Background: Congenital syphilis is a serious infection transmitted from an infected mother to the fetus during pregnancy, potentially leading to adverse outcomes such as miscarriage, stillbirth, preterm birth, or neonatal death. The global COVID-19 pandemic and associated lockdown measures have posed significant challenges not only to individuals but also to national socio-economic systems, adversely affecting the quality and accessibility of healthcare services. Aim: This study aimed to compare the incidence of congenital syphilis in Mongolia during the pre-COVID-19 period (2016–2020) and the post-COVID-19 period (2021–2025). Materials and Methods: A cross-sectional study design was employed. Data from all 361 registered cases of congenital syphilis between 2016 and 2025 were included in the analysis. Results: The incidence of congenital syphilis per 100,000 live births decreased from 65.8 in 2016–2020 to 34.5 in 2021–2025, representing a 47.6% reduction (RR=0.52, 95% CI: 0.42–0.66, p<0.001). Overall, 67% of cases were concentrated in Ulaanbaatar. The proportion of cases among mothers aged 15–19 years increased from 11.5% to 21.3%, and the majority of mothers had completed secondary education. Conclusion Although the incidence of congenital syphilis declined significantly following the COVID-19 pandemic, 13.0% of pregnant women receiving antenatal care did not undergo serological testing. This underscores the need to strengthen surveillance and reporting systems and to implement continuous education and awareness programs, particularly targeting young women and mothers.

Background: Accreditation of healthcare institutions serves as a fundamental mechanism for ensuring patient safety and validating the quality of medical services provided to the population. At Intermed Hospital, a quality measurement system for healthcare services has been established since 2015, encompassing 126 quality indicators at both institutional and departmental levels. This system facilitates continuous quality improvement efforts. In this context, quality indicators specific to the endoscopy department play a pivotal role in objectively assessing the quality of endoscopic services. Aim: To assess the quality indicators in gastrointestinal endoscopy unit. Materials and Methods: A retrospective single-center study was conducted by collecting data from the Intermed hospital’s electronic information systems which included HIS and PACS and Quality and Safety Department’s Database and the results were processed using the SPSS software. Ethical approval was granted by the Intermed hospital’s Scientific research committee. The quality of endoscopic services in the Intermed hospital was assessed based on: a) the average values of four quality indicators measured monthly; b) sample survey data from five categories of quality indicators. Results : Between 2016 and 2024, the quality indicators of the endoscopy unit measured as the level of early warning score evaluations for patients was 95.97%±3.33, the level of cases where peripheral blood oxygen saturation decreased during sedation was 1.54%±3.78, the level of cases where patients experienced paradoxiical response during sedation was 5.82%±1.75, surveillance culturing level for validation of endoscopy reprocessing was 11.6%. The endoscopic documentation quality by peer review showed 95.7-100%, the colonoscopy quality indicators were followings as adenoma detection rate: 24.5% Cecal intubation rate: 99.1%, 95.2%, Colonoscope withdrawal average time: 13.28±10.62 minutes, Bowel preparation quality (Boston Scale): 89.3% 95.7%), patient discharge from the recovery room, Average discharge time post-procedure: With propofol alone: 30.92 minutes; With propofol and fentanyl combined: 31.52 minutes, The intermediate risk was 0.28% by the TROOPS evaluation during procedural sedation. Conclusion The quality benchmark levels for these endoscopic units, as determined by a single-center study, can be effectively implemented by benchmark endoscopy centers to enhance their quality and safety operations.

Background: We aimed to study the etiology and transmission route of diseases introducing the modern, rapid and high-sensitivity molecular genetic diagnostic methods for salmonellosis. Material and Method: In the study, we collected 680 stool samples and defined organisms of food intoxication by identification of bacteria, polymerase chain reaction (PCR) and determined serotype and antibiotic resistance. Result: Salmonella spp was detected from the stool of 25 (42.3%) patients out of 59 outpatient clinic and of 170 (27.4%) patients out of 621 inpatient clinic with diagnosis of food intoxication. In total there was detected 195 salmonella spp, and out of this isolated Sal. typhimurum in 193 (98.9%), and Sal. enteritidis was in 2 (1.1%) patients, respectively. We defined Sal. typhimurum in selected 32 cultures and did not detect resistant gene DT-104 ACS-SuT by PCR. Conclusion As resulted in the survey, we defined 195 (28,6) Salmonella typhimurum among the 680 patients who were suffered from food intoxication, and revealed fast foods, animal derived foods such as chicken, fish caused the food intoxication. Sal. typhimurium not resistance to antibiotics.