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首页> 美国卫生研究院文献>American Journal of Public Health >The decentralization of syphilis screening for improved care in Jamaican public clinics. Collaborative Working Group on Decentralized Syphilis Screening.
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The decentralization of syphilis screening for improved care in Jamaican public clinics. Collaborative Working Group on Decentralized Syphilis Screening.

机译：梅毒筛查的权力下放以改善牙买加公共诊所的护理。分散性梅毒筛查合作工作组。

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OBJECTIVES: This study examined the decentralization of syphilis screening for improved care in Jamaican public clinics. METHODS: One of every five serum samples tested at the six peripheral sites was frozen and retested at the central laboratory in Kingston. Patient files and laboratory logbooks were compared over a 3-month period. RESULTS: Between May 1993 and December 1994, 15.5% of 32913 patients with sexually transmitted diseases and 8.3% of 8914 women seeking prenatal care were found syphilis seroreactive. Of 2001 samples evaluated, 1933 (96.6%) had been correctly reported at the peripheral sites. Of 129 syphilis seroreactors detected at the peripheral sites, 88 (68%) were treated the same day and 21 (16%) more within 3 days after testing. CONCLUSIONS: Syphilis seroreactors were accurately detected and quickly treated at the peripheral sites. If these efforts can be sustained, Jamaican syphilis rates should decrease.
机译：目的：这项研究检查了梅毒筛查的分散性，以改善牙买加公共诊所的医疗服务。方法：在六个外周部位测试的五分之一血清样品被冷冻，并在金斯敦的中央实验室进行了重新测试。在三个月的时间内比较了患者档案和实验室日志。结果：在1993年5月至1994年12月之间，在32913名性传播疾病患者中有15.5％的患儿和梅毒的血清反应性在8914名寻求产前护理的妇女中有8.3％。在2001年评估的样本中，外围站点已正确报告了1933年（占96.6％）。在外周部位检测到的129例梅毒血清反应器中，当天进行了88例（68％）治疗，测试后3天内又治疗了21例（16％）。结论：梅毒血清反应器被准确检测并在周围部位快速治疗。如果这些努力能够持续下去，那么牙买加的梅毒率应该降低。

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