Desigualdades na tendência da sífilis congênita no município de Niterói, Brasil, 2007 a 2016

Heringer, Andressa Lohan dos Santos; Kawa, Helia; Fonseca, Sandra Costa; Brignol, Sandra; Zarpellon, Loren Angelica; Reis, Ana Cristina

doi:10.26633/rpsp.2020.8

Cited by 49 publications

(53 citation statements)

References 25 publications

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“…Although the timely treatment of the partner is not associated with the occurrence of the outcome in this study, other studies identified that the occurrence of syphilis resulted, among other factors, from untreated sexual partners and inadequate treatments, which demonstrates the potential for dissemination related to the therapeutic regimen (5,17).…”

Section: Discussionmentioning

confidence: 51%

“…In this context, the number of research studies related to the topic also rose. The occurrence of congenital syphilis has already been associated, among other factors, with the younger age group and the woman's low schooling (5), as well as with late diagnosis of the pregnant woman and her partner (6). However, the search for factors related to congenital syphilis from the prenatal care process, with indirect assessment of the quality of care provided to pregnant women, is still incipient.…”

Section: Introductionmentioning

confidence: 99%

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Hospitalizations due to Congenital Syphilis in Neonates: Associated Factors from the Prenatal Care Process

et al. 2020

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Objective: To identify the factors associated with hospitalizations due to congenital syphilis in neonates, based on the characteristics of prenatal care. Materials and method: A quantitative case-control study, conducted by applying a questionnaire to 65 puerperal women with their babies hospitalized from July to November 2017. The data were analyzed using logistic regression, according to the plan proposed in the hierarchical approach. Results: 20% of the hospitalizations were due to syphilis (cases) and 80% to other causes (control). The vulnerability risk (p = 0.036), previous history of sexually transmitted infection (p = 0,006), use of oral contraceptives (p = 0.011) and parity (p = 0.043) variables were statistically significant. The absence of the partner during the consultation (p = 0.028), failure to perform a rapid test for syphilis (p = 0.035) and educational activity for the partner (p = 0.033) were also associated with the occurrence of the outcome, in addition to the variables of the newborn: low birth weight (p = 0.025), not being on exclusive breastfeeding (p = 0.036) and not having had skin-to-skin contact (p = 0.043). Conclusions: Congenital syphilis has several risk factors for its occurrence. It was possible to observe that the assistance inequalities existing in care during the prenatal consultations directly reflect on the occurrence of this condition.

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Section: Discussionmentioning

confidence: 51%

Section: Introductionmentioning

confidence: 99%

Hospitalizations due to Congenital Syphilis in Neonates: Associated Factors from the Prenatal Care Process

et al. 2020

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“…Com relação à ocupação, demonstrou-se que 82,94% das mulheres são donas de casa, aspecto que pode ter relação com a baixa escolaridade encontrada, na qual 34,09% das mulheres tiveram menos de 8 anos de estudo, relatado por outros autores (Teixeira et al, 2018;Cavalcante et al, 2017;Heringer et al, 2020). Ademais, a baixa escolaridade pode dificultar a adesão às ações de educação em saúde para a compreensão da doença e do tratamento adequado (Vasconcelos et al, 2020).…”

Section: Discussionunclassified

“…Em concordância, o estudo de Heringer e colaboradores (2020) evidenciou 68,6% de inadequação e 19,1% não realizados. Dentre as possíveis causas pode-se citar: a não realização do pré-natal, diagnóstico tardio e a não adesão dos parceiros ao tratamento (Lafetá et al, 2016;Cavalcante et al, 2017;Heringer et al, 2020).…”

Section: Discussionunclassified

Sífilis congênita: Incidência e caracterização epidemiológica em um estado da Amazônia

Meireles

Amaral

Oliveira

et al. 2021

RSD

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Objetivos: Descrever o comportamento da incidência e delimitar o perfil clínico, epidemiológico e laboratorial da sífilis congênita no estado do Amapá, Amazônia brasileira, de 2014 a 2018. Métodos: Foi realizado um estudo descritivo e transversal a partir de dados disponibilizados pela Secretaria de Vigilância em Saúde do Estado do Amapá. Calculou-se a taxa de incidência anual para 1000 nascidos vivos e descreveu-se sua distribuição espacial no estado. Ademais, realizou-se estatística descritiva das variáveis sociodemográficas, clínicas e laboratoriais, e estatística inferencial de associação, por meio do Teste Exato de Fisher, para as variáveis categóricas de relevância. Resultados: Registrou-se 308 casos de sífilis congênita, com comportamento crescente da incidência da doença, e o município de Macapá, capital, representando 71,1% dos casos. No perfil dos recém-nascidos, houve predomínio da raça/cor parda (47,37%), da sífilis congênita recente (99,68%), e da icterícia como principal sintoma (68,5%). No que tange o perfil materno, caracterizou-se por mulheres menores de 20 anos (31,35%), pardas (76,3%), com escolaridade de 5ª a 8ª série completas (25,97%), e donas de casa (82,94%). Observou-se que o pré-natal foi realizado em 72,4% dos casos, porém com diagnóstico anterior ao parto em somente 36,04%, o parceiro não foi tratado em 72,4%, e o tratamento materno foi inadequado em 63,3%. Conclusões: Demonstra comportamento crescente da incidência da doença, com perfil característico de acometimento. É essencial a realização e o registro de testes e exames diagnósticos, assim como a solidificação dos serviços de pré-natal e capacitação continuada dos profissionais da saúde.

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“…The lack of knowledge and the importance of health monitoring during pregnancy have been associated with populations of greater social vulnerability, with low schooling and non-white color/race. Women with low education have less access to information, which limits their knowledge of health care and, mainly, measures to prevent sexually transmitted diseases such as syphilis infection 35,36 . Equally, it is worth mentioning the existence of more vulnerable population groups in each municipality, especially with regard to adolescents, as evidenced by the results.…”

Section: Neves Et Al (2018)mentioning

confidence: 99%

Syphilis in Pregnant Women and Congenital Syphilis: Spatio-temporal Dynamics and Covariates in the Middle-income Country – São Paulo, Brazil

Ruberti

Yamamura

Silva

et al. 2021

Preprint

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We aimed to estimate the occurrence of syphilis in pregnant women (SPW) and congenital syphilis (CS) in the municipalities of the state of São Paulo (SP) and evaluate their relationship with socioeconomic, demographic, and health care variables. We developed an ecological study based on secondary data of SPW and CS with spatial and temporal components from 645 municipalities in SP and included data from 2007 to 2018. We modeled the data in a Bayesian context, considered spatial and temporal random effects, and used a binomial negative probability distribution. We found a continuous increase in the relative temporal risk of SPW, from 2007 to 2018, and CS, from 2007 to 2017, when their incidences increased by 8.7 and 6.6 times, respectively. Moreover, this increase occurred in en bloc in practically all municipalities of SP. The increase in SPW was associated with teenage pregnancy, municipalities with a large number of inhabitants, and aids incidence. The increase in CS was associated with municipalities with a large number of inhabitants, incomplete antenatal care, inadequate technology to perform deliveries in the municipality, and aids incidence. Interventions to control these diseases are needed in almost all the municipalities of the SP.

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Desigualdades na tendência da sífilis congênita no município de Niterói, Brasil, 2007 a 2016

Abstract: Como citarHeringer ALS, Kawa H, Fonseca SC, Brignol SMS, Zarpellon LA, Reis AC. Desigualdade na tendência da sífilis congênita no município de Niterói, Brasil 2007 a 2016. Rev Panam Salud Publica. 2020;44:e8. https://doi.

Cited by 49 publications

References 25 publications

Hospitalizations due to Congenital Syphilis in Neonates: Associated Factors from the Prenatal Care Process

Hospitalizations due to Congenital Syphilis in Neonates: Associated Factors from the Prenatal Care Process

Sífilis congênita: Incidência e caracterização epidemiológica em um estado da Amazônia

Syphilis in Pregnant Women and Congenital Syphilis: Spatio-temporal Dynamics and Covariates in the Middle-income Country – São Paulo, Brazil

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