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Prueba dual en embarazadas: caso Hospital General de Zona con Medicina Familiar.

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Title: Prueba dual en embarazadas: caso Hospital General de Zona con Medicina Familiar.
Alternate Title: Dual Test in Pregnant Women: Case of a General Zone Hospital with Family Medicine.
Authors: Lucia Reyes-Berlanga, Mónica1, Teresa De La Garza-Carranza, María2, Manuel Sámano-Ortega, Víctor3 victor.samano@itcelaya.edu.mx
Source: Revista Medica del IMSS. mar/abr2026, Vol. 64 Issue 2, p1-6. 6p.
Subjects: SYPHILIS, RAPID diagnostic tests, NEONATOLOGY, MEDICAL screening, SEX education, PRENATAL diagnosis, HOSPITALS, DATA analysis
Geographic Terms: MEXICO
Abstract (English): Background: Congenital syphilis remains a public health issue in Mexico. Timely screening during pregnancy is key to its prevention. Objective: To evaluate the implementation of the dual HIV/Syphilis rapid test in pregnant women at the General Zone Hospital with Family Medicine No. 2 and its feasibility to meet the national goal of performing three tests per pregnancy. Material and methods: A total of 8672 tests (2020 - 2024) were analyzed using MATLAB to identify trends by age, trimester, and test number. Linear regressions were applied, using the root mean square error as a measure of confidence, to project the fulfillment of the goal. Results: Most pregnant women (74%) underwent only one test, mainly in the first trimester. An increase in second and third tests was observed in 2024. Projections suggest the goal may be reached between 2029 and 2030. Conclusions: The dual HIV/Syphilis screening strategy at this hospital shows significant progress toward universal testing during pregnancy. The trend suggests comprehensive care for all pregnant women, contributing to the reduction of congenital syphilis and improved maternal-neonatal health. Strengthening early detection, follow-up, and sexual health education remains essential. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: la sífilis congénita continúa siendo un problema de salud pública en México. El tamizaje oportuno durante el embarazo es fundamental para su prevención. Objetivo: evaluar la implementación de la prueba rápida dual VIH/sífilis en pacientes gestantes del Hospital General de Zona con Medicina Familiar No. 2 del Instituto Mexicano del Seguro Social, así como su viabilidad para cumplir la meta nacional de realizar tres pruebas por embarazo. Material y métodos: se analizaron 8672 pruebas realizadas entre 2020 y 2024 mediante MATLAB, identificando tendencias por edad, trimestre y número de toma. Se aplicaron regresiones lineales, utilizando la raíz del error cuadrático medio como medida de confianza, a fin de proyectar el cumplimiento de la meta nacional. Resultados: la mayoría de las gestantes (74%) se realizó una sola prueba, principalmente en el primer trimestre. En 2024 se observó un incremento en las segundas y terceras tomas. Las proyecciones indican que la meta podría alcanzarse entre los años 2029 y 2030. Conclusiones: la implementación del tamizaje dual VIH/sífilis en este hospital muestra un avance significativo hacia la universalización de las tres pruebas durante el embarazo, en concordancia con los objetivos nacionales. La tendencia sugiere que todas las gestantes recibirán un manejo integral, contribuyendo a reducir la sífilis congénita y a mejorar la salud materno-neonatal. Es esencial mantener y fortalecer las estrategias de detección temprana, seguimiento y educación en salud sexual. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Background: Congenital syphilis remains a public health issue in Mexico. Timely screening during pregnancy is key to its prevention. Objective: To evaluate the implementation of the dual HIV/Syphilis rapid test in pregnant women at the General Zone Hospital with Family Medicine No. 2 and its feasibility to meet the national goal of performing three tests per pregnancy. Material and methods: A total of 8672 tests (2020 - 2024) were analyzed using MATLAB to identify trends by age, trimester, and test number. Linear regressions were applied, using the root mean square error as a measure of confidence, to project the fulfillment of the goal. Results: Most pregnant women (74%) underwent only one test, mainly in the first trimester. An increase in second and third tests was observed in 2024. Projections suggest the goal may be reached between 2029 and 2030. Conclusions: The dual HIV/Syphilis screening strategy at this hospital shows significant progress toward universal testing during pregnancy. The trend suggests comprehensive care for all pregnant women, contributing to the reduction of congenital syphilis and improved maternal-neonatal health. Strengthening early detection, follow-up, and sexual health education remains essential. [ABSTRACT FROM AUTHOR]
ISSN:04435117
DOI:10.5281/zenodo.17537512