Incidence of congenital syphilis in the South Region of Brazil

Abstract

Introduction:The aim of this study was to establish the incidence rates of congenital syphilis in the South Region of Brazil from 2001 to 2009. Methods: Temporal ecological and descriptive study based on the cases recorded by the System of Information of Notifi able Diseases. Results: The incidence of congenital syphilis has been increasing in the South Region of Brazil since 2004; the highest incidence rates were in women who received prenatal care (113.5 new cases per 100,000 births, p<0.001), who were diagnosed with syphilis at pregnancy (69.8 new cases per 100,000 births, p=0.001), and whose partner did not undergo treatment for syphilis (53.1 new cases per 100,000 births, p=0.001). Conclusions: The population of the present study mostly consisted of adult black women with low educational levels who attended prenatal care, who were diagnosed with syphilis during pregnancy, and whose partners were not treated for syphilis. Based on these results, actions are recommended to reduce the incidence of this disease, which is preventable by early diagnosis and appropriate treatment. The present was merely an ecological study; therefore, further investigations are necessary to elucidate the causes of these fi ndings.

Incidência de sífilis congênita e fatores associados à transmissão vertical da sífilis: dados do estudo Nascer no Brasil

“…Estudos locais também encontraram incidência elevada de sí-filis congênita 11,14,15,16,17 , com taxas de TV que variaram de 21,1% a 100% 11,16,18 . Sabe-se que a transmissão vertical da sífilis apresenta valores distintos conforme a fase da doença materna, sendo superior a 90% nas formas recentes e de aproximadamente 30% nas formas latentes e tardias 5,19 .…”

“…Essa mesma estratégia de testagem, se aplicada aos parceiros, permitiria maior cobertura de tratamento, que é relatada como baixa em vários estudos locais 14,15,18,32,33 , sendo de apenas 11% no Brasil, segundo dados do SINAN para o ano de 2011 9 . Ressalta-se que o tratamento do parceiro é fundamental para evitar a reinfecção da gestante, sendo a não realização deste tratamento, ou a realização de tratamento inadequado, um dos critérios adotados pelo Ministério da Saúde para a definição de caso de sífilis congênita 2 .…”

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

“…[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.…”

“…[2][3] In the State of Paraná, from 1,117 diagnosed pregnant women, 455 cases of congenital syphilis were reported. 9 Knowing the characteristics of pregnant women and children with syphilis is important because from the epidemiological data, public policies are formulated to control syphilis, and compulsory notification is a fundamental tool. 10 Even with the evidence put in the literature for decades about the problems that syphilis can cause to pregnant women, newborns and the health system, comprehensive studies that relate variables from diagnosis to treatment are scarce on the national scene.…”

Incidência de sífilis congênita e sua prevalência em gestantes em um município do noroeste do Paraná

“…Apesar do baixo custo do tratamento e da ampla disponibilidade de tecnologias simples de prevenção, a doença ainda é uma causa significativa de morbidade infantil e morte perinatal (ARAÚJO et al, 2012). Portanto, a incidência anual dos casos ocorridos da doença não tem qualquer justificativa e as intervenções destinadas a aumentar a cobertura de triagem, tratamento e prevenção da sífilis durante a gravidez devem ser priorizadas (SERAFIM et al, 2014).…”