{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T11:58:02Z","timestamp":1769947082602,"version":"3.49.0"},"reference-count":16,"publisher":"American Public Health Association","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[1999,4]]},"abstract":"<jats:p> OBJECTIVES: After a syphilis epidemic in Jefferson County, Texas, in 1993 and 1994, congenital syphilis prevalence and risk factors were determined and local prenatal syphilis screening practices were assessed. METHODS: Medical records were reviewed, pregnant women with syphilis were interviewed, and prenatal care providers were surveyed. RESULTS: Of 91 women, 59 (65%) had infants with congenital syphilis. Among African Americans, the prevalence per 1000 live births was 24.1 in 1994 and 17.9 in 1995. Of the 50 women with at least 2 prenatal care visits who had infants with congenital syphilis, 15 (30%) had received inadequate testing. Only 16% of 31 providers obtained an early third-trimester syphilis test on all patients. CONCLUSIONS: Inadequate prenatal testing contributed to this outbreak of congenital syphilis. <\/jats:p>","DOI":"10.2105\/ajph.89.4.557","type":"journal-article","created":{"date-parts":[[2008,11,29]],"date-time":"2008-11-29T13:33:29Z","timestamp":1227965609000},"page":"557-560","source":"Crossref","is-referenced-by-count":25,"title":["An epidemic of congenital syphilis in Jefferson County, Texas, 1994-1995: inadequate prenatal syphilis testing after an outbreak in adults."],"prefix":"10.2105","volume":"89","author":[{"given":"K L","family":"Southwick","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H M","family":"Guidry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M M","family":"Weldon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K J","family":"Mert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S M","family":"Berman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W C","family":"Levine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"p_30","unstructured":"Schulz KF, Murphy FK, Patamasucon P, Meheus AZ. Congenital syphilis. In: Holmes KK, Mardh P-A, Sparling PF, Wiesner PJ, eds. Sexually Transmitted Diseases. 2nd ed. New York, NY: McGraw-Hill Inc; 1990."},{"key":"p_31","unstructured":"Plan ofAction for the Elimination of Congenital Syphilis. Presented at: 116th Annual Meeting of the Pan American Health Organization; June 1995; Washington, DC."},{"key":"p_32","unstructured":"Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death. 9th ed. Geneva, Switzerland: World Health Organization; 1977."},{"key":"p_33","unstructured":"Congenital syphilis case investigation and reporting form instructions. Washington, DC: US Dept of Health and Human Services; September 1991. Form 73.126."},{"key":"p_34","doi-asserted-by":"crossref","unstructured":"Kleinbaum DG. Logistic Regression:A Self-Learning Text. NewYork, NY: Springer-Verlag; 1994.","DOI":"10.1007\/978-1-4757-4108-7"},{"key":"p_35","first-page":"14","volume":"42","author":"Centers for Disease Control and Prevention. 1993","year":"1993","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"p_36","unstructured":"Sexually Transmitted Disease Surveillance, 1994. Atlanta, Ga: Division of STD Prevention, Centers for Disease Control and Prevention; September 1995."},{"key":"p_37","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199212103272402"},{"key":"p_38","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(90)91188-I"},{"key":"p_39","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.81.10.1316"},{"key":"p_40","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-199010000-00003"},{"key":"p_41","first-page":"687","volume":"74","author":"Ricci JM","year":"1989","journal-title":"Obstet Gynecol."},{"key":"p_42","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a116690"},{"key":"p_43","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(94)70223-3"},{"key":"p_44","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1993.02160310029012"},{"key":"p_45","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a116545"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.89.4.557","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T20:31:15Z","timestamp":1652128275000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.89.4.557"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,4]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1999,4]]}},"alternative-id":["10.2105\/AJPH.89.4.557"],"URL":"https:\/\/doi.org\/10.2105\/ajph.89.4.557","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,4]]}}}