Characterization of Congenital Syphilis Cases Reported in a Brazilian Region
DOI:
https://doi.org/10.12974/2311-8687.2019.07.6Keywords:
Pregnancy, Syphilis, Syphilis, Congenital, Maternal-Child Health Services.Abstract
Congenital syphilis is a challenge for health services and its characteristics is an important area of study. This study identified the profile of congenital syphilis cases reported in an inland region of the state of Minas Gerais, Brazil, from 2012 to 2016. This is a descriptive historical cohort study from 2012 to 2016, and the data were from documentary sources. The study involved detailed analysis of the compulsory notification forms registered in the Information System on Diseases of Compulsory Declaration (SINAN). For data collection, researchers created a form for subsequent quantitative data analysis approach. The data obtained were tabulated and analyzed using simple descriptive statistics and shown in tables. The data were organized into five charts and separated based on: (1) number of cases notified; (2) information about mothers whose newborns have syphilis; (3) pregnancies that culminated in the birth of newborns with congenital syphilis, diagnosis and treatment of these mothers; (4) information about newborns with syphilis; (5) diagnosis, treatment, and outcome of these newborns. The researchers of this study believe that, by enabling the identification of the profile of congenital syphilis cases reported in a Brazilian region, the results may contribute to the development of health strategies to prevent and control syphilis in mothers and their children.
References
Rowley J, Vander Hoorn S, Korenromp E, Low N, Unemo M, Abu-Raddad LJ, et al. Chlamydia, gonorrhoea, trichomoniasis and syphilis: global prevalence and incidence estimates, 2016. Bull World Health Organ 2019; 97(8): 548- 62P. https://doi.org/10.2471/BLT.18.228486 DOI: https://doi.org/10.2471/BLT.18.228486
Lawn JE, Blencowe H, Waiswa P, Amouzou A, Mathers C, Hogan D, et al. Stillbirths: rates, risk factors, and acceleration towards 2030. Lancet 2016; 387(10018): 587-603. https://doi.org/10.1016/S0140-6736(15)00837-5 DOI: https://doi.org/10.1016/S0140-6736(15)00837-5
Gomez GB, Kamb ML, Newman LM, Mark J, Broutet N, Hawkes SJ. Untreated maternal syphilis and adverse outcomes of pregnancy: a systematic review and metaanalysis. Bull World Health Organ 2013; 91(3): 217-26. https://doi.org/10.2471/BLT.12.107623 DOI: https://doi.org/10.2471/BLT.12.107623
Unemo M, Bradshaw CS, Hocking JS, de Vries HJC, Francis SC, Mabey D, et al. Sexually transmitted infections: challenges ahead. Lancet Infect Dis 2017; 17(8): e235-e279. https://doi.org/10.1016/S1473-3099(17)30310-9 DOI: https://doi.org/10.1016/S1473-3099(17)30310-9
Korenromp EL, Rowley J, Alonso M, Mello MB, Wijesooriya NS, Mahiané SG, et al. Global burden of maternal and congenital syphilis and associated adverse birth outcomes- Estimates for 2016 and progress since 2012. PLoS One 2019; 14(2): e0211720. https://doi.org/10.1371/journal.pone.0211720 DOI: https://doi.org/10.1371/journal.pone.0211720
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Boletim epidemiológico - Sífilis 2019. Brasília: Ministério da Saúde 2019.
World Health Organization (WHO). Global health sector strategy on sexually transmitted infections 2016-2021. Geneva: World Health Organization 2016.
Cooper JM, Michelow IC, Wozniak PS, Sánchez PJ. Em tempo: a persistência da sífilis congênita no Brasil – Mais avanços são necessários! Rev Paul Pediatr 2016; 34(3): 251-3. https://doi.org/10.1016/j.rpped.2016.06.001 DOI: https://doi.org/10.1016/j.rpped.2016.06.001
Gil AC. Como elaborar projetos de pesquisa. 5th. ed. São Paulo: Atlas 2010.
Luz ALA, Oliveira EAR, Torres CRD, Carvalho KM, Monteiro CFS, Moura MEB. Quantitative and qualitative approaches in health research. Rev Enferm UFPI 2015; 4(1): 129-34. https://doi.org/10.26694/reufpi.v4i1.3134 DOI: https://doi.org/10.26694/reufpi.v4i1.3134
Costa CV, Santos IAB, Silva JM, Barcelos TF, Guerra HS. Sífilis congênita: repercussões e desafios. Arq Catarin Med 2017; 46(3): 194-202.
Domingues RMSM, Leal MC. Incidência de sífilis congênita e fatores associados à transmissão vertical da sífilis: dados do estudo Nascer no Brasil. Cad Saude Publica 2016; 32(6): e00082415. https://doi.org/10.1590/0102-311X00082415 DOI: https://doi.org/10.1590/0102-311X00082415
Lafetá KRG, Martelli Júnior H, Silveira MF, Paranaíba LMR. Maternal and congenital syphilis, underreported and difficult to control. Rev Bras Epidemiol 2016; 19(1): 63-74. https://doi.org/10.1590/1980-5497201600010006 DOI: https://doi.org/10.1590/1980-5497201600010006
Nonato SM, Melo APS, Guimarães MDC. Syphilis in pregnancy and factors associated with congenital syphilis in Belo Horizonte-MG, Brazil, 2010-2013. Epidemiol Serv Saude 2015; 24(4): 681-94. https://doi.org/10.5123/S1679-49742015000400010 DOI: https://doi.org/10.5123/S1679-49742015000400010
Dantas LA, Jerônimo SHNM, Teixeira GA, Lopes TRG, Cassiano AN, Carvalho JBL. Epidemiologic profile of acquired syphilis diagnosed and notified at a maternal-child university hospital. Enferm Glob 2017; 16(46): 237-45. https://doi.org/10.6018/eglobal.16.2.229371 DOI: https://doi.org/10.6018/eglobal.16.2.229371
Saraceni V, Pereira GFM, Silveira MF, Araujo MAL, Miranda AE. Vigilância epidemiológica da transmissão vertical da sífilis: dados de seis unidades federativas no Brasil. Rev Panam Salud Publica 2017; 41: e44. https://doi.org/10.26633/RPSP.2017.44 DOI: https://doi.org/10.26633/RPSP.2017.44
Freitas CHSM, Forte FDS, Roncalli AG, Galvão MHR, Coelho AA, Dias SMF. Factors associated with prenatal care and HIV and syphilis testing during pregnancy in primary health care. Rev Saude Publica 2019; 53: 76. https://doi.org/10.11606/s1518-8787.2019053001205 DOI: https://doi.org/10.11606/s1518-8787.2019053001205
Rocha AFB, Araújo MAL, Miranda AE, Leon RGP, Silva Junior GB, Vasconcelos LDPG. Management of sexual partners of pregnant women with syphilis in northeastern Brazil - a qualitative study. BMC Health Serv Res 2019; 19(1): 65. https://doi.org/10.1186/s12913-019-3910-y DOI: https://doi.org/10.1186/s12913-019-3910-y
Wang Y, Wu M, Gong X, Zhao L, Zhao J, Zhu C, et al. Risk factors for congenital syphilis transmitted from mother to infant - Suzhou, China, 2011-2014. MMWR Morb Mortal Wkly Rep 2019; 68(10): 247-50. https://doi.org/10.15585/mmwr.mm6810a4 DOI: https://doi.org/10.15585/mmwr.mm6810a4
Stafford IA, Berra A, Minard CG, Fontenot V, Kopkin RH, Rodrigue E, et al. Challenges in the contemporary management of syphilis among pregnant women in New Orleans, LA. Infect Dis Obstet Gynecol 2019: 2613962. https://doi.org/10.1155/2019/2613962 DOI: https://doi.org/10.1155/2019/2613962
Cavalcante ANM, Araújo MAL, Nobre MA, Almeida RLF. Factors associated with inadequate follow-up of children with congenital syphilis. Rev Saude Publica 2019; 53: 95. https://doi.org/10.11606/s1518-8787.2019053001284 DOI: https://doi.org/10.11606/s1518-8787.2019053001284
Lazarini FM, Barbosa DA. Educational intervention in Primary Care for the prevention of congenital syphilis. Rev Lat Am Enfermagem 2017; 25: e2845. https://doi.org/10.1590/1518-8345.1612.2845 DOI: https://doi.org/10.1590/1518-8345.1612.2845
