Management of syphilis in pregnant women and their newborns

is it still a problem?

Authors

  • Roberta Maia de Castro Romanelli
  • Ericka Viana Machado Carellos
  • Helen Cristina de Souza
  • Andre Tunes de Paula
  • Lucas Vieira Rodrigues
  • Werlley Meira de Oliveira
  • Hercules Hermes Riani Martins Silva
  • João Paulo Tomaz da Cunha Sacramento
  • Gláucia Manzan de Queiroz Andrade

Keywords:

syphilis, congenital, infant, newborn, maternal serum screening tests, pregnant women

Abstract

Introduction: Congenital syphilis (CS) is a preventable disease, but its prevalence is still high in Brazil, with consequent perinatal morbidity and mortality. Objective: To evaluate the approach of syphilis in pregnant women and their newborns referred to the referral center of Orestes Diniz, in Belo Horizonte. Methods: A cross-sectional study was carried out from March 2012 to April 2013. Data collection was performed on the medical records of patients referred with CS, considering the criteria established by the Ministry of Health. Data were analyzed using SPSS and the study was approved by the Ethics Committee. Results: A total of 31 newborns were referred due to a positive result in maternal testing with Venereal Disease Research Laboratory during pregnancy. However, only four women have been adequately treated in accordance with the Ministry of Health. Thirteen newborns presented alterations in blood cells count, one had bone rarefactions, and 28 presented proper information of treatment. Discussion: When considering the adequacy of treatment according to the national guidelines, few cases of syphilis during pregnancy can be considered adequately treated. This affects the assistance to the newborn, who is often subjected to invasive investigation and extensive treatment, although most are asymptomatic. Conclusion: The follow-up of recommendations for the treatment of syphilis in pregnant women has often been considered inadequate, making CS difficult to eliminate.

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Author Biographies

Roberta Maia de Castro Romanelli

Department of Pediatrics, School of Medicine, Universidade Federal de Minas Gerais (UFMG). School of Medical Sciences, Universidade José do Rosário Vellano – Belo Horizonte (MG), Brazil.

Ericka Viana Machado Carellos

Department of Pediatrics, School of Medicine, UFMG. Hospital Infantil João Paulo II, Fundação Hospitalar do Estado de Minas Gerais – Belo Horizonte (MG), Brazil.

Helen Cristina de Souza

Scientific Initiation fellow, Institutional Program for Scientific Initiation, School of Medicine, UFMG (PROBIC/FAPEMIG) – Belo Horizonte (MG), Brazil.

Andre Tunes de Paula

Scientific Initiation fellow, Institutional Program for Scientific Initiation, School of Medicine, UFMG (PROBIC/FAPEMIG) – Belo Horizonte (MG), Brazil.

Lucas Vieira Rodrigues

Scientific Initiation fellow, Institutional Program for Scientific Initiation, School of Medicine, UFMG (PROBIC/FAPEMIG) – Belo Horizonte (MG), Brazil.

Werlley Meira de Oliveira

Scientific Initiation Volunteer, School of Medicine, Universidade Federal UFMG – Belo Horizonte (MG), Brazil.

Hercules Hermes Riani Martins Silva

Scientific Initiation Volunteer, School of Medicine, Universidade Federal UFMG – Belo Horizonte (MG), Brazil.

João Paulo Tomaz da Cunha Sacramento

Scientific Initiation Volunteer, School of Medical Sciences, Universidade UNIFENAS – Belo Horizonte (MG), Brazil.

Gláucia Manzan de Queiroz Andrade

Department of Pediatrics, School of Medicine, Universidade Federal de Minas Gerais (UFMG) – Belo Horizonte (MG), Brazil.

Published

2022-04-20

How to Cite

1.
Romanelli RM de C, Carellos EVM, Souza HC de, Paula AT de, Rodrigues LV, Oliveira WM de, et al. Management of syphilis in pregnant women and their newborns: is it still a problem?. DST [Internet]. 2022 Apr. 20 [cited 2024 Jun. 25];27(1-2):35-9. Available from: https://www.bjstd.org/revista/article/view/698

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Original Article