Analysis of congenital syphilis notifications in a university hospital in the city of Niterói from 2016 to 2020
Introduction: The elimination of congenital syphilis is a challenge in the field of public health worldwide. The failure of previous global plans forces authorities to rethink detection and control strategies, with compulsory notification being an important tool for obtaining data. Objective: To an...
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| Format: | Article |
| Language: | English |
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Zeppelini Editorial e Comunicacao
2021-12-01
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| Series: | DST |
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| Online Access: | https://bjstd.org/revista/article/view/1145 |
| _version_ | 1811176655421440000 |
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| author | Andrea Menezes Gonçalves Carolina Batista Fernandes Ilana Rangel Messias Stephanie Barcante Julia Sampaio de Souza Morais Julia Sampaio Fernandes Camacho Renato de Souza Bravo Adauto Dutra Moraes Barbosa Fernando Raphael de Almeida Ferry |
| author_facet | Andrea Menezes Gonçalves Carolina Batista Fernandes Ilana Rangel Messias Stephanie Barcante Julia Sampaio de Souza Morais Julia Sampaio Fernandes Camacho Renato de Souza Bravo Adauto Dutra Moraes Barbosa Fernando Raphael de Almeida Ferry |
| author_sort | Andrea Menezes Gonçalves |
| collection | DOAJ |
| description |
Introduction: The elimination of congenital syphilis is a challenge in the field of public health worldwide. The failure of previous global plans forces authorities to rethink detection and control strategies, with compulsory notification being an important tool for obtaining data. Objective: To analyze the notifications of congenital syphilis made by Departamento de Vigilância Epidemiológica do Hospital Universitário Antônio Pedro (Department of Epidemiological Surveillance at Antônio Pedro University Hospital), between January 2016 and August 2020. Methods: Retrospective, descriptive, and quantitative study of data from congenital syphilis notification forms in Hospital Universitário Antônio Pedro from January 2016 to August 2020. In the descriptive analysis of categorical variables, absolute and relative frequencies were used; for numerical measures, central tendency and dispersion measures were used. Spearman correlation, Mann-Whitney test and Fisher’s exact test were performed in the R software (version 4.0.3). Hills’ criteria for causality were also considered. Results: Of the 67 forms examined, two were excluded due to duplication, and 48 variables were analyzed. No form was completely filled out, and some data were missing on more than 90% of them. According to maternal data, patients were mostly from Niterói (60%), had an average age of 23.09 years, and were brown (32.31%), while 13.85% did not finish 5th to 8th grade and 80% had prenatal care, but less than half had appropriate treatment indicated. As for the children: 55.38% were female, 40% brown, with an average age of 90.98 days. The great majority (72.31%) of them were born at Hospital Universitário Antônio Pedro, and not being born at this hospital was significant when it came to being asymptomatic (69.23%, p=0.001); the most frequent symptom was jaundice. Conclusion: Improvement in the follow-up and investigation of the reported cases can significantly decrease this high percentage of missing information, improving the quality of the data. The vast majority of patients underwent prenatal care, and therefore, they were avoidable cases, since the maternal diagnosis in the peripartum period occurs when the chance for vertical transmission has already occurred and caused consequences for the child’s life.
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| first_indexed | 2024-04-10T19:56:19Z |
| format | Article |
| id | doaj.art-acd3467695cb4ac68eea8aba052c993e |
| institution | Directory Open Access Journal |
| issn | 2177-8264 |
| language | English |
| last_indexed | 2024-04-10T19:56:19Z |
| publishDate | 2021-12-01 |
| publisher | Zeppelini Editorial e Comunicacao |
| record_format | Article |
| series | DST |
| spelling | doaj.art-acd3467695cb4ac68eea8aba052c993e2023-01-28T01:05:33ZengZeppelini Editorial e ComunicacaoDST2177-82642021-12-0133Analysis of congenital syphilis notifications in a university hospital in the city of Niterói from 2016 to 2020Andrea Menezes Gonçalves0Carolina Batista Fernandes1Ilana Rangel Messias2Stephanie Barcante3Julia Sampaio de Souza Morais4Julia Sampaio Fernandes Camacho5Renato de Souza Bravo6Adauto Dutra Moraes Barbosa7Fernando Raphael de Almeida Ferry8Universidade Federal FluminenseUniversidade Federal FluminenseUniversidade Federal FluminenseUniversidade Federal FluminenseUniversidade Federal FluminenseUniversidade Federal FluminenseUniversidade Federal FluminenseUniversidade Federal FluminenseUniversidade Federal do Estado do Rio de Janeiro Introduction: The elimination of congenital syphilis is a challenge in the field of public health worldwide. The failure of previous global plans forces authorities to rethink detection and control strategies, with compulsory notification being an important tool for obtaining data. Objective: To analyze the notifications of congenital syphilis made by Departamento de Vigilância Epidemiológica do Hospital Universitário Antônio Pedro (Department of Epidemiological Surveillance at Antônio Pedro University Hospital), between January 2016 and August 2020. Methods: Retrospective, descriptive, and quantitative study of data from congenital syphilis notification forms in Hospital Universitário Antônio Pedro from January 2016 to August 2020. In the descriptive analysis of categorical variables, absolute and relative frequencies were used; for numerical measures, central tendency and dispersion measures were used. Spearman correlation, Mann-Whitney test and Fisher’s exact test were performed in the R software (version 4.0.3). Hills’ criteria for causality were also considered. Results: Of the 67 forms examined, two were excluded due to duplication, and 48 variables were analyzed. No form was completely filled out, and some data were missing on more than 90% of them. According to maternal data, patients were mostly from Niterói (60%), had an average age of 23.09 years, and were brown (32.31%), while 13.85% did not finish 5th to 8th grade and 80% had prenatal care, but less than half had appropriate treatment indicated. As for the children: 55.38% were female, 40% brown, with an average age of 90.98 days. The great majority (72.31%) of them were born at Hospital Universitário Antônio Pedro, and not being born at this hospital was significant when it came to being asymptomatic (69.23%, p=0.001); the most frequent symptom was jaundice. Conclusion: Improvement in the follow-up and investigation of the reported cases can significantly decrease this high percentage of missing information, improving the quality of the data. The vast majority of patients underwent prenatal care, and therefore, they were avoidable cases, since the maternal diagnosis in the peripartum period occurs when the chance for vertical transmission has already occurred and caused consequences for the child’s life. https://bjstd.org/revista/article/view/1145syphiliscongenitalepidemiologic surveillance servicespublic health |
| spellingShingle | Andrea Menezes Gonçalves Carolina Batista Fernandes Ilana Rangel Messias Stephanie Barcante Julia Sampaio de Souza Morais Julia Sampaio Fernandes Camacho Renato de Souza Bravo Adauto Dutra Moraes Barbosa Fernando Raphael de Almeida Ferry Analysis of congenital syphilis notifications in a university hospital in the city of Niterói from 2016 to 2020 DST syphilis congenital epidemiologic surveillance services public health |
| title | Analysis of congenital syphilis notifications in a university hospital in the city of Niterói from 2016 to 2020 |
| title_full | Analysis of congenital syphilis notifications in a university hospital in the city of Niterói from 2016 to 2020 |
| title_fullStr | Analysis of congenital syphilis notifications in a university hospital in the city of Niterói from 2016 to 2020 |
| title_full_unstemmed | Analysis of congenital syphilis notifications in a university hospital in the city of Niterói from 2016 to 2020 |
| title_short | Analysis of congenital syphilis notifications in a university hospital in the city of Niterói from 2016 to 2020 |
| title_sort | analysis of congenital syphilis notifications in a university hospital in the city of niteroi from 2016 to 2020 |
| topic | syphilis congenital epidemiologic surveillance services public health |
| url | https://bjstd.org/revista/article/view/1145 |
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