Marco de referencia para su implementación. Washington, D.C: OPS, 2005. [Visitado 2014 Feb 11]. Disponible en: http://www1.paho.org/Spanish/AD/FCH/AI/EliminaSifilisLAC.pdf.
Workowski KA, Berman S. Centers for Disease Control and Prevention (CDC). Sexually Transmitted Diseases Treatment Guidelines. MMWR Recomm Rep. 2010;59:1-110.
How to Cite
Downloads
Downloads
Published
Issue
Section
License
Copyright (c) 2015 Revista Colombiana de Obstetricia y Ginecología
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Article metrics | |
---|---|
Abstract views | |
Galley vies | |
PDF Views | |
HTML views | |
Other views |