Factors associated with inadequate treatment of syphilis during pregnancy: an integrative review

Abstract

Objectives: to analyze the evidence available in literature on factors associated with inadequate treatment of syphilis in pregnant women. Methods: an integrative review, carried out in the LILACS, CINAHL, Web of Science, Scopus, PubMed and EMBASE databases, with controlled descriptors therapeutic and prenatal syphilis. Results: nine publications composed the interpretative analysis, in which low education, income and maternal age, temporary lack of medication and HIV infection were associated with inadequate treatment of syphilis during pregnancy, in addition to delay or absence of prenatal care and receiving the 1st dose of penicillin, lack of tests or treatment less than 30 days before childbirth, and partners’ low compliance with treatment. Final Considerations: among the main factors associated with inadequate treatment, clinical and sociodemographic aspects stand out, as well as failures in drug dispensing, prescription and monitoring of treatment of pregnant women and their partners by the health system.

A Review on Current Management of Syphilis in Pregnancy: Persistent Risk to The Public's Health

“…A review on current management of syphilis in pregnancy: persistent risk to the public's health International Journal of Research and Review (ijrrjournal.com) 480 Volume 10; Issue: 2; February 2023 tests or treatment performed less than 30 days before childbirth/abortion, and failures in prescriptions, some of these stand out, including coinfection (syphilis-HIV), history of treatment of the disease prior to the current pregnancy, low education, maternal income and age, and low partner compliance with treatment. (14), (15) CONCLUSION Treponema pallidum, a human pathogenic bacterium, is the source of the systemic disease known as syphilis. Syphilis can be transmitted by sexual contact with people who have sores that are infected on their mucous membranes or skin that has been rubbed raw, through blood transfusions, or transplacentally from a pregnant woman to her fetus.…”

Tratamento paterno das crianças portadoras de sífilis congênita

“…Um estudo publicado em 2022, realizado na cidade de Salvador, Bahia, mostrou que 49,3% das gestantes não realizaram o tratamento para sífilis adequadamente, apesar do pré-natal e diagnóstico durante a gravidez, e ainda afirma que 18,3% das Research, Society and Development, v. 12, n. 3, e25612340775, 2023 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v12i3.40775 3 gestantes tinham o ensino fundamental incompleto e 39,6% dos parceiros não fizeram tratamento (Torres, et al, 2022). Este dado enfatiza a importância de esforços para melhorar o tratamento oportuno e adequado para mulheres grávidas e seus parceiros (Rocha, et al, 2019).…”