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P6.25 Convergence case-management for syphilis control: a pilot project in china
  1. Zhenzhou Luo
  1. Shenzhen Nanshan Centre for Chronic Disease Control, Shenzhen – China Popular Republic

Abstract

Introduction The traditional syphilis control practice in China usually pays too much attention to treatment but neglects further management of syphilis cases, which could not effectively prevent spreading of the disease. In an attempt to address the problem, Nanshan district, Shenzhen, launched the Syphilis Convergence Case-management Project (SCCP) for the first time in China in April 2011. This pilot aimed to consolidate prevention, treatment and management. By far, the project has obtained some meaningfull outcomes and practical experience.

Methods All the medical and public health faculties within the district are encouraged to refer syphilis seropositive cases to a centralised institution, which is responsible for providing standardised treatment, serologic follow-up (once every 3 months), partner tracing and health education, etc. We adopted some indices such as standardised treatment rate, follow-up rate and success rate of partner notification to evaluate the project.

Results By June 2016, the project has managed 1124 syphilis cases, among which 749 were newly treated cases. The standardised treatment rate for SCCP was 96.98%. Compared to the historical level before (79.20%). 3 months’, 6 months’, 1 year’s and 2 years’ follow-up rate were 76.33%, 62.40%, 53.75% and 36.93%, respectively, which were also significantly higher than those without convergence case-management (P=0.01). Success rate of partner notification for managed patients were 83.92% (887). Among all the notified partners, 735 (82.86%) received examination; 329 (44.76%) were found to be seropositive and 198 (60.18%) of these positive partners were furtherly included in the management.

Conclusion After 5 years of practice, the SCCP significantly improved effectiveness of syphilis control and patients’ management. Our study highlights the importance of standardised follow-up and management in the control of syphilis. The experience from China could be substantially valuable for prevention and control practice in this area, and the mode might be able to generalised in some similar regions.

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