{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T06:15:19Z","timestamp":1782454519925,"version":"3.54.5"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,11,29]],"date-time":"2020-11-29T00:00:00Z","timestamp":1606608000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000085","name":"Ontario HIV Treatment Network","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000085","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Syphilis has increased in recent years, causing difficulties for clinicians and public health practitioners alike. While one issue with the current management of syphilis is that it has both a myriad of presentations and complicated laboratory results, another issue relates to the current case definitions used to define and track syphilis in public health surveillance. One item that is missing is a \u201cprobable\u201d case definition, which could help capture the number of likely cases of syphilis that were appropriately treated clinically, but which failed to reach public health case definition based on serologic markers. This approach could produce a more accurate picture of the breadth of syphilis transmission in North America and help better appreciate the groups most affected by syphilis change. We put forward and argue this position herein.<\/jats:p>","DOI":"10.1111\/phn.12850","type":"journal-article","created":{"date-parts":[[2020,11,29]],"date-time":"2020-11-29T11:11:26Z","timestamp":1606648286000},"page":"390-395","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Discussing current syphilis case definitions: A proposal for a \u201cprobable infectious\u201d case"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0587-1409","authenticated-orcid":false,"given":"Patrick","family":"O'Byrne","sequence":"first","affiliation":[{"name":"School of Nursing University of Ottawa Ottawa ON Canada"},{"name":"Research Chair in Public Health &amp; HIV Prevention Ontario HIV Treatment Network Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Orser","sequence":"additional","affiliation":[{"name":"School of Nursing University of Ottawa Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"MacPherson","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases The Ottawa Hospital Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,29]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Eliminating syphilis from the United States","author":"Centers for Disease Control and Prevention (CDC)","year":"2010"},{"key":"e_1_2_7_3_1","volume-title":"2015 Sexually Transmitted Diseases Treatment Guidelines \u2013 Syphilis","author":"Centers for Disease Control and Prevention (CDC)","year":"2015"},{"key":"e_1_2_7_4_1","volume-title":"Syphilis (Treponema pallidum) \u2013 2018 case definition","author":"Centers for Disease Control and Prevention (CDC)","year":"2018"},{"key":"e_1_2_7_5_1","volume-title":"Sexually Transmitted Disease Surveillance 2018 \u2013 Syphilis","author":"Centers for Disease Control and Prevention (CDC)","year":"2019"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.14745\/ccdr.v44i02a02"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4159"},{"issue":"7","key":"e_1_2_7_8_1","first-page":"554","article-title":"Approach to lymphogranuloma venereum","volume":"62","author":"O'Byrne P.","year":"2016","journal-title":"Canadian Family Physician"},{"key":"e_1_2_7_9_1","volume-title":"Case Definitions for Communicable Diseases under National Surveillance","author":"Public Health Agency of Canada (PHAC)","year":"2009"},{"key":"e_1_2_7_10_1","volume-title":"Evaluation of Surveillance Function at the Public Health Agency of Canada","author":"Public Health Agency of Canada (PHAC)","year":"2013"},{"key":"e_1_2_7_11_1","volume-title":"Canadian Guidelines on Sexually Transmitted Infections \u2013 Management and treatment of specific infections \u2013 Syphilis","author":"Public Health Agency of Canada (PHAC)","year":"2020"}],"container-title":["Public Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phn.12850","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/phn.12850","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phn.12850","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T01:54:06Z","timestamp":1693619646000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/phn.12850"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,29]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1111\/phn.12850"],"URL":"https:\/\/doi.org\/10.1111\/phn.12850","archive":["Portico"],"relation":{},"ISSN":["0737-1209","1525-1446"],"issn-type":[{"value":"0737-1209","type":"print"},{"value":"1525-1446","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,29]]},"assertion":[{"value":"2020-08-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}