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Syphilis outbreak at a California men's prison, 2007-2008: propagation by lapses in clinical management, case management, and public health surveillance.
Brodsky, Jennifer L; Samuel, Michael C; Mohle-Boetani, Janet C; Ng, Rilene Chew; Miller, Jamie; Gorman, Janelle M; Espain, Guadalupe; Bolan, Gail.
Afiliação
  • Brodsky JL; Sexually Transmitted Disease Control Branch, California Department of Public Health, Richmond, CA 94804, USA. Jennifer.Brodsky@gmail.com
J Correct Health Care ; 19(1): 54-64, 2013 Jan.
Article em En | MEDLINE | ID: mdl-22989493
This field report describes an investigation to identify cases to control a syphilis outbreak in a prison and determine whether clinical, case management, and surveillance practices influenced the outbreak occurrence, detection, or management. Key performance measures were assessed to evaluate timeliness and quality of clinical and case management activities and surveillance practices. Thirty cases were found. Prior to the investigation, median times for clinical and reporting/surveillance measures were 15 days from primary and secondary (P&S) symptom onset to exam, 7 days from P&S exam to treatment, and 63 days from serologic test to the state's receipt of case. After the investigation, these measures improved to 8, 4.5, and 28 days, respectively. Lack of adherence to surveillance and clinical management protocols likely contributed to this outbreak, which was curtailed by aggressive control measures.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Administração de Serviços de Saúde / Sífilis / Protocolos Clínicos Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies / Screening_studies Limite: Humans / Male País/Região como assunto: America do norte Idioma: En Revista: J Correct Health Care Assunto da revista: SAUDE PUBLICA / SERVICOS DE SAUDE Ano de publicação: 2013 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Administração de Serviços de Saúde / Sífilis / Protocolos Clínicos Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies / Screening_studies Limite: Humans / Male País/Região como assunto: America do norte Idioma: En Revista: J Correct Health Care Assunto da revista: SAUDE PUBLICA / SERVICOS DE SAUDE Ano de publicação: 2013 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos