Sífilis materna e congênita: ainda um desafio

Magalhães, Daniela Mendes dos Santos; Kawaguchi, Inês Aparecida Laudares; Días, Adriano; Calderon, Iracema de Mattos Paranhos

doi:10.1590/s0102-311x2013000600008

Cited by 84 publications

(119 citation statements)

References 25 publications

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“…According to Rodrigues and Guimarães 12 , up to 40% progressed to this loss. Studies also demonstrate these results, with the completion of prenatal care as recommended, but with the nonrealization of screening tests, showing the difficulty of diagnosis and treatment 11,15,16,18,22,32 . In this study, it became clear that most women, who attended the recommended minimum six prenatal care visits, starting in the first trimester, still had late diagnosis.…”

Section: Discussionmentioning

confidence: 91%

“…According to Magalhães et al 32 in an assessment conducted in the federal district, approximately half of NBs held radiograph of long bones and examination of cerebrospinal fluid, and all the mothers were considered inadequately treated. This work also found that in 25.8% of NBs of pregnant women with syphilis did not perform VDRL, and nearly half did not perform any other tests.…”

mentioning

confidence: 99%

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Sífilis materna e congênita, subnotificação e difícil controle

Lafetá

Júnior

Silveira

et al. 2016

Rev. bras. epidemiol.

159

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Section: Discussionmentioning

confidence: 91%

mentioning

confidence: 99%

Sífilis materna e congênita, subnotificação e difícil controle

Lafetá

Júnior

Silveira

et al. 2016

Rev. bras. epidemiol.

159

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show abstract

“…Negative results of the VDRL in peripheral blood at delivery may turn positive later on. However, these results are widely considered in medical treatment decisions, and children may be discharged without proper management and follow-up after hospital discharge [18]. …”

Section: Discussionmentioning

confidence: 99%

“…The Family Health Strategy plays an important role in the reduction of vertical transmission of syphilis, as the effectiveness of CS control actions and the low cost of their implementation have been proven in many studies [18,23,24]. The Family Health Strategy aims to reorganize primary care in Brazil and is seen by the Brazilian Health Ministry as expansion, qualification and consolidation strategy of primary care for favoring the principles, guidelines and fundamentals of primary care, that is to enlarge the solvability and impact on people health situation.…”

Section: Discussionmentioning

confidence: 99%

Underreporting of Congenital Syphilis as a Cause of Fetal and Infant Deaths in Northeastern Brazil

et al. 2016

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IntroductionOf all syphilis-related pregnancy outcomes, fetal death is certainly the most common one, being directly related to the availability, accessibility and quality of prenatal care. The present study aimed to analyze the underreporting of fetal and infant deaths and other maternal factors associated with congenital syphilis (CS) death.MethodsThis cross-sectional study integrated data of infants that were diagnosed and/or died of CS from the Sistema de Informação de Agravos de Notificação–Sinan (Notifiable Diseases Information System) and the Sistema de Informação de Mortalidade–SIM (Mortality Information System) in Fortaleza, Northeastern Brasil to identify unreported cases of congenital syphilis. We assessed data during the period from 2007 to 2013.ResultsThe underreporting of CS as a cause of fetal or infant death increased from 41 to 415 cases (90.1%) during 2007–2013. Exactly 3,209 cases of CS were identified in Sinan and 6,578 deaths in SIM. After database linkage, we identified 382 cases that were reported in the SIM and SINAN databases consisting of 309 fetal deaths and 73 infant deaths related to CS. From the children notified at Sinan that born alive, 3.0% (78/2,542) died; Out of these, 39 (50.0%) were early and 25 (32.1%) were late neonatal deaths. The proportion of death by CS increased from 0.62 to 5.8 from 2007 to 2013. At logistic regression, the variable that maintained statistical significance with fetal and infant death outcomes was the presence of CS signs and/or symptoms at birth (OR = 3.20; IC 95% 1.54–6.62; p = 0.002).ConclusionsNeonatal and Infant deaths following CS-associated live births are underreported in Northeastern Brazil. Data base linkage identified unreported fetal and neonatal deaths due to CS leading to an increased awareness of fetal/infant mortality due to this infection.

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“…O contato com as lesões contagiantes (cancro duro e lesões secundárias) pelos órgãos genitais é responsável por 95% dos casos de sífilis. Outras formas de transmissão mais raras são por via indireta (objetos contaminados, tatuagem) e por transfusão sangüínea (Campos et al, 2010;Magalhães et al, 2013;Nascimento et al, 2013).…”

Section: Introductionunclassified

Sífilis congênita no município de Santa Inês – MA: caracterização epidemiológica

Andrade

Santos

Cunha³

et al. 2020

RSD

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Syphilis is caused by a bacterium called Treponema pallidum, genus Treponema, of the Treponemataceae family, characterized by being systemic, chronic evolution and transmission through sexual or maternal-fetal intercourse. Syphilis is a sexually transmitted disease (acquired syphilis) and vertically (congenital syphilis) transmitted from the mother's placenta to the fetus. The study aimed to establish the prevalence of congenital syphilis, tracing an epidemiological profile through the cases reported in the city of Santa Inês, Maranhão. This is a retrospective, exploratory, descriptive and quantitative cohort developed in the municipality of Santa Inês, State of Maranhão, from January 2010 to December 2018. There was a growing trend in all the years analyzed. with a substantial increase from 2017, mainly in the Northeast and Maranhão state, already in the municipality of Santa Inês in 2013, there was a considerable decrease in cases with an increase in the subsequent year and with a higher incidence in the year. 2018 with a greater number of cases than the cases of the northeast of Maranhão state. Thus, Based on the data presented, the incidence of congenital syphilis in the municipality of Santa Inês can be characterized through the epidemiological analysis of the temporal cutoff of 08 years.

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Sífilis materna e congênita: ainda um desafio

Cited by 84 publications

References 25 publications

Sífilis materna e congênita, subnotificação e difícil controle

Sífilis materna e congênita, subnotificação e difícil controle

Underreporting of Congenital Syphilis as a Cause of Fetal and Infant Deaths in Northeastern Brazil

Sífilis congênita no município de Santa Inês – MA: caracterização epidemiológica

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