3 research outputs found
Elimination of Congenital Syphilis in Ukraine: Analysis and the Emerging Issues
The objective of this study is to analyze the indicators of the process of elimination of mother-to-child transmission of syphilis in Ukraine thus helping to prepare for elimination of this process according to the WHO targets and criteria.Epidemiological and clinical data of 237 women who had syphilis before or during pregnancy and babies born to them (238) from 1999 to 2007 years were presented. In addition were used statistical forms of the Public Health Center and Center for Medical Statistics of the Ministry of Health of Ukraine for the incidence of syphilis and HIV in women of reproductive age, pregnant women and children born to them, including those who were diagnosed with congenital syphilis (CS) and HIV infection.Analysis of the causes of Π‘S suggests that the main risk factors in Ukraine were the lack of prenatal care in 44 % and treatment in 99 % of pregnant women with syphilis. Besides out-of-date normative base regulating STI diagnostic and care create delay in diagnostics and treatment of pregnant women and their newborns.In addition, the delay with prenatal diagnosis and treatment, late infection, quality of diagnostics, iatrogenic errors, refusal of women from current requirement for hospitalization, reinfection, and birth at home can be attributed to risk factors for CS.Despite the main target indicator of CS elimination has been achieved, process indicators of syphilis as coverage of syphilis testing and treatment of pregnant women as well as other additional requirements have not reached yet.On the way to the CS elimination Ukraine is facing a few challenges. There is an urgent need on further year the new strategy on STI/Π‘S prevention with targets and targets indicators. In addition national protocols of the treatment of pregnant women should be adapted according to the European Guidelines as well as comprehensive data is required for surveillance and monitoring of CS elimination
ELIMINATION OF CONGENITAL SYPHILIS IN UKRAINE: ANALYSIS AND THE EMERGING ISSUES
The objective of this study is to analyze the indicators of the process of elimination of mother-to-child transmission of syphilis in Ukraine thus helping to prepare for elimination of this process according to the WHO targets and criteria.Epidemiological and clinical data of 237 women who had syphilis before or during pregnancy and babies born to them (238) from 1999 to 2007 years were presented. In addition were used statistical forms of the Public Health Center and Center for Medical Statistics of the Ministry of Health of Ukraine for the incidence of syphilis and HIV in women of reproductive age, pregnant women and children born to them, including those who were diagnosed with congenital syphilis (CS) and HIV infection.Analysis of the causes of Π‘S suggests that the main risk factors in Ukraine were the lack of prenatal care in 44 % and treatment in 99 % of pregnant women with syphilis. Besides out-of-date normative base regulating STI diagnostic and care create delay in diagnostics and treatment of pregnant women and their newborns.In addition, the delay with prenatal diagnosis and treatment, late infection, quality of diagnostics, iatrogenic errors, refusal of women from current requirement for hospitalization, reinfection, and birth at home can be attributed to risk factors for CS.Despite the main target indicator of CS elimination has been achieved, process indicators of syphilis as coverage of syphilis testing and treatment of pregnant women as well as other additional requirements have not reached yet.On the way to the CS elimination Ukraine is facing a few challenges. There is an urgent need on further year the new strategy on STI/Π‘S prevention with targets and targets indicators. In addition national protocols of the treatment of pregnant women should be adapted according to the European Guidelines as well as comprehensive data is required for surveillance and monitoring of CS elimination
ΠΠΈΠΊΠ²ΠΈΠ΄Π°ΡΠΈΠ― ΠΏΠ΅ΡΠ΅Π΄Π°ΡΠ ΠΎΠ’ ΠΌΠ°ΡΠ΅ΡΠ ΡΠ΅Π±Π΅Π½ΠΊΠ£ ΠΠΠ§-ΠΠ½ΡΠ΅ΠΊΡΠΠ Π ΡΠΈΡΠΈΠ»ΠΈΡΠ Π Π£ΠΊΡΠ°ΠΈΠ½Π΅: ΠΏΡΠΎΠ³ΡΠ΅Π‘Π‘ Π Π²Π«Π·ΠΎΠ²Π«
Π¦Π΅Π»Ρ ΡΡΠΎΠ³ΠΎ ΠΈΡΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ β ΠΏΡΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°ΡΡ ΠΈΠ½Π΄ΠΈΠΊΠ°ΡΠΎΡΡ Π²ΠΎΠ·Π΄Π΅ΠΉΡΡΠ²ΠΈΡ ΠΈ ΠΏΡΠΎΡΠ΅ΡΡΠΎΠ² Π»ΠΈΠΊΠ²ΠΈΠ΄Π°ΡΠΈΠΈ ΠΏΠ΅ΡΠ΅Π΄Π°ΡΠΈ ΠΌΠ°ΡΠ΅ΡΠΈ ΡΠ΅Π±Π΅Π½ΠΊΡ (ΠΠΠ ) ΠΠΠ§ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ ΠΈ ΡΠΈΡΠΈΠ»ΠΈΡΠ° Π² ΡΠΈΡΡΠ΅ΠΌΠ΅ ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠΈ Π²ΡΠΎΠΆΠ΄Π΅Π½Π½ΠΎΠ³ΠΎ ΡΠΈΡΠΈΠ»ΠΈΡΠ° ΠΈ ΠΏΡΠΎΠ³ΡΠ°ΠΌΠΌΠ΅ ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠΈ ΠΠΠ ΠΠΠ§ Π² Π£ΠΊΡΠ°ΠΈΠ½Π΅ Π½Π° ΠΎΡΠ½ΠΎΠ²Π΅ Π΄Π°Π½Π½ΡΡ
ΡΠ΅ΡΡΠΎΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΠΎΠ³ΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ, ΡΠΏΠΎΡΠΎΠ±ΡΡΠ²ΡΡ, ΡΠ°ΠΊΠΈΠΌ ΠΎΠ±ΡΠ°Π·ΠΎΠΌ, ΠΏΠΎΠ΄Π³ΠΎΡΠΎΠ²ΠΊΠ΅ ΠΊ Π΄Π²ΠΎΠΉΠ½ΠΎΠΉ Π²Π°Π»ΠΈΠ΄Π°ΡΠΈΠΈ ΡΡΠΈΡ
ΠΏΡΠΎΡΠ΅ΡΡΠΎΠ² Π² ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΠΈΠΈ Ρ ΡΠ΅Π»ΡΠΌΠΈ ΠΈ ΠΊΡΠΈΡΠ΅ΡΠΈΡΠΌΠΈ ΠΠ