{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T05:05:05Z","timestamp":1769576705468,"version":"3.49.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2020,8,25]],"date-time":"2020-08-25T00:00:00Z","timestamp":1598313600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,8,25]],"date-time":"2020-08-25T00:00:00Z","timestamp":1598313600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Robert Koch-Institut"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Bundesgesundheitsbl"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Infektionen in der Schwangerschaft sind weltweit eine der f\u00fchrenden Ursachen f\u00fcr erh\u00f6hte Morbidit\u00e4t und Mortalit\u00e4t bei M\u00fcttern und ihren Neugeborenen. In Deutschland gibt es seit mehr als 50\u00a0Jahren eine standardisierte Gesundheitsvorsorge in der Schwangerschaft. Die Mutterschafts-Richtlinien des Gemeinsamen Bundesausschusses bilden hierzu den gesetzlichen Rahmen und umfassen unter anderem das Screening von Schwangeren auf HIV, Syphilis und Hepatitis\u00a0B.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>Im Rahmen dieser Arbeit soll eruiert werden, wie hoch die Abdeckung des Screenings in der deutschen Bev\u00f6lkerung ist.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Mithilfe von anonymisierten Routinedaten von gesetzlich Versicherten, die dem Institut f\u00fcr angewandte Gesundheitsforschung Berlin GmbH (InGef) aus den Jahren 2011 bis 2015 vorliegen, wurde mithilfe von verschiedenen Internationale statistische Klassifikationsziffern der Krankheiten und verwandter Gesundheitsprobleme(ICD-10)- und Einheitlicher Bewertungsma\u00dfstab(EBM)-Ziffern eine Definition f\u00fcr Schwangerschaft entwickelt und eine erste Auswertung zur Inanspruchnahme von Testungen auf Infektionserreger in der Schwangerschaft vorgenommen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Der hohe Anteil von Frauen, die im Rahmen der Schwangerschaft auf Syphilis (95,3\u202f%) und Hepatitis\u00a0B (91,6\u202f%) getestet werden, spricht f\u00fcr eine sehr gute Erreichbarkeit und Inanspruchnahme von vorgeburtlichen Screeningangeboten. Bei HIV ist der Anteil an getesteten Frauen deutlich niedriger (84,9\u202f%).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Ob Schwangere einen HIV-Test ablehnen, der Test anderweitig durchgef\u00fchrt oder nicht durch das \u00e4rztliche Personal empfohlen wurde, l\u00e4sst sich anhand der vorliegenden Datenlage nicht kl\u00e4ren. Angesichts der hochwirksamen medizinischen Interventionsm\u00f6glichkeiten f\u00fcr Syphilis, HIV und Hepatitis\u00a0B ist eine m\u00f6glichst vollst\u00e4ndige Testung von Schwangeren in Deutschland anzustreben. Die Gr\u00fcnde f\u00fcr fehlende Screeninguntersuchungen m\u00fcssen weiter eruiert und Ansatzpunkte f\u00fcr eine Steigerung der Inanspruchnahme identifiziert werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00103-020-03199-4","type":"journal-article","created":{"date-parts":[[2020,8,25]],"date-time":"2020-08-25T11:04:17Z","timestamp":1598353457000},"page":"1143-1150","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Gelingt das Screening von Schwangeren auf HIV, Syphilis und Hepatitis\u00a0B in Deutschland? Eine Analyse auf Basis von Routinedaten","How well is the screening of pregnant women for HIV, syphilis, and hepatitis\u00a0B implemented in Germany? An analysis based on routine data"],"prefix":"10.1007","volume":"63","author":[{"given":"Sandra","family":"Beermann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josephine","family":"Jacob","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Dudareva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus","family":"Jansen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Marcus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Zimmermann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Viviane","family":"Bremer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,8,25]]},"reference":[{"key":"3199_CR1","doi-asserted-by":"publisher","first-page":"e323","DOI":"10.1016\/S2214-109X(14)70227-X","volume":"2","author":"L Say","year":"2014","unstructured":"Say\u00a0L, Chou\u00a0D, Gemmill\u00a0A et\u00a0al (2014) Global causes of maternal death: a\u00a0WHO systematic analysis. 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