In 2022, Nevada ranked eighth in the United States in incidence of congenital syphilis, a disease that can lead to stillbirth, miscarriage, or neonatal death. Appropriate and timely screening of pregnant females for syphilis and treatment, when indicated, are crucial for preventing congenital syphilis. Southern Nevada Health District (Clark County) disease surveillance data for 2017-2022 were reviewed to identify females of reproductive age (aged 15-44 years) with confirmed or probable syphilis who had a liveborn or stillborn infant with congenital syphilis and to assess their receipt of prenatal care, syphilis testing and, when indicated, syphilis treatment. Clark County emergency department (ED) visit data were reviewed for these females to explore whether ED visits might represent an opportunity to screen pregnant females for syphilis. Among 195 females identified, 43.1% (84) reported receiving prenatal care during pregnancy. Over one half (57.4%) of the females had at least one ED encounter ≥30 days before delivery and had not yet received testing for syphilis at the time of the encounter; syphilis testing was performed at 68.4% of these encounters. Lack of prenatal care was a considerable barrier to timely testing and treatment in Clark County, Nevada. Encounters in nontraditional care settings, including but not limited to EDs, could provide an opportunity for syphilis screening of pregnant females who do not access prenatal care. If linked to timely treatment, such encounters might help prevent congenital syphilis.

在2022年，内华达州在美国各州中先天梅毒发病率排名第八。先天性梅毒是一种可能导致死产、流产或新生儿死亡的疾病。适当且及时地对怀孕女性进行梅毒筛查并在必要时给予治疗，对于预防先天性梅毒至关重要。为了识别15至44岁生育年龄范围内确诊或疑似患有梅毒并生下活婴或死胎的女性，并评估她们是否接受了产前护理、梅毒检测以及在需要时是否接受了治疗，审查了2017年至2022年间南部内华达州卫生区（克拉克县）疾病监测数据。还检查了这些女性在克拉克县急诊科就诊的数据，以探讨急诊科的访视是否可以为怀孕女性提供梅毒筛查的机会。在这195名被识别的女性中，43.1% (84人) 报告称她们在接受治疗期间曾接受过产前护理。超过一半（57.4%）的女性在分娩前至少有30天内的急诊科就诊记录，并且在其就诊时尚未进行梅毒检测；在这些访视中，68.4%进行了梅毒检测。在克拉克县内华达州，缺乏产前护理是及时筛查和治疗的重要障碍之一。非传统医疗服务环境中的接触机会（包括但不限于急诊科）可以为未接受产前护理的怀孕女性提供进行梅毒筛查的机会；如果与及时治疗相关联，则这些访视可以帮助预防先天性梅毒的发生。