Epidemiological profile of gestational syphilis and its influence on vertical transmission in the City of Parnamirim-RN

Objective: To analyze the epidemiological profile of cases of gestational syphilis in the city of Parnamirim - NB and the factors predisposed to the incidence of congenital syphilis, from 2010 to 2019. Methodology: Observational and descriptive study of the indicators: detection rate/1000 live birth...

ver descrição completa

Detalhes bibliográficos
Autores: Oliveira Júnior, Severino Azevedo de, Chaves, Elem Cristina Rodrigues, Santos , Matheus Barbosa, Costa, Ilka Lorena de Oliveira Farias, Paiva, Daniele Socorro de Brito Souza, Reis, Ana Paula Oliva, Mendonça, Maria Helena Rodrigues de, Lima, Sérgio Beltrão de Andrade
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Brasil
Recursos:Universidade Federal de Itajubá (UNIFEI)
Repositorio:Research, Society and Development
Idioma:portugués
OAI Identifier:oai:ojs.pkp.sfu.ca:article/18838
Acesso em linha:https://rsdjournal.org/index.php/rsd/article/view/18838
Access Level:acceso abierto
Palavra-chave:Syphilis
Congenital Syphilis
Maternal and Child Care
Epidemiological surveillance.
Sífilis
Sífilis Congénita
Asistencia Materno-Infantil
Vigilancia epidemiológica.
Sífilis Congênita
Assistência Materno-Infantil
Vigilância epidemiológica.
Descrição
Resumo:Objective: To analyze the epidemiological profile of cases of gestational syphilis in the city of Parnamirim - NB and the factors predisposed to the incidence of congenital syphilis, from 2010 to 2019. Methodology: Observational and descriptive study of the indicators: detection rate/1000 live births of gestational and congenital syphilis; profile in pregnant women and the care situation in prenatal care. Results: It was observed oscillation of the cases during the period, with gestational syphilis, with maximum of 11.7/1000 in 2018 and congenital, with 2.3/1,000 in 2019. There was a higher frequency in the 20 to 29 years age group, totaling 51%, incomplete elementary level (39.4%), gestational age of diagnosis in the third trimester (44.1%) and clinical classification for latent syphilis (53%). In the care model, prenatal care was frequently performed, with a maximum of 88.5%; in the period of diagnosis during delivery and postpartum (52.9%); and, regarding the treatment schedule, 76% were inadequate. Regarding the PHC indicator, there was a decrease during the period, with 61.7% for FHS coverage and 72.5% for PC in 2019. Conclusion: We observed oscillation of syphilis cases, exposing gaps in the control of the disease, and failures in the primary care model arranged in the municipality, especially during prenatal care, thus increasing the risks of vertical transmission for syphilis.