Syphilitic seroreactivity among the Thai population aged 50 years and above: value of mass screening.
Southeast Asian J Trop Med Public Health
;
2000 Jun; 31(2): 349-53
Artigo
em Inglês
| IMSEAR
| ID: sea-35177
ABSTRACT
The present study is concerned with the evaluation of routine serologic screening for syphilis among the general population aged 50 and above living in a suburban area of Bangkok, Thailand. Among 941 subjects aged 50 years and above recruited in a cohort study named the CERB study, blood of 798 subjects was obtained and their sera were tested for syphilis using the passive particle agglutination test for detection of antibodies to Treponema pallidum (TPPA) and the rapid plasma reagin (RPR). Of 798 subjects, 132 (16.5%) were reactive to serum TPPA. Their mean age (standard deviation) was 61.4 (8.4) years. Fifty-six subjects (42.4%) were male. Prevalence of syphilitic seroreactivity increased with age (p = 0.004). Prevalence of syphilitic seroreactivity among male and female subjects was 18.3% and 15.4% respectively (p = 0.001). Prevalence of syphilitic seroreactivity among subjects with formal education (14.4%) was significantly lower than that among subjects without formal education (26.5%) (p = 0.001). Of 132 subjects, 10 (7.6%) had and a rapid plasma reagin (RPR) titer of 116 or higher. None of them reported symptoms of primary or secondary syphilis during the initial survey. Of 125 subjects who were interviewed in depth during the revisit survey, 24 subjects had known about their syphilitic infection prior to this study. Among these 24 subjects, 4 had not received any treatment for syphilis and 1 used herbal medicine. Therefore, 106 subjects (84.4%) were untreated or inadequately treated. These findings suggest the value of mass screening for syphilis among the Thai population aged 50 years and above.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Tailândia
/
Treponema pallidum
/
Idoso de 80 Anos ou mais
/
Idoso
/
Feminino
/
Humanos
/
Masculino
/
Sorodiagnóstico da Sífilis
/
Sífilis
/
Estudos Soroepidemiológicos
Tipo de estudo:
Estudo diagnóstico
/
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Pesquisa qualitativa
/
Fatores de risco
/
Estudo de rastreamento
Limite:
Aged80
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Southeast Asian J Trop Med Public Health
Ano de publicação:
2000
Tipo de documento:
Artigo
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