Trends in seroreactivity for syphilis among pregnant Nigerian women

Ozumba, UC; Oshi, Daniel C.; Nwokeji, C M; Anya, S E

doi:10.1136/sti.75.2.120

Cited by 14 publications

(12 citation statements)

References 8 publications

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“…The zero prevalence of syphilis recorded in the present study may indicate extremely low cases of the infection at the study area. Previous studies in different parts of Nigeria have also reported low prevalence (Ozumba et al, 1999;Aboyeji and Nwabuisi, 2003), far less than reported prevalence in some African Countries such as Zambia (12.5%) (Ratnam et al, 1982), Mozambique (18.3%) (Lindstrand et al, 1993), and Malawi (5%) (Kwiek et al, 2008). It is however, not illogical to express that congenital syphilis may not be a major cause of perinatal mortality in the study area.…”

Section: Discussioncontrasting

confidence: 56%

Sero-prevalence of malaria, hepatitis b and syphilis among pregnant women in Osogbo, Southwestern Nigeria

Adeleke¹,

Adebimpe²,

Sam-Wobo³

et al. 2013

J. Infect. Dis. Immun.

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Malaria, syphilis and Hepatitis B during pregnancy are detrimental to the life of the pregnant women and the foetus. In this study, we documented the prevalence of the three diseases among pregnant women attending a selected Comprehensive Health Care center in Osogbo, Nigeria using serological kits. Of the 200 participants consented to participate in the study, 26 (13%) were positive for malaria while 6 (3%) were positive for Hapatitis B Virus (HBV). The co-infection of malaria and HBV was found only in two participants (1%) while none of the participants was positive for syphilis. There was no significant difference in the prevalence of malaria and Hepatitis B in relation to age (p > 0.05). All the participants had good knowledge that mosquitoes transmit malaria but only 29 (14.5%) claimed to be sleeping under insecticide treated bed-net. About 169 (84.5%) relied solely on insecticide spray of the room and 2 (1%) did not practice any mosquito control measures. The results may suggest the low prevalence of malaria, Hepatitis B virus and syphilis at the study area. However, early surveillance and adequate public health education will be immeasurable in safe-guiding the pregnant women from the detrimental effects of these infections.

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Section: Discussioncontrasting

confidence: 56%

Sero-prevalence of malaria, hepatitis b and syphilis among pregnant women in Osogbo, Southwestern Nigeria

Adeleke¹,

Adebimpe²,

Sam-Wobo³

et al. 2013

J. Infect. Dis. Immun.

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mentioning

confidence: 99%

“…5 However, a limited number of studies carried out in India have shown prevalence ranging from 2.5% to 3.4%. 6 7 A decline in seroreactivity for syphilis has also been reported in developing countries such as Nigeria, 5 in which a decline from 3.9% to 1.3% was seen in 6 years. The downward trend in the prevalence of syphilis among pregnant women in northern India could be due to greater awareness and better education of women about the features and complications of syphilis-by both doctors and nursing staff during antenatal visits.…”

mentioning

confidence: 99%

Declining trends in syphilis prevalence among antenatal women in northern India: a 10-year analysis from a tertiary healthcare centre

Sethi

Sharma

Dhaliwal

et al. 2007

Sexually Transmitted Infections

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“…Oyelese et al , in 1990 reported 2.3%, Adewole et al , in 1997 reported 1.55% while Obisesan et al , in 1999 reported 1.1% 8,9,10 . In Enugu, southeastern Nigeria screening values of 3.06%, 1.3% and 0.125% have been reported by successive workers 11,12,13 .…”

Section: Discussionmentioning

confidence: 98%

Routine antenatal syphilis screening in South West Nigeria - a questionable practice

Adesina

2011

Ann. Ibadan Postgrad. Med.

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Background:Untreated maternal syphilis is strongly associated with adverse birth outcomes, especially in women with high titre syphilis. The WHO recommends routine serological screening in pregnancy. Some workers have advised a reappraisal of this practice, having demonstrated low sero-prevalence in their antenatal population. In view of this, the aim of this study was to determine the seroprevalence of syphilis in the antenatal population presenting at a major hospital in south-west Nigeria.Methods:This was a cross sectional study of healthy pregnant Nigerian women attending Adeoyo Maternity Hospital in the capital of Oyo State. The case record of every pregnant woman presenting for their first antenatal clinic visit over a 4-month period (September 1st to December 31st 2006) was reviewed.Results:During the study period, two thousand six hundred and seventy-eight women sought antenatal care. Three hundred and sixty-nine women (369; 13.4%) had incomplete records and were excluded from analysis. The records of the 2,318(86.6%) women with adequate records were subsequently reviewed. The mean age of the women was 27.4 years (± 5.34) and the mean gestational age 26.4 weeks (±6.36). The modal parity was 0. Only three patients were found to be reactive for syphilis giving a prevalence of 0.13%.Conclusion:The sero- prevalence value in this study is quite low and may justify the call to discontinue routine antenatal syphilis screening. However, a more rigorous screening program using diagnostic tests with higher sensitivity maybe necessary before jettisoning this traditional aspect of antenatal care.

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Trends in seroreactivity for syphilis among pregnant Nigerian women

Cited by 14 publications

References 8 publications

Sero-prevalence of malaria, hepatitis b and syphilis among pregnant women in Osogbo, Southwestern Nigeria

Sero-prevalence of malaria, hepatitis b and syphilis among pregnant women in Osogbo, Southwestern Nigeria

Declining trends in syphilis prevalence among antenatal women in northern India: a 10-year analysis from a tertiary healthcare centre

Routine antenatal syphilis screening in South West Nigeria - a questionable practice

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