Survey of Obstetrician-Gynecologists in the United States About Chagas Disease
Survey of Obstetrician-Gynecologists in the United States About Chagas Disease
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DOI：
10.4269/ajtmh.2010.09-0543
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发表时间：
2010-10-01
影响因子：
3.3
通讯作者：
Jones, Jeffrey L.
中科院分区：
文献类型：
--
作者：
Verani, Jennifer R.;Montgomery, Susan P.;Jones, Jeffrey L.
恰加斯病在美国估计影响着30万人，据估计每年有多达300例先天性感染。美国妇产科医生对恰加斯病的了解程度尚未得到评估。美国妇产科医师学会对1000名会员进行了关于恰加斯病的代表性抽样调查。在421名受访者中，68.2%（95%置信区间[CI] = 63.5-72.6）的人表示，他们对恰加斯病的知识水平“非常有限”。只有8.8% （95% Cl = 6.2 ~ 12.0）的人知道先天性感染的风险，7.4% （95% CI = 5.1 ~ 10.4）的人知道母体急性和慢性感染均可导致先天性传播。大多数答复者（77.9%;95% Cl = 73.5-81.9）报告说，“从未”考虑在其来自流行国家的患者中诊断出恰加斯病。大多数认为确诊的人“很少”这样做。美国妇产科医生对恰加斯病的了解有限。提高认识可能有助于发现可治疗的先天性恰加斯病。
Chagas disease affects an estimated 300,000 people in the United States, and as many as 300 congenital infections are estimated to occur annually. The level of knowledge about Chagas disease among obstetricians-gynecologists in the United States has not been assessed. The American College of Obstetricians and Gynecologists surveyed a representative sample of 1,000 members about Chagas disease. Among 421 respondents, 68.2% (95% confidence interval [CI] = 63.5-72.6) described their knowledge level about Chagas disease as "very limited." Only 8.8% (95% Cl = 6.2-12.0) knew the risk of congenital infection, and 7.4% (95% CI = 5.1-10.4) were aware that both acute and chronic maternal infections can lead to congenital transmission. The majority of respondents (77.9%; 95% Cl = 73.5-81.9) reported "never" considering a diagnosis of Chagas disease among their patients from endemic countries. Most of those who did consider the diagnosis did so "rarely." Knowledge of Chagas disease among obstetricians-gynecologists in the United States is limited. Greater awareness may help to detect treatable congenital Chagas cases.