Epidemiological profile of congenital and gestational syphilis cases in the State of Piauí, Brazil
10.15343/0104-7809.202246357368I
Keywords:
Congenital syphilis. Spatial Analysis. Epidemiology. Incidence.Abstract
This study aimed to identify the epidemiological profile of congenital syphilis in pregnant women residing in the State of Piauí from 2007 to 2017. An ecological epidemiological study was carried out between January and February 2019 in the Notifiable Diseases Information System and the Live Births Information System. The incidence of congenital syphilis increased during the period studied (2007 to 2017), with an emphasis in the “Entre Rios” Health Region. Regarding neonates, they were predominantly diagnosed with up to 6 days of life (94.5%), males (49.9%), mixed race/color (66.4%), recent syphilis (82.8%), and evolved to live (91.9%). Pregnant women are aged between 20 and 39 years (69.9%), brown color (70.5%), low schooling (28.9%), underwent prenatal care (85.4%), received diagnosis during prenatal care (46.6%), did not undergo a treponemal test (46.2%), the non-treponemal test was reactive (86.8%), had a primary form of the disease (30.5%), and partners without treatment (60.8%). It is necessary to improve surveillance and prenatal care actions that result in the planning and adoption of interventions in order to change this epidemiological picture.
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References
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22. Kanai M, Arima Y, Shimada T, Hori N, Yamagishi T, Sunagawa T, et al. Sociodemographic characteristics and clinical description of congenital syphilis patients and their mothers in Japan: a qualitative study, 2016. Sexual Health. 2018;15(5):460-467. https://doi. org/10.1071/SH18033
23. Canto SVE, Araújo MAL, Miranda AE, Cardoso ARP, Almeida RLF. Fetal and infant mortality of congenital syphilis reported to the Health Information System. PLoS One. 2019 ;14(1):e0209906. https://doi.org/10.1371/journal.pone.0209906
24. Neto SES, Silva SSBE, Sartori AMC. Syphilis in pregnancy, congenital syphilis, and Factors associated with mother-to-child transmission in Itapeva, São Paulo, 2010 to 2014. Rev Soc Bras Med Trop. 2018 ;51(6):819-826. https://doi.org/10.1590/0037-8682-0377-2017
25. Lin JS, Eder ML, Bean SI. Screening for Syphilis Infection in Pregnant Women: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2018;320(9):918-925. https://doi.org/10.1001/jama.2018.7769
26. Wozniak PS, Cantey JB, Zeray F, Leos NK, Sheffield JS, Wendel GD, et al. Congenital syphilis in neonates with nonreactive nontreponemal test results. J Perinatol. 2017;37(10):1112-1116. https://doi.org/10.1038/jp.2017.103
27. Dantas AL, Medeiros Jerônimo SHN, Teixeira GA, Lopes TRG, Cassiano AN, de Carvalho JB. Epidemiologic profile of acquired syphilis diagnosed and notified at a maternal-child university hospital. Enferm Glob. 2017;16(46):217-245. https://dx.doi.org/10.6018/ eglobal.16.2.229371
28. Elarrat Canto SV, Leite Araújo MA, Espinosa Miranda A, Paulo Cardoso AR, Freitas de Almeida RL. Fetal and infant mortality of congenital syphilis reported to the Health Information System. PLoS One. 2019;14(1):e0209906. https://doi.org/10.1371/journal. pone.0209906
29. Padovani C, Oliveira RR, Pelloso SM. Sífilis na gestação: associação das características maternas e perinatais em região do sul do Brasil. Rev LatinoAm Enfermagem. 2018;26(esp):e3019. https://doi.org/10.1590/1518-8345.2305.3019
30. Brasil. Ministério da Saúde. Protocolo Clínico e Diretrizes Terapêuticas: Atenção Integral às Pessoas com Infecções Sexualmente Transmissíveis. Brasília (DF); 2018. http://www.aids.gov.br/pt-br/pub/2015/protocolo-clinico-e-diretrizes-terapeuticas-para-atencao-integral-pessoas-com-infeccoes https://doi.org/
2. Cooper JM, Sánchez PJ. Congenital syphilis. Semin Perinatol. 2018;42(3):176-184. https://doi.org/10.1053/j.semperi.2018.02.005
3. Kidd S, Bowen V, Torrone E, Bolan G. Use of National Syphilis Surveillance Data to Develop a Congenital Syphilis Prevention Cascade and Estimate the Number of Potential Congenital Syphilis Cases Averted. Sex Transm Dis. 2018 Sep;45(9S Suppl 1):S23-S28. https://doi.org/10.1097/OLQ.0000000000000838
4. Pan American Health Organization. Elimination of mother-to-child transmission of HIV and syphilis in the Americas. Washington (DC); 2017.
5. Brasil. Ministério da Saúde. Boletim Epidemiológico Sífilis 2021. Brasília (DF); 2021. Disponível em: http://portalms.saude.gov.br/ boletins-epidemiologicos
6. World Health Organization. WHO guidelines for the treatment of Treponema pallidum (syphilis). Geneva (CH); 2016. 7. Lazarini FM, Barbosa DA. Intervenção educacional na Atenção Básica para prevenção da sífilis congênita. Rev LatinoAm Enfermagem. 2017; 25(esp):e2845. https://doi.org/10.1590/1518-8345.1612.2845
8. Instituto Brasileiro de Geografia e Estatística. Portal do IBGE. Brasil; 2019. https://cidades.ibge.gov.br/?sigla=pr
9. Brasil. Secretaria Estadual de Saúde do Piauí. Plano Estadual de Saúde 2020 a 2023. Teresina (PI); 2020.
10. Brasil. Ministério da Saúde. Departamento de Informática do SUS. Brasília (DF); 2019. http://datasus.saude.gov.br/
11. Rouquayrol MZ, Gurgel M (org.). Epidemiologia & Saúde. 8. ed. Rio de Janeiro: MedBook, 2017.
12. Brasil. Ministério da Saúde. Conselho Nacional de Saúde. Resolução n. 466, de 12 de dezembro de 2012. Aprova diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Brasília (DF); 2012. http://bvsms.saude.gov.br/bvs/saudelegis/ cns/2013/res0466_12_12_2012.html
13. Cristiano Araújo Borges Marques, Helisson Coutinho Luz, Raimundo Nonato Cardoso Miranda Júnior. Perfil epidemiológico de sífilis gestacional e congênita no Estado do Piauí no período de
2017 a 2020. Res., Soc. Dev. 2020; 9(7):1-15,e400973991. http://dx.doi.org/10.33448/rsd-v9i7.3991
14. Reis GJ, Barcellos C, Pedroso MM, Xavier DR. Diferenciais intraurbanos da sífilis congênita: análise preditiva por bairros do Município do Rio de Janeiro, Brasil. Cad Saúde Pública. 2018;34(9):e00105517. https://doi.org/10.1590/0102-311X00105517
15. Teixeira LO, Belarmino V, Gonçalves CV, Mendoza-Sassi RA, et al. Tendência temporal e distribuição espacial da sífilis congênita no estado do Rio Grande do Sul entre 2001 e 2012. Ciênc Saúde Coletiva. 2018,23 (8):2587-2597. https://doi.org/10.1590/1413- 81232018238.25422016
16. Vargas L, Amaral S, Arriaga M, Sarno M, Brites C. High prevalence of syphilis in parturient women and congenital syphilis cases in public maternities in Salvador-Bahia, Brazil. BJOG. 2018 ;125(10):1212-1214. https://doi.org/10.1111/1471-0528.15304
17. Signor M, Spagnolo LML, Tomberg JO, Gobatto M, Stofel NS. Spatial distribution and characterization of cases of congenital syphilis. J Nurs UFPE . 2018;12(2):398-406. https://doi.org/10.5205/1981-8963-v12i2a230522p398-406-2018
18. Centers for Disease Control and Prevention. 2016 Sexually transmitted diseases surveillance: Syphilis. United States; 2017. https:// www.cdc.gov/std/stats16/Syphilis.htm
19. Adeyinka DA, Olakunde BO, Ozigbu CE, Agogo EA, Morka M, Atoba T, Obanubi C, Okorie G, Davies A, Oladimeji O. Elimination of mother-to-child transmission of syphilis: Is it a reality in Nigeria by 2020?. Scand J Public Health. 2018;46(8):794-797. https://doi. org/10.1177/1403494817744988
20. Simms I, Tookey PA, Goh BT, Lyall H, Evans B, Townsend CL, et al. The incidence of congenital syphilis in the United Kingdom: February 2010 to January 2015. BJOG. 2017; 124(1):72-77. https://doi.org/10.1111/1471-0528.13950
21. Brasil. Ministério da Saúde. QualiSUS-Rede: subprojeto estadual/PI, Região de Saúde Entre Rios/Piauí. Brasília (DF): 2012. http:// portalms.saude.gov.br/acoes-e-programas/qualisus-rede/sobre-o-programa
22. Kanai M, Arima Y, Shimada T, Hori N, Yamagishi T, Sunagawa T, et al. Sociodemographic characteristics and clinical description of congenital syphilis patients and their mothers in Japan: a qualitative study, 2016. Sexual Health. 2018;15(5):460-467. https://doi. org/10.1071/SH18033
23. Canto SVE, Araújo MAL, Miranda AE, Cardoso ARP, Almeida RLF. Fetal and infant mortality of congenital syphilis reported to the Health Information System. PLoS One. 2019 ;14(1):e0209906. https://doi.org/10.1371/journal.pone.0209906
24. Neto SES, Silva SSBE, Sartori AMC. Syphilis in pregnancy, congenital syphilis, and Factors associated with mother-to-child transmission in Itapeva, São Paulo, 2010 to 2014. Rev Soc Bras Med Trop. 2018 ;51(6):819-826. https://doi.org/10.1590/0037-8682-0377-2017
25. Lin JS, Eder ML, Bean SI. Screening for Syphilis Infection in Pregnant Women: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2018;320(9):918-925. https://doi.org/10.1001/jama.2018.7769
26. Wozniak PS, Cantey JB, Zeray F, Leos NK, Sheffield JS, Wendel GD, et al. Congenital syphilis in neonates with nonreactive nontreponemal test results. J Perinatol. 2017;37(10):1112-1116. https://doi.org/10.1038/jp.2017.103
27. Dantas AL, Medeiros Jerônimo SHN, Teixeira GA, Lopes TRG, Cassiano AN, de Carvalho JB. Epidemiologic profile of acquired syphilis diagnosed and notified at a maternal-child university hospital. Enferm Glob. 2017;16(46):217-245. https://dx.doi.org/10.6018/ eglobal.16.2.229371
28. Elarrat Canto SV, Leite Araújo MA, Espinosa Miranda A, Paulo Cardoso AR, Freitas de Almeida RL. Fetal and infant mortality of congenital syphilis reported to the Health Information System. PLoS One. 2019;14(1):e0209906. https://doi.org/10.1371/journal. pone.0209906
29. Padovani C, Oliveira RR, Pelloso SM. Sífilis na gestação: associação das características maternas e perinatais em região do sul do Brasil. Rev LatinoAm Enfermagem. 2018;26(esp):e3019. https://doi.org/10.1590/1518-8345.2305.3019
30. Brasil. Ministério da Saúde. Protocolo Clínico e Diretrizes Terapêuticas: Atenção Integral às Pessoas com Infecções Sexualmente Transmissíveis. Brasília (DF); 2018. http://www.aids.gov.br/pt-br/pub/2015/protocolo-clinico-e-diretrizes-terapeuticas-para-atencao-integral-pessoas-com-infeccoes https://doi.org/
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Published
2022-11-04
How to Cite
Coeli Vitorino Sales, M., Vasconcelos Gomes, A., Miranda Amorim, F. C., Macêdo Magalhães, J., Ribeiro Gonçalves, M. E., & Cavalcante Muniz Lira, R. (2022). Epidemiological profile of congenital and gestational syphilis cases in the State of Piauí, Brazil: 10.15343/0104-7809.202246357368I. O Mundo Da Saúde, 46, 357–368. Retrieved from https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/1435
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