Investigation of congenital syphilis cases: tool for surveillance, permanent education and management

Introduction: Even though syphilis is an easily detectable and treatable disease, it is still considered a major public health problem, which may lead to Congenital Syphilis (CS). Objective: To analyze the final conclusion and the situations of vulnerability of cases of CS reported in Niterói in 20...

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Main Authors: Kamilla Cabral Kosa, Fábia Lisboa de Souza, Marcella Martins Alves Teofilo, Yasmin Nascimento Farias, Márcia Santana, Ana Lúcia Fontes Eppinghaus, Antônio José Leal Costa
Format: Article
Language:English
Published: Zeppelini Editorial e Comunicacao 2021-04-01
Series:DST
Subjects:
Online Access:https://bjstd.org/revista/article/view/765
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author Kamilla Cabral Kosa
Fábia Lisboa de Souza
Marcella Martins Alves Teofilo
Yasmin Nascimento Farias
Márcia Santana
Ana Lúcia Fontes Eppinghaus
Antônio José Leal Costa
author_facet Kamilla Cabral Kosa
Fábia Lisboa de Souza
Marcella Martins Alves Teofilo
Yasmin Nascimento Farias
Márcia Santana
Ana Lúcia Fontes Eppinghaus
Antônio José Leal Costa
author_sort Kamilla Cabral Kosa
collection DOAJ
description Introduction: Even though syphilis is an easily detectable and treatable disease, it is still considered a major public health problem, which may lead to Congenital Syphilis (CS). Objective: To analyze the final conclusion and the situations of vulnerability of cases of CS reported in Niterói in 2018 and 2019. Methods: A review of the reported cases of CS, except for abortions, diagnosed in 2018 and 2019, was carried out through SINAN forms and research questionnaires. Results: Of the 46 cases of CS in 2018 and the 107 cases in 2019, 8 (17.4%) and 4 (4%) did not undergo prenatal care, respectively; 2 (4.4%) and 4 (4%) were not screened for CS in the prenatal period; 3 (6.5%) and 13 (12%) were screened, but not treated; 11 (23.9%) and 17 (16%) did not receive an adequate treatment; 1 0 (21.7%) and 23 (21%) were reactive in the screening process, received adequate treatment, but were reinfected; 9 (19.6%) and 32 (30%) were reactive in the screening process, received adequate treatment, but had confirmed CS due to other criteria; 3 (6.5%) and 12 (11%) were nonreactive in prenatal care, but reactive in childbirth; and 0 (0%) and 2 (2%) were reactive, considered a serological scar, untreated, but confirmed by other criteria. The “low-income family” vulnerability aspect appears 21 times in 2018 and 50 times in 2019; “alcohol user”, 11 times in 2018; “frequent change of address”, 18 times in 2019. Conclusion: The social context of pregnant women living in Niterói in 2018 and 2019 may have determined the outcome of congenital syphilis.
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spelling doaj.art-82c19bc25a9547b1848e521c97c648d32023-01-28T01:05:41ZengZeppelini Editorial e ComunicacaoDST2177-82642021-04-0133Investigation of congenital syphilis cases: tool for surveillance, permanent education and managementKamilla Cabral Kosa0Fábia Lisboa de Souza1Marcella Martins Alves Teofilo2Yasmin Nascimento Farias3Márcia Santana4Ana Lúcia Fontes Eppinghaus5Antônio José Leal CostaFundação Municipal de Saúde de NiteróiFundação Municipal de Saúde de NiteróiSecretaria Estadual de Saúde do Rio de JaneiroSecretaria Municipal de Saúde do Rio de JaneiroFundação Municipal de Saúde de NiteróiFundação Municipal de Saúde de Niterói Introduction: Even though syphilis is an easily detectable and treatable disease, it is still considered a major public health problem, which may lead to Congenital Syphilis (CS). Objective: To analyze the final conclusion and the situations of vulnerability of cases of CS reported in Niterói in 2018 and 2019. Methods: A review of the reported cases of CS, except for abortions, diagnosed in 2018 and 2019, was carried out through SINAN forms and research questionnaires. Results: Of the 46 cases of CS in 2018 and the 107 cases in 2019, 8 (17.4%) and 4 (4%) did not undergo prenatal care, respectively; 2 (4.4%) and 4 (4%) were not screened for CS in the prenatal period; 3 (6.5%) and 13 (12%) were screened, but not treated; 11 (23.9%) and 17 (16%) did not receive an adequate treatment; 1 0 (21.7%) and 23 (21%) were reactive in the screening process, received adequate treatment, but were reinfected; 9 (19.6%) and 32 (30%) were reactive in the screening process, received adequate treatment, but had confirmed CS due to other criteria; 3 (6.5%) and 12 (11%) were nonreactive in prenatal care, but reactive in childbirth; and 0 (0%) and 2 (2%) were reactive, considered a serological scar, untreated, but confirmed by other criteria. The “low-income family” vulnerability aspect appears 21 times in 2018 and 50 times in 2019; “alcohol user”, 11 times in 2018; “frequent change of address”, 18 times in 2019. Conclusion: The social context of pregnant women living in Niterói in 2018 and 2019 may have determined the outcome of congenital syphilis. https://bjstd.org/revista/article/view/765syphilis, congenitalepidemiological monitoringhealth information systems
spellingShingle Kamilla Cabral Kosa
Fábia Lisboa de Souza
Marcella Martins Alves Teofilo
Yasmin Nascimento Farias
Márcia Santana
Ana Lúcia Fontes Eppinghaus
Antônio José Leal Costa
Investigation of congenital syphilis cases: tool for surveillance, permanent education and management
DST
syphilis, congenital
epidemiological monitoring
health information systems
title Investigation of congenital syphilis cases: tool for surveillance, permanent education and management
title_full Investigation of congenital syphilis cases: tool for surveillance, permanent education and management
title_fullStr Investigation of congenital syphilis cases: tool for surveillance, permanent education and management
title_full_unstemmed Investigation of congenital syphilis cases: tool for surveillance, permanent education and management
title_short Investigation of congenital syphilis cases: tool for surveillance, permanent education and management
title_sort investigation of congenital syphilis cases tool for surveillance permanent education and management
topic syphilis, congenital
epidemiological monitoring
health information systems
url https://bjstd.org/revista/article/view/765
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