Congenital and maternal syphilis in the capital of Brazil

Muricy, Carmen Lucia; Júnior, Vitor Laerte Pinto

doi:10.1590/0037-8682-0168-2014

Cited by 23 publications

(41 citation statements)

References 7 publications

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“…Many CS cases would have been prevented if the MoH recommendations for SiP were fully adopted. Other Brazilian studies also showed that prenatal care did not ensure an early SiP diagnosis, nor the timely and adequate treatment of pregnant women and their sexual partners, and did not prevent miscarriages, stillbirths, and deaths related to CS [3][4][5][6][7][8][9][10] . In SP state, from 2007 to 2014, there were 1,012 fetal losses due to CS (126 deaths, and 886 miscarriages and stillbirths) 5 .…”

mentioning

confidence: 99%

Syphilis in pregnancy, congenital syphilis, and factors associated with mother-to-child transmission in Itapeva, São Paulo, 2010 to 2014.

Neto

Silva²,

Sartori

2018

Rev. Soc. Bras. Med. Trop.

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Syphilis in pregnancy, congenital syphilis, and factors associated with mother-to-child transmission in Itapeva, São PauloAbstract Introduction: This study describes cases of syphilis in pregnancy (SiP) and congenital syphilis (CS) and identifies factors associated with mother-to-child transmission in patients in Itapeva from January 1, 2010 to December 31, 2014. Methods: Using SiP and CS notification forms and medical records, a cross-sectional study involving 149 pregnant women was conducted. Results: Annual SiP detection rates ranged from 16.3-31.4/1000 live births. Most women had prenatal care started at the first trimester of pregnancy with ≥6 visits. Mother-to-child transmission rate was 69.7%. CS incidence rates varied from 9.1-22.3/1000 live births. Conclusions: The results suggest low quality of prenatal care.

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mentioning

confidence: 99%

Syphilis in pregnancy, congenital syphilis, and factors associated with mother-to-child transmission in Itapeva, São Paulo, 2010 to 2014.

Neto

Silva²,

Sartori

2018

Rev. Soc. Bras. Med. Trop.

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“…The proportion of women who were inadequately treated and untreated totalled approximately 70% in this study, although this figure is still lower than that found in the Federal District, in which a study of 100 women with syphilis during pregnancy found that only 1% had adequate treatment of the disease. This difference was probably due to the large number of untreated partners (75.2%) identified in this study 14 . It is necessary to invest in the education of patients regarding the treatment of syphilis in pregnancy and to emphasise that treatment of the woman's partner is essential.…”

Section: Discussionmentioning

confidence: 69%

Prenatal quality and clinical conditions of newborns exposed to syphilis

Pastro

Farias

Garcia

et al. 2019

jhgd

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Introduction: Syphilis is a sexually transmitted disease caused by Treponema pallidum, and results in considerable morbidity and mortality. Congenital syphilis can lead to miscarriage, prematurity, bone deformities, hearing loss and other important clinical changes. Objective: To analyze prenatal quality and clinical conditions of newborns exposed to syphilis in a public maternity hospital in Rio Branco-Acre. Method: This is a cross-sectional study that included 92 mothers diagnosed with syphilis during pregnancy, attended from July to December 2017. Two pregnant women had fetal death, and the final sample consisted of 90 newborns exposed to syphilis. An interview with the postpartum woman was used, analysis of the pregnant woman's card and search for information from the pregnant woman's records and newborns. It was considered confirmed case of syphilis in pregnant woman: a) All pregnant women who presented non-treponemal reagent test with any titration and reagent treponemal test performed during prenatal care; b) Pregnant woman with reagent treponemal test and nonreactive or unreacted nontreponemal test, without previous treatment record. To characterize congenital syphilis we considered: a) newborn whose mother was not diagnosed with syphilis during pregnancy and who presented a nontreponemal test reactive with any titration at the time of delivery; b) child whose mother was not diagnosed with syphilis during pregnancy and had a non-treponemal test reagent at the time of delivery; c) newborns whose mother presented a reactive treponemal test and a nonreactive non-treponemal test at the moment of delivery, without previous treatment record. Results: Most newborns were born in normal delivery (65.5%), 17.8% had acute fetal distress and 11.2% required resuscitation maneuvers. Prematurity occurred in 10% of births and 12.2% of them were small for gestational age. Complete prenatal care was performed by 29.5% of the mothers, following the recommendations of the Ministry of Health of seven visits to the Health Unit and or Health Professional. From the 90 pregnant women, 79 had a reactive treponemal test when admitted to the maternity ward. 29.3% of them performed the treatment properly. In the analysis about the treatment of the sexual partner, it was reported that 58% did not adhere to syphilis treatment. Conclusion: The prenatal quality of pregnant women with syphilis was lower than that recommended by the Brazilian Ministry of Health, although there are few cases of syphilis as the primary outcome in newborns with childbirth with mothers diagnosed with syphilis. Prenatal, newborn, syphilis in pregnancy, congenital syphilis.

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“…The analysis of the information showed that according to the clinical classification, most cases were attributed as primary syphilis, not being in accordance with the pathophysiology of the disease [4]. Furthermore, a recent study [23] identified that health professionals had insufficient technical skills to address the problem of syphilis in prenatal care, especially regarding syphilis treatment and control [9,[23][24][25].…”

Section: Discussionmentioning

confidence: 99%

Syphilis Notifications and the Triggering Processes for Vertical Transmission: A Cross-Sectional Study

Oliveira

Saraiva

França

et al. 2020

IJERPH

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Syphilis is a disease that is found all over the world that causes damaging effects to the fetus through vertical transmission. This study aimed to analyze the processes that trigger the vertical transmission of syphilis through gestational and congenital syphilis notifications. It is a cross-sectional study. The sample totaled 129 notifications of syphilis in pregnant women and 132 notifications of congenital syphilis in the city of Natal, from 2011 to 2015. Data were obtained from the Information System for Disease Notification. The Chi-square, Student’s and Fisher’s tests were used to verify associations of interest. Diagnosis of maternal syphilis was predominant in the third trimester of pregnancy. Only 1.6% of the pregnant women were registered with an adequate treatment regimen, of these 16.3% had the concomitant treatment with their partners. Of the affected children, 78.8% were registered as asymptomatic. The factors that trigger vertical transmission are related to the late diagnosis of the pregnant woman and sexual partner(s) and the deficiencies in clinical/therapeutic management in relation to the phase of the disease. Strategies of professional training should be adopted to notify and expand the provision of information for epidemiological surveillance, aiming to strengthen care, reduce vertical transmission and enable the continuous analysis of this problem.

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Congenital and maternal syphilis in the capital of Brazil

Cited by 23 publications

References 7 publications

Syphilis in pregnancy, congenital syphilis, and factors associated with mother-to-child transmission in Itapeva, São Paulo, 2010 to 2014.

Syphilis in pregnancy, congenital syphilis, and factors associated with mother-to-child transmission in Itapeva, São Paulo, 2010 to 2014.

Prenatal quality and clinical conditions of newborns exposed to syphilis

Syphilis Notifications and the Triggering Processes for Vertical Transmission: A Cross-Sectional Study

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