Syphilis in during pregnancy: association of maternal and perinatal characteristics in a region of southern Brazil

Padovani, Camila; Oliveira, Rosana Rosseto de; Pelloso, Sandra Marisa

doi:10.1590/1518-8345.2305.3019

Cited by 90 publications

(161 citation statements)

References 21 publications

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“…A study developed in six federative units (states) in Brazil [14] found a significant increase in syphilis in pregnancy in five states from 2007 to 2012. The state of Amazonas, in the North region, presented a growth rate of 21.2% and the highest rate was found in the state of Rio de Janeiro, in the Southeast region (63.9%) [16].…”

Section: Plos Onementioning

confidence: 91%

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

et al. 2020

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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.

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Section: Plos Onementioning

confidence: 91%

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

et al. 2020

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“…Regarding the outcomes of syphilis for children, a predominance of asymptomatic cases and a low fatality rate of cases were identified when compared to another study [28]. However, there was a statistical correlation of symptoms when compared to VDRL titrations and maternal treatment.…”

Section: Discussionmentioning

confidence: 76%

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

Oliveira

Saraiva

França

et al. 2020

IJERPH

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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.

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“…As reinfecções foram constatadas devido ao tratamento de apenas um parceiro ou ao fato de não se protegerem com métodos contraceptivos de barreira. Este fato mostra que ainda há falhas na obtenção de informações acerca da sífilis e na sua prevenção durante a gestação (16) .…”

Section: Discussionunclassified

“…Mulheres com menos consultas de pré-natal ou sem pré-natal tiveram um aumento de quatro a cinco vezes na prevalência de triagem tardia ou nenhuma de sífilis em comparação com mulheres com 11 ou mais consultas de pré-natal (17) . Há 7,4 vezes mais chances da ocorrência de sífilis em mulheres que não fizeram acompanhamento pré-natal (16) .…”

Section: Discussionunclassified

Sífilis Gestacional: Repercussões Para a Puérpera

et al. 2019

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Objetivo: conhecer as repercussões do diagnóstico de Sífilis Gestacional para a puérpera.Método: pesquisa qualitativa realizada em uma unidade de pediatria de um hospital universitáriodo sul do Brasil. Participaram 15 puérperas de crianças internadas no setor com diagnóstico deSífilis Congênita. Os dados foram coletados por entrevistas semiestruturadas no primeiro semestrede 2018 e submetidos à análise de conteúdo.Resultados: obtiveram-se dados acerca do recebimento do diagnóstico, das reações frente aodiagnóstico, da influência do diagnóstico na gestação e parto e da realização do tratamento daSífilis Gestacional.Conclusão: verificou-se desinformação das puérperas quanto à infecção da sífilis, principalmentesobre cuidados para evitar a transmissão e a reinfecção. Destaca-se o papel educativo do enfermeirojunto a essas mulheres na busca pela diminuição das (re)infecções por Sífilis.

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Syphilis in during pregnancy: association of maternal and perinatal characteristics in a region of southern Brazil

Cited by 90 publications

References 21 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

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

Sífilis Gestacional: Repercussões Para a Puérpera

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