Estudo de confiabilidade do SINAN a partir das Campanhas para a Eliminação da Sífilis Congênita no Município do Rio de Janeiro

Saraceni, Valéria; Vellozo, Vitoria; Leal, María do Carmo; Hartz, Zulmira

doi:10.1590/s1415-790x2005000400010

Cited by 22 publications

(20 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One would not expect that all cases of syphilis in pregnancy would be followed by notification of congenital syphilis, since adequate treatment of the pregnant woman and partner should avoid the case 18 . Still, as discussed above, adequate treatment was only provided in a very low proportion of the pregnant women with syphilis, suggesting that there was underreporting of congenital syphilis, approximately 100 cases in the current study, as shown in another study in Rio de Janeiro 23 . Meanwhile, not all the mothers had been reported in the SINAN-Syphilis in Pregnancy database.…”

Section: Discussionmentioning

confidence: 49%

Syphilis in pregnancy and congenital syphilis in Amazonas State, Brazil: an evaluation using database linkage

et al. 2014

View full text Add to dashboard Cite

This study analyzes notification of syphilis in pregnancy and congenital syphilis in Amazo- nas State, Brazil, from 2007 to 2009 and verifies underreporting in databases in the National Information System on Diseases of Notification (SINAN) and the occurrence of perinatal deaths associated with congenital syphilis and not reported in the Mortality Information System (SIM). This was a cross-sectional study with probabilistic record linkage between the SINAN and SIM. There were 666 reports of syphilis in pregnant women, including 224 in 2007 (3.8/1,000), 244(4.5/1,000) in 2008, and 198(4.0/1,000) in 2009. The study found 486 cases of congenital syphilis, of which 153 in 2007 (2.1/1,000), 193 in 2008 (2.6/1,000), and 140 in 2009 (2.0/1,000). After linkage of the SINAN databases, 237 pregnant women (35.6%) had cases of congenital syphilis reported. The SIM recorded 4,905 perinatal deaths, of which 57.8% were stillbirths. Probabilistic record linkage between SIM and SINAN-Congenital Syphilis yielded 13 matched records. The use of SINAN and SIM may not reflect the total magnitude of syphilis, but provide the basis for monitoring and analyzing this health problem, with a view towards planning and management.

show abstract

Section: Discussionmentioning

confidence: 49%

Syphilis in pregnancy and congenital syphilis in Amazonas State, Brazil: an evaluation using database linkage

et al. 2014

View full text Add to dashboard Cite

show abstract

“…The marked temporal variation in the incidence of congenital syphilis throughout the study suggests the existence of underreporting, which is also noted in other municipalities 22,23 ; the underreporting might be compounded by the diffi culty of determining a clinical diagnosis of this disease in newborns. It is noteworthy that underreporting of health information could be considered to be an indirect indicator of poor quality of health care.…”

Section: Discussionmentioning

confidence: 80%

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

Oliveira

Costa

Barreto

et al. 2014

Rev. Soc. Bras. Med. Trop.

View full text Add to dashboard Cite

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.

show abstract

“…However, a strong point was the daily collection data, using various sources: interview, prenatal card, medical records and lab tests. In studies using the Information System for Reportable Diseases (SINAN) as a source, although there is the advantage of being able to cover longer periods, there is a risk of underreporting and poor quality of data (27,28) .…”

Section: Discussionmentioning

confidence: 99%

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

Fonseca¹,

Oliveira²,

Almeida³

et al. 2013

J bra doenças sex transm

View full text Add to dashboard Cite

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.

show abstract

Estudo de confiabilidade do SINAN a partir das Campanhas para a Eliminação da Sífilis Congênita no Município do Rio de Janeiro

Cited by 22 publications

References 8 publications

Syphilis in pregnancy and congenital syphilis in Amazonas State, Brazil: an evaluation using database linkage

Syphilis in pregnancy and congenital syphilis in Amazonas State, Brazil: an evaluation using database linkage

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

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

Contact Info

Product

Resources

About