Congenital infections (syphilis and human immunodeficiency virus) in a federal hospital in Rio de Janeiro

Introduction: Congenital infections are related to a higher risk of morbidity and mortality in the neonatal period and can cause serious complications in the newborn. Among the sexually transmitted infections (IST) present in this group, syphilis and vertical exposure to the human immunodeficiency...

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Main Authors: Márcia Saldanha dos Santos Moura, Israel Figueiredo Junior, Fátima Maria Campinho Pinheiro, Diana Almeida de Lima
Format: Article
Language:English
Published: Zeppelini Editorial e Comunicacao 2021-12-01
Series:DST
Subjects:
Online Access:https://bjstd.org/revista/article/view/1133
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author Márcia Saldanha dos Santos Moura
Israel Figueiredo Junior
Fátima Maria Campinho Pinheiro
Diana Almeida de Lima
author_facet Márcia Saldanha dos Santos Moura
Israel Figueiredo Junior
Fátima Maria Campinho Pinheiro
Diana Almeida de Lima
author_sort Márcia Saldanha dos Santos Moura
collection DOAJ
description Introduction: Congenital infections are related to a higher risk of morbidity and mortality in the neonatal period and can cause serious complications in the newborn. Among the sexually transmitted infections (IST) present in this group, syphilis and vertical exposure to the human immunodeficiency virus (HIV) are still a challenge in the 21st century. Objective: To evaluate the prevalence of congenital syphilis and exposure to HIV among congenital infections. Methods: Cross-sectional, analytical study with data collected from medical records of newborns admitted to the Conventional Neonatal Intermediate Care Unit, Kangaroo and Joint Accommodation, in the database of the service of the Federal Hospital from Bonsucesso, from January 2015 to December 2018. Results: During the study, 2,202 newborns were discharged from the hospital and 474 were positive for congenital infection (21.8%). In cases of congenital infection, congenital syphilis (398–84%) and maternal HIV infection (40–8,4%) were the most frequently encountered clinical situations. The relationship between prenatal care and the absence of congenital infection was evident. Among the newborns, 117 (5.3%) were premature, 352 (16.3%) were older than 37 weeks and 95 (23.7%) had low birth weight. Conclusion: Congenital infection was one of the main causes of neonatal morbidity; syphilis and HIV had the highest prevalence, being associated with reducible deaths when adequate care is provided for women during pregnancy. Perinatology services demand a great effort in order to manage these avoidable and undesirable situations.
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spelling doaj.art-5d94ddfe1b884b6ea2cae02342d787912023-01-28T01:05:37ZengZeppelini Editorial e ComunicacaoDST2177-82642021-12-0133Congenital infections (syphilis and human immunodeficiency virus) in a federal hospital in Rio de JaneiroMárcia Saldanha dos Santos MouraIsrael Figueiredo JuniorFátima Maria Campinho PinheiroDiana Almeida de Lima Introduction: Congenital infections are related to a higher risk of morbidity and mortality in the neonatal period and can cause serious complications in the newborn. Among the sexually transmitted infections (IST) present in this group, syphilis and vertical exposure to the human immunodeficiency virus (HIV) are still a challenge in the 21st century. Objective: To evaluate the prevalence of congenital syphilis and exposure to HIV among congenital infections. Methods: Cross-sectional, analytical study with data collected from medical records of newborns admitted to the Conventional Neonatal Intermediate Care Unit, Kangaroo and Joint Accommodation, in the database of the service of the Federal Hospital from Bonsucesso, from January 2015 to December 2018. Results: During the study, 2,202 newborns were discharged from the hospital and 474 were positive for congenital infection (21.8%). In cases of congenital infection, congenital syphilis (398–84%) and maternal HIV infection (40–8,4%) were the most frequently encountered clinical situations. The relationship between prenatal care and the absence of congenital infection was evident. Among the newborns, 117 (5.3%) were premature, 352 (16.3%) were older than 37 weeks and 95 (23.7%) had low birth weight. Conclusion: Congenital infection was one of the main causes of neonatal morbidity; syphilis and HIV had the highest prevalence, being associated with reducible deaths when adequate care is provided for women during pregnancy. Perinatology services demand a great effort in order to manage these avoidable and undesirable situations. https://bjstd.org/revista/article/view/1133infantnewbornpregnancyinfectious disease transmissionverticalsyphilis
spellingShingle Márcia Saldanha dos Santos Moura
Israel Figueiredo Junior
Fátima Maria Campinho Pinheiro
Diana Almeida de Lima
Congenital infections (syphilis and human immunodeficiency virus) in a federal hospital in Rio de Janeiro
DST
infant
newborn
pregnancy
infectious disease transmission
vertical
syphilis
title Congenital infections (syphilis and human immunodeficiency virus) in a federal hospital in Rio de Janeiro
title_full Congenital infections (syphilis and human immunodeficiency virus) in a federal hospital in Rio de Janeiro
title_fullStr Congenital infections (syphilis and human immunodeficiency virus) in a federal hospital in Rio de Janeiro
title_full_unstemmed Congenital infections (syphilis and human immunodeficiency virus) in a federal hospital in Rio de Janeiro
title_short Congenital infections (syphilis and human immunodeficiency virus) in a federal hospital in Rio de Janeiro
title_sort congenital infections syphilis and human immunodeficiency virus in a federal hospital in rio de janeiro
topic infant
newborn
pregnancy
infectious disease transmission
vertical
syphilis
url https://bjstd.org/revista/article/view/1133
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