Table 2.
Factors contributing to congenital syphilis (CS) among 57 mothers of infants with CS in Arizona from January 1, 2017, through June 30, 2018a
| Prevention category | No. (%) | Missed opportunity | No. (%) |
|---|---|---|---|
| Mothers who accessed care >45 days before delivery | 40 (70.2) | Delayed access to care | 17 (29.8) |
| Mothers who were tested for syphilis | 30 (52.6) | Not tested in time | 10 (17.5) |
| Mothers who initially tested positive for syphilis | 16 (28.1) | Seroconverted after initial negative screen | 14 (24.6) |
| Mothers who received treatment >30 days before delivery | 9 (15.8) | Not treated in time | 7 (12.3) |
| Infants who were symptomatic despite appropriate maternal screening and treatment | 4 (7.0) | Reinfected after treatment | 5 (8.8) |
aArizona Department of Health Services (ADHS) surveillance data, vital statistics data, and medical records were used to calculate frequencies of pregnant women that fall within each gap of the cascade of care (unpublished data, ADHS, 2017-2018).