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Cited by 44Syphilis Diagnosis and TreatmentReproductive tract infections researchHIV/AIDS Research and Interventions

The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.

Characteristics associated with delivery of an infant with congenital syphilis and missed opportunities for prevention—California, 2012 to 2014.

Biswas, Hope H., Chew Ng, Rilene A., Murray, Erin L., Chow, Joan M., Stoltey, Juliet E., Watt, James P., Bauer, Heidi M.·2018·Sexually Transmitted Diseases
DOI 10.1097/olq.0000000000000782
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Abstract

BACKGROUND: Congenital syphilis (CS), the transmission of Treponema pallidum from mother to fetus during pregnancy, can cause adverse birth outcomes. In 2012 to 2014, the CS rate in California increased more than 200% from 6.6 to 20.3 cases per 100,000 live births. Our objectives were to identify characteristics associated with delivering an infant with CS and missed opportunities for prevention among syphilis-infected pregnant women in California. METHODS: We linked California Department of Public Health syphilis surveillance records from women aged 15 to 45 years-diagnosed from March 13, 2012, to December 31, 2014-to birth records. We compared characteristics among mothers who delivered an infant with CS (CS mothers) with mothers who delivered an infant without CS (non-CS mothers) by using χ or Fisher exact tests. To visualize gaps in prevention among syphilis-infected pregnant women, we constructed a CS prevention cascade, a figure that shows steps to prevent CS. RESULTS: During the selected period, 2498 women were diagnosed as having syphilis, and 427 (17%) linked to birth records; 164 (38%) were defined as CS mothers and 263 (62%) as non-CS mothers. Mothers with CS were more likely than non-CS mothers to have their first prenatal care visit in the third trimester. High proportions of mothers in both groups reported high-risk sexual behaviors, methamphetamine use, or incarceration (13%-29%). The CS prevention cascade showed decrements of 5% to 11% in prenatal care receipt, testing, and treatment steps; only 62% of potential CS births were prevented. CONCLUSIONS: Multifaceted efforts are needed to address gaps in the CS prevention cascade and reduce CS cases in California.

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Crossref · 10.1097/olq.0000000000000782

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Metadata

Authors
Biswas, H. H., Chew Ng, R. A., Murray, E. L., Chow, J. M., Stoltey, J. E., Watt, J. P., & Bauer, H. M.
Affiliations
  • Centers for Disease Control and Prevention (US)
  • California Department of Public Health, Richmond, CA
  • California Department of Public Health (US)
Corresponding author
Biswas, Hope H.
ORCID
Venue
Sexually Transmitted Diseases
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2018-07
Volume
45
Issue
7
Pages
435-441
ISSN
  • 0148-5717 (ISSN-L)
  • 1537-4521
DOI
10.1097/olq.0000000000000782
OpenAlex
W2781612218
Cited by
44
References
11
Citations by year
2026: 5 · 2025: 3 · 2024: 7 · 2023: 5 · 2022: 9 · 2021: 5 · 2020: 5 · 2019: 2 · 2018: 3
FWCI
2.59
Type
journal article
Language
en
Open access
closed
Locations
  • Sexually Transmitted Diseases (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Infectious Diseases › Syphilis Diagnosis and Treatment
  • Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords
congenital syphilis, Treponema pallidum, prenatal care, missed opportunities for prevention, maternal syphilis, prenatal testing, methamphetamine use, incarceration, sexual risk behavior, California
MeSH terms
Adolescent, Adult, California, Female, Humans, Infant, Newborn, Medical Records, Middle Aged, Mothers, Pregnancy, Pregnancy Complications, Infectious, Prenatal Care, Prenatal Diagnosis, Public Health, Syphilis, Syphilis, Congenital, Treponema pallidum, Infectious Disease Transmission, Vertical, Young Adult

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