Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil

Abstract

Strategies for early initiation of PNC, implementation of rapid tests for syphilis, ensuring treatment of pregnant women with penicillin, adequate partner treatment, and continued education of health professionals on clinical management and counselling in sexually transmitted diseases are necessary to eliminate congenital syphilis.

Congenital syphilis in East Baton Rouge parish, Louisiana: providers’ and women’s perspectives

“…Studies of clinicians in Brazil identified as barriers the lack of attendance of the partner, late prenatal care, delayed results and lack of return by the woman, and difficulties in administering benzathine penicillin. Knowledge by the clinicians was limited on some factors as well [18][19][20][21]. A study in Ghana identified availability of test kits and personnel training as key clinician-side predictors of screening, while attending a public hospital, being willing to request screening, and being later in pregnancy were associated with uptake of screening among pregnant women [20].…”

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

“…Os resultados encontrados neste e em outros estudos mostram que as falhas no pré-natal de mulheres com sífilis estão associadas ao despreparo dos profissionais pré-natalistas, à dificuldade de adesão a protocolos assistenciais, a demoras nos resultados dos exames, à não valorização de títulos baixos de VDRL e à dificuldade na abordagem dos parceiros (29)(30)(31). O enfrentamento desse agravo precisa ser feito de forma intensiva e responsável pelos gestores e profissionais da área da saúde.…”

“…Outros estudos mostram que a ampliação da Estratégia Saúde da Família não resultou em melhora no controle da SC (13,32). É provável que os profissionais que realizam consultas de pré-natal na atenção básica não tenham conhecimento suficiente para o manejo adequado da sífilis na gestação (29)(30)(31).…”

Viral, bacterial, and fungal infections of the oral mucosa: Types, incidence, predisposing factors, diagnostic algorithms, and management

“…The type, dose, and the duration of the antibiotic treatment is determined by the stage of syphilis. Factors such as the degree of spirocheticidal action, variability in absorption, level of patient compliance, and individual circumstances, such as pregnancy, must also be considered when determining the choice of antibiotic . Some studies have shown that there is a likely potential of T. pallidum to develop antibiotic resistance; however, there are no follow‐up studies conducted or measurable penicillin resistance reported so far …”