Distribuição da sífilis congênita no estado do Tocantins, 2007-2015*

Abstract

Objective: to describe the epidemiological profile of congenital syphilis (CS) in Tocantins, from 2007 to 2015. Methods: this was a cross-sectional descriptive study conducted with data from the Notifiable Health Conditions Information System (SINAN) and the Live Birth Information System (SINASC). Results: 1,029 CS cases were reported; mean CS incidence was 4.6/1,000 Live Births (LB), increasing from 3.1/1,000 LB in 2007 to 9.8/1,000 LB in 2015 (increase of 216.1%); municipalities located in the central and northern regions of the state had the highest rates; the majority of mothers of newborn babies were 15-24 years old, had elementary school education, started prenatal care in the third trimester of pregnancy, and received inadequate prenatal care. Conclusion: high occurrence of congenital syphilis in Tocantins requires immediate intensification of CS surveillance and improved prenatal care quality, especially in municipalities with higher incidence.

Congenital syphilis in Brazil: distribution of cases notified from 2009 to 2016

“…It can be understood based on studies 28 that the expansion with quality of care in the Family Health Strategy and adherence to the Cegonha Network are elements that contributed to the improvement of notification and, consequently, the real increase in the number of cases of congenital syphilis in Brazil. However, some obstacles, such as unprotected sexual practices, are challenging in interrupting the congenital syphilis transmission chain 29 .…”

“…The complexity of the diagnosis of congenital syphilis in newborns (NBs) infected with T. pallidum must also be considered. The infected NB, in most cases, is asymptomatic at birth, the VDRL titers may be much lower compared to the maternal titration at this stage of life and the deficiency of the appropriate test for diagnosis in the public health network (CSF test) 29 . This denotes the fragility of the system, underreporting, late diagnosis, and, consequently, more severe complications to the child.…”

Análise do perfil epidemiológico de gestantes com sífilis no Paraná, 2010-2020

“…Esta realidade corrobora com a que foi identificada em outros estudos realizados em São Paulo, Minas Gerais, Mato Grosso do Sul e Tocantins 24,[28][29][30] . A respeito da variável raça/cor, este estudo aquiesceu o resultado em estudo realizado em 2019, pois o trabalho concluiu frequência mulheres brancas em 66% dos casos 24 .…”

Temporal trend and factors associated with spatial distribution of congenital syphilis in Brazil: An ecological study

“…Studies also indicated associations between socioeconomic conditions and syphilis in the Northeast region ( 10 , 24 ), with low purchasing power and poverty associated with increased cases of syphilis during pregnancy. Furthermore, studies carried out in a city in the state of Mato Grosso do Sul ( 9 ), in the state of Tocantins ( 25 ) and in Pará ( 26 ) showed a high incidence rates of syphilis in women with low education. In Pará, clusters for syphilis stand out in regions with a high flow of people and exposed to situations of social vulnerability.…”