Nova definição de casos de Sífilis Congênita para fins de vigilância epidemiológica no Brasil, 2004

Paz, Leidijany Costa; Pereira, Gérson Fernando Mendes; Pinto, Valdir Monteiro; Medeiros, Maria Goretti Pereira Fonseca; Matida, Luiza Harunari; Saraceni, Valéria; Ramos, Alberto Novaes

doi:10.1590/s0034-71672005000400021

Cited by 4 publications

(4 citation statements)

References 4 publications

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“…The lack of partner treatment includes cases in which the women received inappropriate treatment and others in which the partners were not treated according to current treatment guidelines, the iden ty of the father is unknown or documenta on about his treatment is missing, which is one of the criteria necessary to defi ne congenital syphilis cases (17) .…”

Section: Discussionmentioning

confidence: 99%

Sífilis congênita no Ceará: análise epidemiológica de uma década

Costa

Freitas

Sousa

et al. 2013

Rev. esc. enferm. USP

103

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O presente trabalho objetivou avaliar a incidência da sífilis congênita no Ceará de 2000 a 2009; descrever o perfil epidemiológico das gestantes cujos recém-nascidos tiveram sífilis congênita e verificar a realização do pré-natal e do tratamento dos seus parceiros. Trata-se de estudo documental, realizado em julho de 2010 a partir do banco de dados disponível no Núcleo de Informação e Análise em Saúde, que contém as informações das fichas do Sistema Nacional de Agravos de Notificação. Foram notificados 2.930 casos de sífilis congênita, demonstrando uma série histórica ascendente ano a ano. A maioria das gestantes realizou pré-natal (2.077; 70,9%), possuía de 20 a 34 (1.836; 62,7%) anos, nenhuma ou pouca escolaridade (1.623; 55,4%), O tratamento inadequado das gestantes e a falta de tratamento dos parceiros mostraram-se como realidade no SUS-CE. A incidência de sífilis congênita é um indicador da qualidade da assistência pré-natal. Logo, seu aumento nos últimos dez anos ressalta a necessidade de ações voltadas para seu controle.

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Section: Discussionmentioning

confidence: 99%

Sífilis congênita no Ceará: análise epidemiológica de uma década

Costa

Freitas

Sousa

et al. 2013

Rev. esc. enferm. USP

103

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“…In Brazil, health professionals from private and public healthcare settings must complete an official epidemiologic reporting and investigation form for case notification and enter the data into the Notification of Injury Information System database of the Unified Health System. For surveillance, Brazil considers a congenital syphilis case in the following situations: live birth of any fetal age, spontaneous abortion (miscarriage) of a fetus, or stillbirth of an infant born to a woman with clinical or serologic evidence of syphilis who was not treated or received inadequate treatment, including lack of partner treatment; a person <13 years of age with increasing nontreponemal titers over time, a reactive nontreponemal titer after 6 months of age, reactive treponemal tests after 18 months of age, or a reactive nontreponemal titer higher than those of the mother; an infant or child with clinical, cerebrospinal fluid, or radiologic evidence of syphilis; or microbiologic evidence of T. pallidum in the placenta or umbilical cord, sample lesion, biopsy, or necropsy of a child, spontaneously aborted fetus, or stillborn infant ( 12 , 20 ), as outlined by the Pan American Health Organization ( 9 ). We considered spontaneous abortion due to syphilis as gestational loss at <22 weeks’ gestation or a fetus that weighed <500 g from a woman with syphilis who did not receive treatment or received inadequate treatment.…”

Section: Methodsmentioning

confidence: 99%

Congenital Syphilis as a Measure of Maternal and Child Healthcare, Brazil

Bezerra¹,

Fernandes²,

Nunes³

et al. 2019

Emerg. Infect. Dis.

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Syphilis is a sexually transmitted infection that has direct adverse effects on maternal and infant health through vertical Treponema pallidum transmission during early pregnancy. We evaluated congenital syphilis as a predictor of the quality of basic maternal and child healthcare in Brazil during 2010–2015. We investigated case rates and correlations with epidemiologic and socioeconomic indicators. We observed rising congenital syphilis incidence rates and increasing syphilis-associated perinatal and infant mortality rates in all regions. Case rates were highest in the Northeast, Southeast, and South, and congenital syphilis infant mortality rates were highest in the Northeast and Southeast. We observed correlations between congenital syphilis rates and infant death, spontaneous abortion (miscarriage), and stillbirth rates. We also noted correlations between rates of stillbirth caused by syphilis and inadequate prenatal care. Our study suggests gaps in basic healthcare for pregnant women and indicates the urgent need for measures to increase early diagnosis and appropriate treatment.

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“…High-complexity patients are followed up in accordance with the Brazilian Ministry of Health protocols. 24 …”

Section: Methodsmentioning

confidence: 99%

The influence of depressive symptoms and substance use on adherence to antiretroviral therapy. A cross-sectional prevalence study

et al. 2014

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CONTEXT AND OBJECTIVE: Adherence to antiretroviral treatment (ART) is not a stable condition, but is dynamic, like mental conditions. The aim of this study was to examine whether non-adherence to ART is related to demographic and immunological variables, substance use and presence of depressive symptoms. DESIGN AND SETTING: This was a cross-sectional prevalence study carried out at a public AIDS treatment center in the city of São Paulo, Brazil, between July 2006 and January 2007. METHODS: 438 patients on regular ART schedules with recent laboratory tests answered a demographic questionnaire, questions about substance use, the Hamilton Depression Rating Scale (HDRS) and the Simplified Medication Adherence Questionnaire (SMAQ). RESULTS:The prevalence of non-adherence over the past three months (a pattern of treatment interruption) was 46.3%, and 27.2% also reported this in the past week (a pattern of missed doses). ART interruption was significantly related to older age, lower CD4+ cell count and homosexual/bisexual transmission. The pattern of missed doses was significantly related to younger age, higher HDRS scores and higher viral load of RNA HIV. CONCLUSION: ART interruption may reflect recall errors and changes to the Brazilian demographic characteristics of HIV infection. The missed doses may reflect lifestyle characteristics of younger individuals. Attendance for HIV-positive individuals, particularly younger patients, should involve interventions and counseling in relation to the presence of depressive symptoms.RESUMO CONTEXTO E OBJETIVO: Adesão ao tratamento antirretroviral (TARV) não é uma condição estável, mas dinâmica, como os transtornos mentais. O objetivo deste estudo foi verificar se a não adesão ao TARV relaciona-se às variáveis demográficas e imunológicas, ao uso de substâncias e à presença de sintomas depressivos.

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Nova definição de casos de Sífilis Congênita para fins de vigilância epidemiológica no Brasil, 2004

Cited by 4 publications

References 4 publications

Sífilis congênita no Ceará: análise epidemiológica de uma década

Sífilis congênita no Ceará: análise epidemiológica de uma década

Congenital Syphilis as a Measure of Maternal and Child Healthcare, Brazil

The influence of depressive symptoms and substance use on adherence to antiretroviral therapy. A cross-sectional prevalence study

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