Factors associated to the notification of congenital syphilis: an indicator of quality of prenatal care

França, Inacia Sátiro Xavier de; Batista, Joana D'arc Lyra; Coura, Alexsandro Silva; Oliveira, Cibely Freire de; Araújo, Andressa Kaline Ferreira; Sousa, Francisco Stélío de

doi:10.15253/2175-6783.2015000300010

Cited by 9 publications

(15 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Another hypothesis is related to the late treatment after a diagnosis obtained in hospital, whose criteria for treatment and notification are different from those used in primary healthcare. A study conducted in Northeast Brazil [23] demonstrates a high prevalence in the inadequate treatment of syphilis in pregnancy, which could explain the growing trends found in our study.…”

Section: Plos Onesupporting

confidence: 55%

Trends of syphilis in Brazil: A growth portrait of the treponemic epidemic

et al. 2020

View full text Add to dashboard Cite

Syphilis is a chronic infectious disease with its prevalence being described since the 15 th century. Although its etiological agent and also the treatment measures are widely known, syphilis is still a great public health problem worldwide, mainly in countries with limited resources associated to low investments in health primary care. The aim of the present study was to analyze the trend and regional distribution of syphilis in Brazil between 2007 and 2017. This is an ecological study using secondary data from the Brazilian notification system. The Ministry of Health selected 100 municipalities which presented the worse outcomes related to syphilis from the 5,570 Brazilian municipalities as a target for a comprehensive project in order to tackle the prevalence of syphilis, called the "No Syphilis Project". These priority municipalities represent 57.7% of syphilis cases and about one third of the Brazilian population. They were compared with other 189 non-priority municipalities with more than 100 thousand inhabitants among the Brazilian regions (North, Northeast, Southeast, South and Center-West). Polynomial regression methods and Joinpoint analyses were used to analyze the trend, from which the Annual Average Percent Change (AACP) for each time period was calculated. There was a significant growth trend in all regions for the main three forms of syphilis (in pregnancy, congenital and acquired), especially in the South. The ratio between syphilis in pregnancy and congenital syphilis increased in both priority (AAPC: 8.54%; p<0.001) and non-priority municipalities (AAPC: 2.61%; p = 0.005), as well as in the regions, except the Center-West. High growth trends in syphilis prevalence were found in all municipalities, as well as all five regions between 2007 and 2017, showing that the challenge to reduce or even eliminate syphilis in Brazil is still difficult.

show abstract

Section: Plos Onesupporting

confidence: 55%

Trends of syphilis in Brazil: A growth portrait of the treponemic epidemic

et al. 2020

View full text Add to dashboard Cite

show abstract

“…1 The congenital form is currently considered a major public health challenge. The control strategy focuses on the prevention of the disease, which begins during prenatal care, with the early identification of maternal syphilis, through rapid syphilis tests and laboratory tests, which allows diagnosing pregnant women and their partners, and initiating treatment in a timely manner.. [1][2][3][4][5][6][7] Despite this, the incidence of the disease has increased progressively. [1][2][3] The incidence rate in Brazil for the years 2011, 2012 and 2013 were 3.3/1,000 live births; 4.0/1000 live births and 4.8/1000 live births, respectively.…”

mentioning

confidence: 99%

“…There is scientific evidence of the occurrence of congenital syphilis related to health service frailties regarding prenatal coverage and assistance in primary care. [4][5][6][7] In addition, maternal characteristics have also been associated with the occurrence of congenital syphilis. A national-based study identified the association of congenital syphilis cases in women aged 20 to 34 years, with lower levels of schooling, black skin color, no paid activity, late beginning of prenatal care, fewer visits and serological tests and inadequate treatment.…”

mentioning

confidence: 99%

Distribuição espacial e caracterização de casos de sífilis congênita

Signor

Spagnolo

Tomberg

et al. 2018

Rev enferm UFPE on line.

View full text Add to dashboard Cite

RESUMOObjetivo: identificar a distribuição espacial da incidência de sífilis congênita e as características maternas e dos recém-nascidos acometidos. Método: quantitativo, documental, sendo analisadas as características maternas e do recém-nascido de 1.145 notificações do Sistema de Informação de Agravos de Notificação de casos de sífilis congênita e materna. Utilizou-se na coleta um formulário estruturado, na análise fez-se uso da estatística descritiva por meio do programa Microsoft Excel® 2010 e os dados são apresentados em tabelas e figuras. Resultados: a incidência e a letalidade foram maiores nos anos de 2012 (19/10.000 nascidos vivos) e 2007 (5,7/100 casos). Quanto às características maternas, 38,6% apresentaram baixa escolaridade, 70% estavam na faixa etária entre 20-39 anos, em 63,6% o diagnóstico foi realizado no pré-natal e em 69,4% o parceiro não realizou tratamento. No recém-nascido, em 95% dos casos o diagnóstico foi realizado em até 6 dias de vida e 93,9% evoluíram para cura. Conclusão: ocorreu um aumento progressivo de incidência de sífilis congênita até o ano de 2012, com maior taxa de letalidade no ano de 2007, as características maternas apontam para a baixa escolaridade e as características dos casos de sífilis congênita conferem que o diagnóstico foi feito em tempo oportuno. Descritores: Sífilis; Sífilis Congênita; Cuidado Pré-Natal; Notificação de Doenças; Saúde Pública; Serviços de Saúde. ABSTRACT Objective: to identify the spatial distribution of the incidence of congenital syphilis and maternal and newborn characteristics. Method: quantitative, documentary study, which analyzed the maternal and newborn characteristics of 1,145 notifications from the Reporting System of Cases of congenital and maternal syphilis. A structured form was used in the collection and descriptive statistics through the Microsoft Excel® 2010 program was used in the analysis. Data were presented in tables and figures. Results: incidence and lethality were higher in the years 2012 (19/10,000 live births) and 2007 (5.7/100 cases). Regarding maternal characteristics, 38.6% had low levels of schooling, 70% were between 20 and 39 years old, 63.6% had been diagnosed during prenatal care and in 69.4% of cases the partner had not performed treatment. In the newborn, in 95% of cases the diagnosis was made within 6 days of life and 93.9% evolved to cure. Conclusion: there was a progressive increase in the incidence of congenital syphilis until the year 2012, with a higher lethality rate in 2007. Maternal characteristics indicate low schooling and the characteristics of cases of congenital syphilis confirm that the diagnosis was made in time. Descritores: Syphilis; Congenital Syphilis; Prenatal Care; Notification of Diseases; Public Health; Health Services.RESUMENObjetivo: identificar la distribución espacial de la incidencia de sífilis congénita y las características maternas y de los recién nacidos acometidos. Método: cuantitativo, documental, siendo analizadas las características maternas y del recién nacido de 1.145 notificaciones del Sistema de Información de Agravíos de Notificación de casos de sífilis congénita y materna. Se utilizó en la recolección un formulario estructurado, en el análisis se usa la estadística descriptiva por medio del programa Microsoft Excel® 2010 y los datos son presentados en planillas y figuras. Resultados: la incidencia y la letalidad fueron mayores en los años de 2012 (19/10.000 nacidos vivos) y 2007 (5,7/100 casos). En las características maternas, 38,6% presentaron baja escolaridad, 70% tenían edad entre 20-39 años, en 63,6% el diagnóstico fue realizado en el prenatal y en 69,4% el compañero no realizó tratamiento. En el recién nacido, en 95% de los casos el diagnóstico fue realizado en hasta 6 días de vida y 93,9% se curaron. Conclusión: hubo un aumento progresivo de incidencia de sífilis congénita hasta el año de 2012, con mayor tasa de letalidad en el año de 2007, las características maternas apuntan para la baja escolaridad y las características de los casos de sífilis congénita muestran que el diagnóstico fue hecho en tiempo oportuno. Descriptores: Sífilis; Sífilis Congénita; Cuidado Prenatal; Notificación de Enfermedades; Salud Pública; Servicios de Salud.

show abstract

“…Regarding the groups of women notified, in this study, the results portray a social profile of vulnerability. It is noted that the same characteristics are described in the literature: women with less education [9,11], mixed-race [5,6], urban residents [12] and housewives [13]. A study [12] shows that inequalities in access and prenatal quality are factors that contribute to the greater exposure of children from less privileged classes to the risk of vertical transmission of CS.…”

Section: Discussionmentioning

confidence: 73%

“…Other investigations [16,17] correlate the incidence of syphilis with women who became sexually active before the age of 19, with multiple partners, and who exhibit sexual behaviors that are vulnerable to sexually transmitted infections (STIs). It is considered that this age group is more prone to risky sexual behavior [12].…”

Section: Discussionmentioning

confidence: 99%

Syphilis Notifications and the Triggering Processes for Vertical Transmission: A Cross-Sectional Study

Oliveira

Saraiva

França

et al. 2020

IJERPH

View full text Add to dashboard Cite

Syphilis is a disease that is found all over the world that causes damaging effects to the fetus through vertical transmission. This study aimed to analyze the processes that trigger the vertical transmission of syphilis through gestational and congenital syphilis notifications. It is a cross-sectional study. The sample totaled 129 notifications of syphilis in pregnant women and 132 notifications of congenital syphilis in the city of Natal, from 2011 to 2015. Data were obtained from the Information System for Disease Notification. The Chi-square, Student’s and Fisher’s tests were used to verify associations of interest. Diagnosis of maternal syphilis was predominant in the third trimester of pregnancy. Only 1.6% of the pregnant women were registered with an adequate treatment regimen, of these 16.3% had the concomitant treatment with their partners. Of the affected children, 78.8% were registered as asymptomatic. The factors that trigger vertical transmission are related to the late diagnosis of the pregnant woman and sexual partner(s) and the deficiencies in clinical/therapeutic management in relation to the phase of the disease. Strategies of professional training should be adopted to notify and expand the provision of information for epidemiological surveillance, aiming to strengthen care, reduce vertical transmission and enable the continuous analysis of this problem.

show abstract

Factors associated to the notification of congenital syphilis: an indicator of quality of prenatal care

Cited by 9 publications

References 11 publications

Trends of syphilis in Brazil: A growth portrait of the treponemic epidemic

Trends of syphilis in Brazil: A growth portrait of the treponemic epidemic

Distribuição espacial e caracterização de casos de sífilis congênita

Syphilis Notifications and the Triggering Processes for Vertical Transmission: A Cross-Sectional Study

Contact Info

Product

Resources

About