妊婦におけるシフィリス感染のスクリーニング:米国予防サービスタスクフォースの再確認勧告声明

, Susan J Curry¹, Alex H Krist^2,3

¹University of Iowa, Iowa City.

JAMA

|September 8, 2018

まとめ

妊婦の早期スクリーニングは推奨されます. 効果的な治療は先天性梅毒を予防し,乳児の死亡率と罹患率を大幅に低減し,有害性は最小限に抑えられます.

科学分野:

公衆衛生
感染症の予防
妊婦と胎児の医療

背景:

妊婦のシフィリスを治療しなければ,先天性シフィリスになり,死産,新生児死亡,乳児の病気を引き起こす可能性があります.
生まれながらの梅毒の症例は2012年から2016年にかけて著しく増加し,生殖年齢の女性における梅毒の割合の増加を反映しています.

研究の目的:

妊娠中のシフィリスのスクリーニングに関するUSPSTFの2009年勧告を更新する.
妊娠中のシフィリスのスクリーニングと治療の利害に関する新しい証拠を評価する.

主な方法:

USPSTFは再確認証拠の更新を行った.
このレビューは,先天性梅毒の予防におけるスクリーニングの利点と,スクリーニングと治療に関連する害に焦点を当てた.

主要な成果:

シフィリスの正確なスクリーニングアルゴリズムがあります.
抗生物質の治療は,先天性梅毒を効果的に予防し,妊娠中の不良結果を軽減します.
検診と治療に伴う害は最小限であり,健康に重大な利益をもたらします.

結論:

USPSTFは,妊婦のシフィリス感染のスクリーニングが実質的な利益をもたらすことを再確認しています.
USPSTFは,すべての妊婦に対して早期の梅毒検診を推奨しています.

さらに関連する動画

09:45

Author Spotlight: Advancing Syphilis Research — Innovations in Treponema pallidum Cultivation and Genetic Engineering

Published on: January 24, 2025

7.0K

08:42

Design and Implementation of an fMRI Study Examining Thought Suppression in Young Women with, and At-risk, for Depression

Published on: May 19, 2015

11.2K

関連する概念動画

01:30

Preventive Healthcare Services

2.2K

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:

2.2K

01:22

Healthcare Associated Infections II: Preventive Measures

4.1K

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...

4.1K

01:15

Statements of the Second Law of Thermodynamics

5.0K

The second law of thermodynamics can be stated in several different ways, and all of them can be shown to imply the others. The Clausius’ statement of the second law of thermodynamics is based on the irreversibility of spontaneous heat flow. It states that heat will not flow from the colder body to the hotter body unless some other process is involved. Additionally, as per the Kelvin’s statement, it is impossible to convert the heat from a single source into work without any other...

5.0K

02:59

Cancer Prevention

8.1K

Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...

8.1K

01:30

Primary Healthcare Services

2.1K

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...

2.1K

03:13

Intermolecular Forces

71.5K

Atoms and molecules interact through bonds (or forces): intramolecular and intermolecular. The forces are electrostatic as they arise from interactions (attractive or repulsive) between charged species (permanent, partial, or temporary charges) and exist with varying strengths between ions, polar, nonpolar, and neutral molecules. The different types of intermolecular forces are ion–dipole, dipole–dipole, hydrogen bonds, and dispersion; among these, dipole–dipole, hydrogen...