Aderência ao seguimento no cuidado ao recém-nascido exposto à sífilis e características associadas à interrupção do acompanhamento

Feliz, Marjorie Cristiane; Prizybicien, Adeli Regina; Vilela, Carlos Ribeiro; Tahnus, Tony; Pereira, Adriane; Rodrigues, Cristina O.

doi:10.1590/1980-5497201600040004

Cited by 28 publications

(29 citation statements)

References 20 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Adequate follow-up of CS is essential to avoid complications and late sequelae in children. Studies evaluating the follow-up of children exposed or diagnosed with CS 13 - 15 were conducted in referral services and found a high loss to follow-up rate.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with inadequate follow-up of children with congenital syphilis

et al. 2019

View full text Add to dashboard Cite

OBJECTIVE To analyze factors associated with outpatient follow-up of children with congenital syphilis.METHODS A non-concurrent cohort study performed in primary care units and three reference maternity hospitals in Fortaleza (Ceará State). Data were collected from September 2013 to September 2016 in the notification forms and in the medical records of hospitalization and outpatient follow-up, and they were presented considering an adequate and inadequate follow-up. Children who attended the primary care unit or referral outpatient clinic during the period recommended by the Ministry of Health were considered adequately followed up and performed the recommended examinations. Pearson’s chi-square and Fisher’s exact tests were used in the comparative analysis. The estimated risk of adequate non-follow-up was verified by simple and multiple logistic regression.RESULTS The total of 460 children with congenital syphilis were notified, of which 332 (72.2%) returned for at least one appointment and were part of the study. Exactly 287 (86.4%) children attended the primary health unit; however, there was no reference to congenital syphilis in 236 (71.1%) medical records and no information on the venereal disease research laboratory (VDRL) test was found in 264 (79.5%) children. There was nonadherence to subsequent appointments by 272 (81.9%) individuals. The following variables had a statistically significant association with the non-adequate follow-up of the children: marital status of the mothers, number of prenatal appointments, number of pregnancies, blood count, and radiography of long bones.CONCLUSIONS Most children with congenital syphilis attended primary care for follow-up, but the services do not meet the recommendations of the Brazilian Ministry of Health for adequate follow-up.

show abstract

Section: Introductionmentioning

confidence: 99%

Factors associated with inadequate follow-up of children with congenital syphilis

et al. 2019

View full text Add to dashboard Cite

show abstract

“…The infant mortality rate in the state of Ceará decreased between 2010 and 2014. However, CS mortality rate increased in the same period [19], especially postneonatal infant mortality, and may be related to non-diagnosis in the maternity hospital, inadequate follow-up or abandonment of follow-up of these babies exposed to syphilis during pregnancy [20,21], resulting in non-recognition of CS as a cause of death in these cases [22].…”

Section: Discussionmentioning

confidence: 99%

Fetal and infant mortality of congenital syphilis reported to the Health Information System

Canto¹,

Araújo²,

Miranda³

et al. 2019

PLoS ONE

View full text Add to dashboard Cite

BackgroundCongenital syphilis (CS) is a major cause of mortality in several countries, especially in Latin America and the Caribbean. This study aimed to analyze fetal and infant mortality of CS reported to the Health Information System in a State in Northeastern Brazil.Methods and resultsThis was a cross-sectional study that analyzed the deaths of CS from 2010 to 2014 through the linkage of the Mortality Information System (SIM) and the Notifiable Diseases Information System (Sinan). The Statistical Package for the Social Sciences (SPSS) version 23.0 was used to calculate the rates of Fetal, Perinatal, Neonatal (early and late), and Postneonatal Mortality. Simple linear regression was performed. Fisher's exact test or Pearson's chi-square test were used for comparison of proportions and Student's t-test was used for comparison of means.Of the 414 cases reported to the SIM as deaths possibly caused by CS, 44 (10.6%) presented CS as the underlying cause. From 2010 to 2014 the Infant Mortality Rate of CS was 16.3 per 100,000 live births (y = 0.65x + 14.33, R2 = 0.2338, p = 0.003). There was an 89.4% underreporting of deaths. Perinatal deaths and fetal deaths of CS accounted for 87.7% and 73.9% of total deaths, respectively.ConclusionsThe results of the study revealed a significant Fetal and Infant Mortality rate of CS and demonstrated the importance of using the linkage method in studies that involve the analysis of secondary data obtained from mortality and disease reporting systems. The underreporting of CS as a cause of fetal and infant mortality leads to unawareness of the reality of deaths from this disease, hindering the development of public policies aimed at its prevention.

show abstract

“…Although the benefits of follow-up are known, non-compliance or avoidance rates are high. A study with mothers of children attending a referral outpatient clinic in the treatment of congenital syphilis in the state of Paraná identified 63.8% of outpatient drop-outs 5 higher than the rates found in international studies with mothers of preterm children, ranging from 33% 6 to 46% 2 .…”

Section: Introductionmentioning

confidence: 69%

Discontinuity of outpatient follow-up of risk children: perspective of mothers

et al. 2019

View full text Add to dashboard Cite

Objective: to identify aspects that contribute to the discontinuation of outpatient follow-up of newborns from Neonatal Intensive Care Units (NICU) from the perspective of mothers. Method: exploratory, qualitative study, whose theoretical framework was Symbolic Interactionism. Fifteen mothers of children with NICU who discontinued outpatient follow-up in Belo Horizonte-MG were included in a semi-structured interview. Data were analyzed based on the proposal of Hsieh and Shannon. Results: distance from the health service, absence of family support, difficulty in leaving work, maternal health status, organization of the health service itself and deficiency of public transportation were predisposing factors for outpatient abandonment. Mothers understand that their children do not need differentiated care of children at usual risk. Conclusion: service organization, socioeconomic status of the family and social support perceived by mothers were related with the lack of compliance with outpatient follow-up.

show abstract

Aderência ao seguimento no cuidado ao recém-nascido exposto à sífilis e características associadas à interrupção do acompanhamento

Cited by 28 publications

References 20 publications

Factors associated with inadequate follow-up of children with congenital syphilis

Factors associated with inadequate follow-up of children with congenital syphilis

Fetal and infant mortality of congenital syphilis reported to the Health Information System

Discontinuity of outpatient follow-up of risk children: perspective of mothers

Contact Info

Product

Resources

About