Epidemiologia da sífilis gestacional em Fortaleza, Ceará, Brasil: um agravo sem controle

Moretti

Rev. Soc. Bras. Med. Trop.

et al. 2014

Introduction:The aim of this study was to establish the incidence rates of congenital syphilis in the South Region of Brazil from 2001 to 2009. Methods: Temporal ecological and descriptive study based on the cases recorded by the System of Information of Notifi able Diseases. Results: The incidence of congenital syphilis has been increasing in the South Region of Brazil since 2004; the highest incidence rates were in women who received prenatal care (113.5 new cases per 100,000 births, p<0.001), who were diagnosed with syphilis at pregnancy (69.8 new cases per 100,000 births, p=0.001), and whose partner did not undergo treatment for syphilis (53.1 new cases per 100,000 births, p=0.001). Conclusions: The population of the present study mostly consisted of adult black women with low educational levels who attended prenatal care, who were diagnosed with syphilis during pregnancy, and whose partners were not treated for syphilis. Based on these results, actions are recommended to reduce the incidence of this disease, which is preventable by early diagnosis and appropriate treatment. The present was merely an ecological study; therefore, further investigations are necessary to elucidate the causes of these fi ndings.

Section: Resultscontrasting

confidence: 99%

Incidence of congenital syphilis in the South Region of Brazil

Moretti

Rev. Soc. Bras. Med. Trop.

et al. 2014

Rev. Soc. Bras. Med. Trop.

“…This scenario for congenital syphilis in Mato Grosso is also found in other areas of Brazil 19,20,24,25 . A national survey conducted in this country revealed a high (1.7%) prevalence of positive serology for syphilis in a random sample of postpartum women in the maternity reference index from the sexually transmitted disease/acquired immunodeficiency syndrome (STD/AIDS) National Program.…”

Section: Discussionsupporting

confidence: 68%

Evaluation of preventative and control measures for congenital syphilis in State of Mato Grosso

Oliveira

Costa

Barreto

et al. 2014

Introduction:Congenital syphilis is an important health problem in Brazil. This study assessed measures aimed at the prevention and control of syphilis in the State of Mato Grosso and its capital, Cuiabá. Methods: A descriptive study cross-sectional and of time trends assessing the congenital syphilis was performed in Cuiabá and Mato Grosso between 2001 and 2011. We compared maternal sociodemographic characteristics and health care utilization related to cases of congenital syphilis during the periods from 2001 to 2006 and from 2007 to 2011. We assessed the temporal trends in this disease's incidence using a simple linear regression. Results: Between 2001 and 2006 in Mato Grosso, 86.8% of the mothers who had live births with congenital syphilis received prenatal care, 90.6% presented with a nontreponemal test reagent at delivery, 96.2% had no information regarding a treponemal confi rmatory test at delivery, and 77.6% received inadequate treatment for syphilis; additionally, 75.8% of their partners were not treated. There was a statistically signifi cant reduction in prenatal visits (p = 0.004) and an increase in the proportion of mothers reactive to nontreponemal tests at delivery (p = 0.031) between the two periods. No other variables were found to differ signifi cantly between the periods. In Cuiabá, we observed a similar distribution of variables. In the state and in the capital, the increasing trend of congenital syphilis was not statistically signifi cant. Conclusions: The high incidence of congenital syphilis in Mato Grosso and the low levels of health care indicators for pregnant women with syphilis suggest the need to improve the coverage and quality of prenatal care.

“…Quanto à escolaridade, estudo realizado em Fortaleza, entre 2000 a 2009, revela que o analfabetismo correspondeu a 55,4% dos casos notificados (17) . Outro estudo epidemiológico, descritivo, no estado da Bahia, apresentou uma prevalência de mulheres com poucos anos de estudo (18) .…”

Section: Descriptoresunclassified

Prevalência De Sífilis Em Mulheres

Silva

Alves²,

Barros³

et al. 2017

revenf

Objetivo: verificar a prevalência de sífilis em mulheres que realizaram o teste rápido em um serviço de referência de Porto Alegre/RS. Metodologia: estudo quantitativo, descritivo, transversal, realizado com 1300 prontuários de mulheres que realizaram o teste rápido no período de julho de 2012 a abril de 2014. Os dados foram analisados a partir de estatística descritiva.As variáveis categóricas foram expressas em número absoluto e percentual e aquelas com distribuição normal expressas como média ± desvio padrão. Resultados: 103 (7,9%) THE PREVALENCE OF SYPHILIS IN WOMENObjective: To verify the prevalence of syphilis in women who performed the rapid check up at a referral service in Porto Alegre.Methodology: A quantitative, descriptive, cross-sectional study of 103 records of women who performed the rapid check up from July 2012 to April 2014. Data were analyzed using descriptive statistics, categorical variables were expressed in absolute number and Percentage and those with normal distribution expressed as average ± standard deviation. Results: 103 (35.6%) had syphilis. The age ranged from 16 to 76 years, the average was 38.9 ± 12,8 years, 46 (45.1%) had completed secondary education, 31 (30,4%) had a fixed partnership, 35 (34.3 %) already had some type of STD. Conclusions: It is understood that for the control of the disease, the early diagnosis is fundamental and the assistance should be performed immediately in the primary care, aiming at a greater integration and bond with the unit /community/health/team. Descriptors:Sexually Transmitted Diseases, Syphilis, Women's Health. PREDOMINIO DE SÍFILIS EN MUJERESObjetivo: Determinar el predominio de sífilis en mujeres que se sometieron a la prueba rápida en un servicio de referencia en Porto Alegre. Metodología: cuantitativa, estudio descriptivo transversal realizado con 103 registros de mujeres que se sometieron a la prueba rápida de julio de 2012 hasta abril de 2014. Los datos fueron analizados utilizando estadística descriptiva, las variables categóricas se expresan en números absolutos y porcentaje y los que tienen distribución normal expresaron como media ± desviación estándar. Resultados: 103 (35,6%) presentaron sífilis. La edad varió de 16 a 76 años, el promedio fue de 38,9± 12,8 años, 46 (45,1%) habían completado la escuela secundaria, 31 (30,4%) tenían pareja estable, 35 (34,3 %) ya tenía algún tipo de enfermedad de transmisión sexual. Conclusiones: Se entiende que para controlar la enfermedad, el diagnóstico precoz es importante y el servicio debe realizarse inmediatamente en la atención primaria, con el objetivo de una mayor integración y vínculo con el servicio de salud/comunidad/equipo de salud.Descriptores: Enfermedades de Transmisión Sexual, Sífilis, Salud de la Mujer.