Sífilis em parturientes: aspectos relacionados ao parceiro sexual

Abstract

PURPOSES:To analyze the sociodemographic and behavioral profile of sex partners, the proportion of those inadequately treated as well as to verify how many of them were inadequately treated and why some were not treated. METHODS: Quantitative study with data collected from May to October, 2008 at five public maternities in Fortaleza, Ceará. A survey was carried out with parturients who were hospitalized with syphilis and had a stable sex partner. We analyzed sociodemographic variables and those related to communication, diagnosis and treatment of sex partners. The data were entered into the Statistical Package for the Social Sciences and were analyzed using frequency distributions, measures of central tendency and dispersion. RESULTS: The study included 56 pregnant women. Most sexual partners were young adults aged on average 29 years, 50% of them had studied for less than seven years, 82.1 worked and 46.4% had a family income of less than a minimum wage. Of all the partners, 92.9% were the child's father and 69.6% lived with the women. Fifty percent and 12% were alcohol and drug users, respectively. Most partners (75.0%) were told about the diagnosis by the women, and in 78.6% of cases they were aware of the VDRL result before or during the prenatal period. However, 25.0% of the women did not communicate the result to their partners for the following reasons: not knowing the importance of the partner's treatment (50.0%), not being together after the diagnosis (42.9%) and having a quarrel (7.1%). Of the partners who were informed about the result before or during the prenatal period, 56.0% were treated and six (42.8%) were considered to have been

Sífilis materna e congênita, subnotificação e difícil controle

“…Inadequate treatment is extremely common, as seen in this work and several previous studies 11,15,16,18 , and its main cause is related to the treatment of partners of pregnant women. A study by Campos et al 33 investigated the reason for not treating partners and found that they were informed about the disease and but they simply did not follow the treatment, because of a cultural issue regarding men being sick. In this work, only one partner was oriented as described in the medical record, but no pregnant woman was considered adequately treated.…”

Prevalence and factors associated with syphilis in a Reference Center

“…In the context of vulnerability, investigators consider some populations as more likely to acquire syphilis: individuals living in seclusion, homeless people, drug users, men who have sex with men (MSM), those co-infected with human immunodeficiency virus (HIV), and pregnant women [8][9][10][11][12][13][14] .…”

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

“…From the professional practice criteria, in addition to the failures in treatment of partners, there was low compliance in the cure control of pregnant women with less opportunity to identify failures in the treatment of pregnant women. Inadequate control of the treatment of pregnant women has also been reported by Silva and Campos in studies in the state of Ceará/Brazil.…”