Introduction: Syphilis is an infectious disease that can cause congenital syphilis when it affects pregnant women, resulting in malformation of the fetus, miscarriage, or fetal death. Unlike many neonatal infections, congenital syphilis is considered a preventable perinatal cause, because it can be diagnosed and treated early during pregnancy. Objective: To analyze the reports of cases of gestational syphilis and congenital syphilis registered in Foz do Iguaçu City, Paraná State, between 2014 and 2018. Methods: This is a time-series study on the trend of cases recorded in the Notification Diseases Information System. The simple linear regression model was adopted to verify the trend of deaths in the analyzed period. Results: A total of 324 reports of gestational syphilis and 137 cases of congenital syphilis were evidenced in the study period. Regarding cases of gestational syphilis, 45.9% were diagnosed during the first trimester of pregnancy, 74.6% were treated with penicillin, and 24.3% were classified as primary syphilis. Roughly 88.3% of cases of congenital syphilis were reported in children under the age of 7 days. A significant increase in the rate of detection of gestational syphilis was observed, representing an increase of 4.0 times (p=0.004) in the years analyzed, and the risk of congenital syphilis increased 5.8 times (p=0.003) in the same period. Conclusion: The magnitude of gestational and congenital syphilis is a warning that indicates the need for actions and strategies to reduce cases of gestational syphilis and vertical transmission of syphilis.
Objetivo: investigar o grau de risco de pé diabético e fatores associados em indivíduos com diabetes mellitus. Método: estudo transversal entre usuários acompanhados em uma unidade básica de saúde. A coleta de dados foi feita com os pacientes que realizaram a consulta de enfermagem por meio de um formulário de avaliação clínica de membros inferiores. Conduziu-se a análise por meio de regressão logística multivariada. Resultados: dos 69 participantes avaliados, 52,8% apresentaram algum grau de risco. Verificou-se maior chance entre homens, idosos, com relato de dor em repouso nas pernas e pés, histórico de úlcera e/ou amputações, com diagnóstico de enfermagem de “integridade da pele prejudicada no idoso”. Conclusão: a maioria dos usuários avaliados não possui risco elevado, porém o enfoque deve ser no autocuidado para a prevenção de tal agravo e a realização do exame clínico dos membros inferiores pelo enfermeiro.
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