Epidemiological profile of congenital syphilis in the municipality of São Luís, 2008–2017

Authors

  • Alessandra Coelho Vivekananda Meireles
  • Diana Maria Silveira da Silva
  • Wendel Alencar de Oliveira
  • Vanise Frazão Ribeiro
  • Dorilea Maria da Silva de Sousa Fernandes
  • Marconi Relnner Mesquita Viana
  • Silvana Mendes Costa
  • Ana Cristina Brandão Machado

Keywords:

syphilis, congenital, epidemiology, treponemal infections

Abstract

Introduction: Congenital syphilis is a disease of great magnitude due to increasing numbers of new annual cases, affecting a large contingent of children, which translates into high incidence rates. The occurrence of syphilis cases evidences failures in health services, especially in prenatal care. Objective: To describe the epidemiological profile of congenital syphilis in the municipality of São Luís. Methods: Descriptive study with a quantitative approach. Congenital syphilis data recorded in SINAN from 2008 to 2017 were used. Results: The detection rate in the municipality shows a continuous increase. A total of 1,060 cases of congenital syphilis were diagnosed in neonates, 1,017 (96.0%) after the first week of life. Regarding the final diagnosis of cases, it was observed that 967 (91.2%) were classified as early congenital syphilis. The predominant maternal age range was 20 to 34 years, corresponding to 743 cases (70.1%). Regarding access to prenatal care, 802 (75.6%) mothers underwent prenatal care, while 219 (20.66%) did not. Among those who received prenatal care, 352 (33.0%) were diagnosed with syphilis during prenatal care, 481 (46.0%) were diagnosed at the time of delivery/curettage, and 59 (5.0%) were diagnosed after childbirth. Regarding the treatment regimen during pregnancy, 736 (70.0%) received inadequate treatment, 95 (8.0%) received no treatment and 62 (6.0%) received adequate treatment. Conclusion: The study contributed to the identification of possible losses in the stages of such care, and in obtaining qualified information that will guide decision-making and planning of health actions, supporting the epidemiological surveillance work in guiding managers and health teams.

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Author Biographies

Alessandra Coelho Vivekananda Meireles

Superintendence of Epidemiological and Health Surveillance, Coordination of STI/AIDS/Viral Hepatitis – São Luís (MA), Brazil.

Diana Maria Silveira da Silva

Anil Testing and Counseling Center – São Luís (MA), Brazil.

Wendel Alencar de Oliveira

Superintendence of Epidemiological and Health Surveillance, Coordination of STI/AIDS/Viral Hepatitis – São Luís (MA), Brazil

Vanise Frazão Ribeiro

Superintendence of Epidemiological and Health Surveillance, Coordination of STI/AIDS/Viral Hepatitis – São Luís (MA), Brazil

Dorilea Maria da Silva de Sousa Fernandes

Superintendence of Epidemiological and Health Surveillance, Coordination of STI/AIDS/Viral Hepatitis – São Luís (MA), Brazil

Marconi Relnner Mesquita Viana

Superintendence of Epidemiological and Health Surveillance, Coordination of STI/AIDS/Viral Hepatitis – São Luís (MA), Brazil

Silvana Mendes Costa

Superintendence of Epidemiological and Health Surveillance, Coordination of STI/AIDS/Viral Hepatitis – São Luís (MA), Brazil

Ana Cristina Brandão Machado

Superintendence of Epidemiological and Health Surveillance, Coordination of STI/AIDS/Viral Hepatitis – São Luís (MA), Brazil

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Published

2020-12-01

How to Cite

1.
Meireles ACV, Silva DMS da, Oliveira WA de, Ribeiro VF, Fernandes DM da S de S, Viana MRM, et al. Epidemiological profile of congenital syphilis in the municipality of São Luís, 2008–2017. DST [Internet]. 2020 Dec. 1 [cited 2024 Mar. 29];32. Available from: https://www.bjstd.org/revista/article/view/881

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Original Article