Sífilis na gestação e fatores associados à sífilis congênita em Belo Horizonte-MG, 2010-2013

Gestational and congenital syphilis: maternal, neonatal characteristics and outcome of cases

“…It should be noted that the early initiation of prenatal care and the guarantee of the minimum number of queries are associated with greater suitability of e control actions regarding syphilis, 21 and conversely are factors associated with the occurrence of vertical transmission. 15,17 Cohort study conducted in China pointed out that when the treatment occurs between the 13 to 24 weeks, only 1.6% of infants are infected, and that every week of delay in the treatment increases the risk of congenital syphilis in 12.7%, 1 being that a favorable aspect to women in this study, once 73.5% of them were diagnosed in the first trimester of pregnancy. In addition to the timely detection of syphilis, the access to treatment for pregnant women and their partners is imperative.…”

“…1,8,10,[14][15][16] The identified proportion of gestational syphilis (1.39%) is also above the national prevalence (1.02%), as well assouthern Brazil prevalence (1.10%), 17 which reinforces the need to strengthen epidemiological surveillance in all points of the network, actions thatadd up to the national agenda, as already determined by the Health Pact in 2006. 10 Even with the acknowledged efficacy of diagnosis, treatment and prevention of transmission, 5 the proportion of pregnant women infected with syphilis without therapeutic actions and intervention on risk factors remains high, resulting in abortion, prematurity, neonatal deathand congenital malformations.…”

“…[8][9][10][11][12][13][14][15][16][17][18]19 In this regard, it was found that the majority of pregnant women (55%) studied did only oneVDRL test, indicating non-compliance with the Protocol of attention to prenatal care.…”

“…Other studies also point out lack of follow-up on the VDRL test during pregnancy. 15,17,21 According to PAHO, 94% of pregnant women in the Americas had at least one prenatal consultation during pregnancy and 80% received testing for syphilis at some point in pregnancy. 7 In Brazil, a study with 23,894 postpartum women identified that 98.7% held at least one prenatal consultation and 89% had at least one test records of syphilis, but only 41% conducted the second serological test, 14 data that corroborate the present study findings and imply actions aimed at early detection of syphilis Syphilis: maternal, neonatal characteristics and outcome of cases during pregnancy by means of carrying out the examinations in the correct frequency.…”

“…17 This data warns about the importance of controllingthe transmission of syphilis in community through the treatment of the partner. 3 The literature points out that syphilis-infected partners increases by five times the risk of congenital syphilis infection, 1 and the grounds for nontreatment are: low adherence to health services; justified by employment issues and lack of knowledge about the importance of treatment for child health and partner; lack of reference site for treatment; and the absence of indication of treatment by the service.…”