Ryan A Hamilton, Nathan Williams, Corrine Ashton, Syed Anas Daud Gilani, Sadiya Hussain, Conor Jamieson, Shahzad Razaq, Abi Jenkins
Nurses' attitudes, behaviours, and enablers of intravenous to oral switching (IVOS) of antibiotics: A mixed-methods survey of nursing staff in secondary care hospitals across the Midlands region of England
The Journal of hospital infection
increased number cases recent years turned syphilis global public health problem 2020 115371 cases acquired syphilis reported detection rate 545 cases100000 inhabitants brazil period country notified 61441 cases gestational syphilis detection rate 216 per 1000 live births number syphilis cases points need reinforce surveillance prevention infection control actions worrying scenario government organizations study aims describe temporal trend gestational syphilis 2008 2018 brazilian regions associate detection rate socioeconomic health care indicators conducted ecological study temporal trends using secondary data department informatics unified health system temporal trend analyzed using joinpoint regression program annual percent change apc 95 confidence intervals 95ci estimated tested statistical significance assessed using monte carlo permutation test correlations assessed using pearsons correlation coefficient statistical significance calculated using pearsons productmoment correlation gestational syphilis detection rate increased 2008 2018 south region showed greatest trend whereas midwest region presented lowest trend following variables significantly correlated gestational syphilis detection rate municipal human development index illiteracy rate percentage primary health care coverage proportion doctors nurses basic health units per inhabitant health policies needed mitigate social vulnerabilities strengthen primary health care