Incidência e fatores de risco para sífilis congênita em Belo Horizonte, Minas Gerais, 2001-2008

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: Resultssupporting

confidence: 89%

Incidence of congenital syphilis in the South Region of Brazil

Moretti

Rev. Soc. Bras. Med. Trop.

et al. 2014

J bra doenças sex transm

“…In Brazil, transmission rates remain very high and it seems unlikely to achieve the goal of global elimination of the disease (4) . In our study, it was identified an incidence rate (39.4‰) much higher than the target set to us and higher than in other national studies (13)(14)(15)(16)(17)(18)(19)(20) with the same CS criteria (21) . It is worth noting that there were diverse methodology studies, with primary data, as well as data from SI-NAN, population and hospitals.…”

Section: Discussioncontrasting

confidence: 58%

“…Some studies have found links between adolescence and occurrence of congenital syphilis (16,19) ; however Lima et al (2013) did not demonstrate this association in the city of Belo Horizonte, State of Minas Gerais.…”

Section: Discussionmentioning

confidence: 87%

IncIdence of congenItal SyphIlIS In a MetropolItan regIon of rIo de JaneIro State: SocIal InequalItIeS

Fonseca¹,

Oliveira²,

Almeida³

et al. 2013

Introduction: congenital syphilis remains a public health matter, with no perspective of reaching governmental reduction goals. There are few studies about social inequalities and its relation with this disease in Brazil. Objective: describe occurrence of congenital syphilis in a reference hospital in a Metropolitan Region of Rio de Janeiro State, according to socioeconomic and clinical-laboratorial variables as well. Methods: cross-sectional study, based on interviews, review of medical records and prenatal cards. Population: all women admitted to a maternity ward during a trimester in 2011. Maternal variables: age, schooling, skin color, income, prenatal visits. Fetus/neonate variables: birth weight, gestational age, clinical and laboratory outcomes. Incidence of congenital syphilis (Brazilian Ministry of Health criteria) was calculated for all live births and for each social and economical variable. Results: there were 666 eligible women, comprehending 576 deliveries -558 live births and 18 stillbirths. We identified 22 CS cases: 18 live births, three fetal deaths and 1 abortion. One of the neonates died in the third day of life. The incidence of CS was of 39.4/1,000 live births. Socioeconomic variableslow education, low income and black skin -were related to a greater incidence. Only 13 out of 22 cases were identified in prenatal care. Conclusion: our results pointed to social inequalities in the congenital syphilis incidence. As prenatal care is also related to socioeconomic variables, investments in quality of maternal assistance should be directed to more vulnerable women.

“…A idade média das mulheres do estudo foi compatível com os disponibilizados pelo Ministério da Saúde que apresenta a maioria na faixa etária de 20 a 39 anos (10) (16) . Quanto à escolaridade, estudo realizado em Fortaleza, entre 2000 a 2009, revela que o analfabetismo correspondeu a 55,4% dos casos notificados (17) .…”

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.