Sífilis congênita no Rio Grande do Norte: estudo descritivo do período 2007-2010

Zarpellon

Rev. Bras. Saude Mater. Infant.

et al. 2017

Section: Discussionsupporting

confidence: 77%

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

Zarpellon

Rev. Bras. Saude Mater. Infant.

et al. 2017

“…However, a national study demonstrated that estimates for congenital syphilis incidences at birth (3.5/1,000 live births) during 2011–2012 did not differ significantly from those registered by Brazil’s Information System for Notifiable Diseases (3.3/1,000 live births) in 2011 ( 39 ). Despite this finding, underreporting is a problem in Brazil ( 34 , 40 ). We did not exclude regional variations in case reporting because the quality of the data provided depends on technical and operational conditions of the epidemiologic surveillance system in each region.…”

Section: Discussionmentioning

confidence: 99%

Congenital Syphilis as a Measure of Maternal and Child Healthcare, Brazil

Bezerra¹,

Fernandes²,

Nunes³

et al. 2019

Emerg. Infect. Dis.

Syphilis is a sexually transmitted infection that has direct adverse effects on maternal and infant health through vertical Treponema pallidum transmission during early pregnancy. We evaluated congenital syphilis as a predictor of the quality of basic maternal and child healthcare in Brazil during 2010–2015. We investigated case rates and correlations with epidemiologic and socioeconomic indicators. We observed rising congenital syphilis incidence rates and increasing syphilis-associated perinatal and infant mortality rates in all regions. Case rates were highest in the Northeast, Southeast, and South, and congenital syphilis infant mortality rates were highest in the Northeast and Southeast. We observed correlations between congenital syphilis rates and infant death, spontaneous abortion (miscarriage), and stillbirth rates. We also noted correlations between rates of stillbirth caused by syphilis and inadequate prenatal care. Our study suggests gaps in basic healthcare for pregnant women and indicates the urgent need for measures to increase early diagnosis and appropriate treatment.

Rev. Soc. Bras. Med. Trop.

“…This finding may be due to low usage of the RT in the Basic Health Units where prenatal care is performed. This argues for the need for strict testing for syphilis during pregnancy because when untreated, there are serious consequences for both the mother and the fetus or the newborn 29 .…”

Section: No Yes No Yesmentioning

confidence: 99%

Prevalence and factors associated with syphilis in a Reference Center

Gomes

Meier

Pieri

et al. 2017

Introduction:The implementation of the rapid test (RT) for syphilis increases access of vulnerable populations to early diagnosis and treatment, impacting the outcomes of infection. We aimed to assess the prevalence of and factors associated with syphilis in a Center for Testing and Counseling (CTC). Methods: We conducted a cross-sectional study at a Reference Center for sexually transmitted disease (STD) and acquired immune deficiency syndrome in Londrina, Northern Paraná State, Southern Brazil. Data regarding the 5,509 individuals who underwent RT from June 2012 to December 2014 were collected from patient records and the CTC Information System and served as the basis to check associations of syphilis cases (346) and cases without syphilis (5,163). Nine patients' records were not found. OpenEpi was used to perform a prevalence analysis and determine odds ratios to assess the associations between sociodemographic and behavioral variables (independent variables) and cases of syphilis (dependent variable). An alpha value <0.05 was considered statistically significant. Results: The prevalence of syphilis was 6.3%; higher in males (7.5%) than in females (4.3%, p <0.001). Syphilis was associated with an age of 25-34 years, little education, and single marital status. The main associated behavioral factors were men who have sex with men, drug users, STD patients, and those presenting with an STD in the last year. The use of alcohol, marijuana, cocaine, and crack was significantly associated with syphilis. Conclusions: Strategies for prevention and control of syphilis should be intensified, especially in populations identified as most vulnerable.