{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T09:11:50Z","timestamp":1709889110553},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Przegl Epidemiol"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/><strong>BACKGROUND.<\/strong> Syphilis is the third most frequent bacterial sexually transmitted disease globally. Untreated\u00a0syphilis in a pregnant woman may results in a transmission of the infection to the foetus resulting in congenital\u00a0syphilis.<br \/><strong>AIM.<\/strong> To characterise females treated for syphilis in Bialystok, north-east Poland, in years 2016-2020.<br \/><strong>MATERIAL AND METHODS.<\/strong> Retrospective analysis of age, residency, marital status of patients, stage of\u00a0syphilis, treatment and adherence to follow-up visits was conducted as well as a detailed analysis of clinical\u00a0characteristics of pregnant women treated for syphilis.<br \/><strong>RESULTS.<\/strong> Sixteen women were treated for syphilis in 2016-2020, 11 (68.8%) of them were pregnant. The\u00a0proportion of pregnant women among all syphilis female patients increased substantially as compared to years\u00a02000-2015 (68.8% vs. 36.2%, respectively, P<0.05). Mean age of patients was 37.12\u00b111.25 years, 10 (62.5%) were\u00a0residents of urban areas and 10 were married. Late latent syphilis or latent of unknown duration was the most\u00a0frequent stage of syphilis. <em>Chlamydia trachomatis<\/em> infection was detected in four (25%) patients with syphilis.\u00a0Benzathine penicillin was mainly used in the treatment. More than half of patients did not complete follow-up.\u00a0Only one pregnant woman was treated within the first trimester and five of them (45.45%) were lost to follow-up\u00a0and the outcome of pregnancy was unknown.<br \/><strong>CONCLUSIONS.<\/strong> Syphilis in females, especially in pregnant ones, is an important problem in the Podlaskie\u00a0voivodeship. The proportion of pregnant females among all female patients with syphilis is increasing. The\u00a0detection and the treatment of infection is frequently delayed in pregnant females. The after treatment followup\u00a0and the knowledge of outcome of pregnancy remains unsatisfactory. The collaboration between dermatovenereologists,\u00a0gynaecologists and obstetricians should be improved.<\/p>\n<p><strong>STRESZCZENIE<\/strong><br \/><strong>WST\u0118P.<\/strong> Ki\u0142a jest trzeci\u0105 najcz\u0119stsz\u0105 bakteryjn\u0105 chorob\u0105 przenoszon\u0105 drog\u0105 p\u0142ciow\u0105 na \u015bwiecie. Nieleczona\u00a0ki\u0142a w ci\u0105\u017cy mo\u017ce prowadzi\u0107 do zaka\u017cenia p\u0142odu i w rezultacie do ki\u0142y wrodzonej.<br \/><strong>CEL.<\/strong> Charakterystyka kobiet leczonych na ki\u0142\u0119 w o\u015brodku bia\u0142ostockim w latach 2016-2020.<br \/><strong>MATERIA\u0141 I METODY.<\/strong> Przeanalizowano retrospektywnie wiek, miejsce zamieszkania, stan cywilny pacjentek,\u00a0okres ki\u0142y, leczenie, zg\u0142aszalno\u015b\u0107 na wizyty kontrolne po leczeniu. Szczeg\u00f3\u0142owo przeanalizowano dane\u00a0kliniczne kobiet w ci\u0105\u017cy leczonych z powodu ki\u0142y.<br \/><strong>WYNIKI.<\/strong> W latach 2016-2020 leczono z powodu ki\u0142y 16 kobiet, 11 z nich (68,8%) by\u0142o w ci\u0105\u017cy. Proporcja\u00a0ci\u0119\u017carnych w stosunku do wszystkich leczonych kobiet znacz\u0105co wzros\u0142a w stosunku do lat 2000-2015 (odpowiednio:\u00a068,8% i 36,2%, p<0,05). \u015aredni wiek pacjentek wynosi\u0142 37,12\u00b111,25 lat, 10 z nich (62,5%) mieszka\u0142a\u00a0w miastach, 10 by\u0142a zam\u0119\u017cna. Najcz\u0119\u015bciej rozpoznawano ki\u0142\u0119 p\u00f3\u017an\u0105 utajon\u0105 lub utajon\u0105 o nieznanym czasie\u00a0trwania. Zaka\u017cenie <em>Chlamydia trachomatis<\/em> wsp\u00f3\u0142wyst\u0119powa\u0142o u czterech (25%) chorych na ki\u0142\u0119. W leczeniu\u00a0stosowano g\u0142\u00f3wnie penicylin\u0119 benzatynow\u0105. Ponad po\u0142owa pacjentek nie uko\u0144czy\u0142a kontroli po leczeniu. Tylko\u00a0jedna ci\u0119\u017carna by\u0142a leczona w pierwszym trymestrze ci\u0105\u017cy, a u pi\u0119ciu (45,45%) dalszy przebieg ci\u0105\u017cy i stan\u00a0zdrowia noworodka by\u0142 nieznany.<br \/><strong>WNIOSKI.<\/strong> Ki\u0142a u kobiet, szczeg\u00f3lnie ci\u0119\u017carnych, jest istotnym problemem w wojew\u00f3dztwie podlaskim. Odsetek\u00a0ci\u0119\u017carnych w\u015br\u00f3d wszystkich leczonych na ki\u0142\u0119 pacjentek wzrasta. Rozpoznanie i leczenie zaka\u017cenia w\u00a0ci\u0105\u017cy cz\u0119sto jest op\u00f3\u017anione. Zg\u0142aszalno\u015b\u0107 do kontroli po leczeniu i dalszy przebieg ci\u0105\u017cy oraz stan zdrowia\u00a0noworodka pozostaj\u0105 niezadowalaj\u0105ce. Niezb\u0119dna jest w tym kontek\u015bcie poprawa wsp\u00f3\u0142pracy pomi\u0119dzy dermatologami-wenerologami a ginekologami-po\u0142o\u017cnikami.<\/p><\/jats:p>","DOI":"10.32394\/pe.75.46","type":"journal-article","created":{"date-parts":[[2022,5,11]],"date-time":"2022-05-11T11:35:45Z","timestamp":1652268945000},"page":"494-501","source":"Crossref","is-referenced-by-count":0,"title":["Females treated for syphilis in Bialystok, Poland 2016\u20132020"],"prefix":"10.32394","volume":"75","author":[{"given":"AB","family":"Serwin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Kaczy\u0144ska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Flisiak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17323","published-online":{"date-parts":[[2022,5,10]]},"container-title":["Przeglad Epidemiologiczny"],"original-title":["Kobiety leczone z powodu ki\u0142y w o\u015brodku bia\u0142ostockim w latach 2016\u20132020"],"link":[{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-181030-101591","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-181030-101591","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T08:52:29Z","timestamp":1709887949000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/Females-treated-for-syphilis-in-Bialystok-Poland-2016-2020,181030,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,10]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021]]}},"alternative-id":["181030"],"URL":"https:\/\/doi.org\/10.32394\/pe.75.46","relation":{},"ISSN":["0033-2100","2545-1898"],"issn-type":[{"value":"0033-2100","type":"print"},{"value":"2545-1898","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,10]]}}}