title: The decentralization of syphilis screening for improved care in Jamaican public clinics. Collaborative Working Group on Decentralized Syphilis Screening.
abstract: OBJECTIVE
  This study examined the decentralization of syphilis screening for improved care in Jamaican public clinics.
  
  
  METHODS
  One of every five serum samples tested at the six peripheral sites was frozen and retested at the central laboratory in Kingston. Patient files and laboratory logbooks were compared over a 3-month period.
  
  
  RESULTS
  Between May 1993 and December 1994, 15.5% of 32913 patients with sexually transmitted diseases and 8.3% of 8914 women seeking prenatal care were found syphilis seroreactive. Of 2001 samples evaluated, 1933 (96.6%) had been correctly reported at the peripheral sites. Of 129 syphilis seroreactors detected at the peripheral sites, 88 (68%) were treated the same day and 21 (16%) more within 3 days after testing.
  
  
  CONCLUSIONS
  Syphilis seroreactors were accurately detected and quickly treated at the peripheral sites. If these efforts can be sustained, Jamaican syphilis rates should decrease.
authors.affiliation: Department of Medicine, University of North Carolina, Chapel Hill 27599-7030, USA.
authors.forename: F M
authors.initials: FM
authors.lastname: Behets
authors.forename: A
authors.initials: A
authors.lastname: Brathwaite
authors.forename: L
authors.initials: L
authors.lastname: Bennett
authors.forename: K G
authors.initials: KG
authors.lastname: Douglas
authors.forename: G A
authors.initials: GA
authors.lastname: Dallabetta
authors.forename: J P
authors.initials: JP
authors.lastname: Figueroa
mesh_terms: D000554:Ambulatory Care Facilities; D005260:Female; D006801:Humans; D007563:Jamaica; D008297:Male; D008403:Mass Screening / Q000379:methods*; D013587:Syphilis / Q000175:diagnosis* / Q000188:drug therapy / Q000517:prevention & control*; D013588:Syphilis Serodiagnosis / Q000379:methods; D013997:Time Factors