Elimination of mother-to-child transmission of syphilis: Is it a reality in Nigeria by 2020?

Adeyinka, Daniel A; Olakunde, Babayemi O; Ozigbu, Chamberline E; Agogo, Emmanuel; Morka, Mercy Chinenye; Atoba, Temitope; Obanubi, Chris; Okorie, Gideon; Davies, Abiola; Oladimeji, Olanrewaju

doi:10.1177/1403494817744988

Cited by 8 publications

(11 citation statements)

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“…Estes autores constataram que ao longo dos anos de 2013 a 2016, período de realização do estudo, um aumento do número da realização dos exames sorológicos, destacaram, entretanto, que enquanto a prevalência de sífilis materna tenha diminuído de e 3,2% em 2013 para 1,4% em 2016, a cobertura do tratamento da sífilis durante a gravidez diminuiu de 71,3% em 2013 para 54,9% em 2016. Por fim concluíram que o rastreamento e o tratamento da sífilis gestacional, foram inadequados para atender as aspirações de eliminação da doença e admitiram que, uma rápida ampliação do rastreamento, tratamento da sífilis e de cuidados pré-natais são cruciais para evitar uma epidemia naquele país até o ano de 2020 (Adeyinka et al, 2018).…”

Section: Discussionunclassified

“…Isso ocorre principalmente no Sul da África, em que aproximadamente 63% das gestantes são infectadas com sífilis. Este fato aumentou o interesse das autoridades mundiais em saúde pelo controle da doença, porque 70% das gestantes infectadas não eram tratadas ou o tratamento aconteceu de forma inadequada transmitindo infecção ao feto, resultando em efeitos adversos como: prematuridade, baixo peso fetal, más formações congênitas, retardo no desenvolvimento da criança além de muitos outros sintomas (Adeyinka et al, 2018;Galvao et al, 2013;Gomez et al, 2013).…”

Section: Introductionunclassified

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Epidemiologia da Sífilis Congênita no estado de Sergipe

Silveira

Reis

Melo

et al. 2021

RSD

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Objetivo: O objetivo desse trabalho é analisar a dinâmica temporal da sífilis gestacional e congênita em Sergipe, e descrever características associadas a variáveis sociodemográficas das mães cujos filhos tiveram sífilis congênita em Sergipe no período de 2007 a 2015. Metodologia: foi realizado um estudo descritivo, ecológico, analítico e do tipo série histórica de todos os casos de sífilis congênita ocorridos em Sergipe no ano de 2007 a 2015, incluindo as mães notificadas no Sistema de Informação de Agravos de Notificação – SINAN. Resultados: houve um aumento da taxa de incidência de sífilis congênita no período de 2007 a 2010, e uma tendência de estabilização da doença a partir deste ano a maioria das mães avaliadas, 68,46 % encontra-se entre 20 a 34 anos, 40,7% dessas mulheres possuem ensino fundamental incompleto e 85 % se declararam pardas, 72,7% realizaram o pré-natal e mesmo assim boa parte dessas mulheres foi diagnosticada tardiamente. Conclusão: este fato reflete a fragilidade da assistência de pré-natal prestada a estas mulheres no citado estado. Este fato reflete a necessidade de melhorias nas ações dos serviços de saúde em Sergipe.

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Section: Discussionunclassified

Section: Introductionunclassified

Epidemiologia da Sífilis Congênita no estado de Sergipe

Silveira

Reis

Melo

et al. 2021

RSD

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“…Proper responses to this problem during the prenatal period may reduce the incidence of CS to less than 0.5 / 1,000 live births (Ib) (Araujo et al, 2012;Domingues et al, 2013). In addition to its effects on mortality, preterm birth, low birth weight and acute complications, CS is also associated with deformities, neurological damage and other sequelae (Araujo et al, 2012;Domingues et al, 2013;Adeyinka et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Incidence of congenital syphilis in the State of Rio Grande do Norte and Brazil: a retrospective study

Silva

Soares

Nascimento

et al. 2020

Tanzania J Hlth Res

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Introduction: Syphilis is an infection with increasing incidence in Brazilian regions, and the congenital form is liable to lead to cerebral palsy and musculoskeletal deformity. The objective of this study was to analyze the prevalence of congenital syphilis in the State of Rio Grande do Norte, Brazil. Methods: An exploratory and retrospective study was performed from 2015 to 2017. Public domain data and unrestricted access were used in the DATASUS computer department through the TABNET application. The following variables were collected: age range, clinical evolution (congenital syphilis late, late congenital syphilis, stillbirth / syphilis abortion, ignored / blank, discarded; live birth), mother's schooling, performed prenatal and residence zone. Results: In Brazil, there were 75,733 cases, whereas in the State of Rio Grande do Norte there were 1,436 cases of congenital syphilis, out of which a greater number of confirmed cases affected age group of 0-6 days (97.6%). The highest number of cases was observed in the city of Natal (75.8%), followed by Mossoró (7.8%) and Parnamirim (5.7%). Conclusion: The study shows that the incidence of congenital syphilis occurs predominantly in incomplete elementary schooling and in the urban area. It was also verified that the diagnosis of most cases of congenital syphilis occurred in the age group up to 6 days of life, which contributes to the rates of evolution with the living child. In addition, a greater number of confirmed cases of congenital syphilis were observed, and prenatal care was performed, indicating a serious failure in care.

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“…This situation happens mainly in South Africa, where approximately 63% of pregnant women are infected. Due to this fact, the interest of world authorities in syphilis control has increased, since 70% of untreated or inadequately treated pregnant women transmit the infection to the fetus, causing congenital syphilis [10].…”

Section: Introductionmentioning

confidence: 99%

Spatial analysis, temporal trend, and local risk of congenital syphilis new cases in Sergipe, Brazil

et al. 2020

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The present study aimed to analyze the spatial distribution and its temporal trend, and to identify areas of risk for the occurrence of congenital syphilis in Sergipe, Northeastern Brazil. An ecological study of time series and spatial analysis techniques was performed, with municipalities as units of analysis. Data were obtained from the Notifiable Diseases Information System and included all cases of congenital syphilis reported from 2007 to 2015 in Sergipe. The local empirical Bayesian method used to minimize the rate variance. Spatial autocorrelation was used to analyze spatial patterns. 2,381 new cases of congenital syphilis were recorded in the studied period. A unique trend was found to increase the incidence, ranging from 2.7 (2007) to 11 (2015) per 1,000 live births. The average incidence in the period was 7.63 cases per 1,000 live births. Moran's global index was I = 0.64 (p<0.01), indicating the existence of spatial dependence; the Moran map identified 20 municipalities as priority areas of attention in Sergipe. There was a tendency to increase the incidence of congenital syphilis during the study period (2007-2010). As of 2010, the disease continued to grow, but with less growth than in previous years. As of 2011, there was stabilization with a remaining incidence of around 11 cases per 1,000 live births until 2015. The geographical distribution of the risk areas was heterogeneous, both due to the breadth of the territory and the concentration of cases in some regions.

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Elimination of mother-to-child transmission of syphilis: Is it a reality in Nigeria by 2020?

Abstract: Maternal syphilis screening and treatment in Nigeria are inadequate to meet the elimination aspirations. A rapid scale-up of antenatal care syphilis screening and treatment are crucial to averting an epidemic in Nigeria by 2020.

Cited by 8 publications

References 10 publications

Epidemiologia da Sífilis Congênita no estado de Sergipe

Epidemiologia da Sífilis Congênita no estado de Sergipe

Incidence of congenital syphilis in the State of Rio Grande do Norte and Brazil: a retrospective study

Spatial analysis, temporal trend, and local risk of congenital syphilis new cases in Sergipe, Brazil

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