Assessment of the s Situation of Congenital Syphilis in Thailand in 2009
A program called “Elimination of Congenital Syphilis” was formulated and advocated by the World Health Organization (WHO), but data on the prevalence of congenital syphilis (CS) had not been collected. The objectives of this study were to assess the magnitude of the problem of CS in Thailand, to identify current treatment for mothers and children impacted by CS. The study proposal was approved by the Thai Ministry of Public Health Ethical Committee. Data of pregnancy in fiscal year 2009 from nine provinces were collected. Three tools used for data collection included “Review Record Form,” “Management for Syphilis Positive Pregnancy,” and “Syphilis Infections Record Form”. We held meetings and invited health staff members from each hospital to attend and submitted the completed forms. One-hundred and fifty hospitals were included. The completed record review forms indicated that over 99% of pregnant women who received ANC were screened for syphilis. Of this group of 119,200 women, 188 (0.16%) tested positive for syphilis, and 168 of those had a positive confirmatory test result. There were 103 sero-positive pregnant women (SPPW), prevalence of CS from these women was 14 (0.10/1000 live births). Most physicians practice according to the textbook, but most of them informed us that no guideline for management of SPPW was used in their hospitals. We found a low prevalence of syphilis among pregnant women and a low level of CS in Thailand during the study period. Little attention was being paid to this problem by health personnel. Reminding health personnel about caring for SPPW could help to reduce CS in Thailand even further.
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