Reactive treponemal and non-treponemal tests in pregnant women and associated factors

Abstract

Objective: to identify the rate of reactive treponemal and non-treponemal tests in pregnant women during childbirth and to analyze the factors associated with this seroreactivity. Method: this is a cross-sectional, quantitative study with secondary sources of sociodemographic and clinical data on 2,626 pregnant women treated at a public maternity hospital in the interior of São Paulo, in 2020. For statistical analysis, Fisher’s exact test, Mann-Whitney test and the logistic regression model were used. A difference of p < 0.05 was considered statistically significant. Results: the rate of seropositivity for syphilis among pregnant women in this series was 2.74%. Among the groups with positive and non-reactive tests, marital status, occupation, place of residence and use of licit drugs indicated significant differences, but, in the final model, only unmarried marital status was associated with reactive tests (Odds Ratio: 0.169; Confidence Interval: 0.04–0.72; and p: 0.016). Conclusion: in this study, unmarried marital status was the only independent factor associated with seroreactivity for syphilis. Therefore, it is necessary to create strategies aimed at women in this condition, potentially reducing the rate of congenital syphilis.

Sífilis gestacional: barreiras na assistência pré-natal e o controle da transmissão vertical

“…Compreender e respeitar a diversidade cultural é essencial para superar esta resistência (Reis et al, 2022).…”

“…A falta de defesa e pressão pública sobre a sífilis na gravidez contribui para o facto de esta questão não ser priorizada. plano de ação em saúde A mobilização comunitária é essencial para exigir políticas e recursos adequados e para promover uma abordagem proativa para combater este problema de saúde pública (Reis et al, 2022;Garbin et al, 2021;Trinh et al, 2019).…”