Factors associated with inadequate treatment of syphilis during pregnancy: an integrative review.
Paula Marília Afonso Torres, Amanda Ribeiro de Paula Reis, Andressa Silva Torres Dos Santos and 3 others
PMID 36102473WHAT IT FOUND
Factors linked to inadequate syphilis treatment in pregnancy included late or missed prenatal care, testing or penicillin too late before birth, wrong dose or regimen, and untreated partners.
Key findings
01Factors linked to inadequate syphilis treatment during pregnancy included late or missed prenatal care, no test or penicillin at least 30 days before childbirth, and wrong dose or regimen.
02Sociodemographic and clinical factors associated with inadequate treatment included low education, low income, maternal age, HIV infection, and syphilis treatment before the current pregnancy.
03Partner treatment problems, including low compliance and reports that treatment was painful, were identified as barriers to adequate maternal treatment.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Comparison was difficult because the included studies used different designs, settings, and definitions of inadequate treatment. Most included studies were of low evidence level, and few directly examined factors associated with inadequate treatment. The review describes associations and reported care failures. It does not show that any intervention corrected them.
The easy way to misread this
Do not conclude that any specific intervention was shown to prevent inadequate treatment or congenital syphilis. This review describes factors associated with inadequate treatment across studies with different designs, settings, and definitions, not tested effects.