scholarly journals Vulnerabilidade à sífilis gestacional e congênita: uma análise de 11 anos [Vulnerability to gestational and congenital syphilis: a 11-year analysis] [Vulnerabilidad a la sífilis gestacional y congénita: un análisis de 11 años]

2020 ◽  
Vol 28 ◽  
pp. e50487
Author(s):  
Joice Élica Espindola Paes Ozelame ◽  
Oleci Pereira Frota ◽  
Marcos Antonio Ferreira Júnior ◽  
Elen Ferraz Teston

Objetivo: analisar a ocorrência de sífilis gestacional e congênita à luz da vulnerabilidade, no período de 2008 a 2018, no Mato Grosso do Sul. Método: estudo transversal, retrospectivo, de caráter analítico e abordagem quantitativa, com base em dados secundários coletados no Sistema de Informações e Agravos de Notificação. Resultados: houve aumento progressivo de sífilis gestacional e congênita ao longo dos 11 anos, com predomínio em populações vulneráveis e associação (p<0,05) da ocorrência de sífilis congênita com as variáveis “escolaridade”, “faixa etária” e “cor da pele”. Verificou-se a influência de fatores comportamentais e relacionados aos serviços de saúde, dentre eles o diagnóstico tardio da sífilis e a baixa adesão do tratamento entre estas gestantes e seus parceiros sexuais. Conclusão: a sífilis gestacional e congênita tiveram causas multifatoriais e podem ser combatidas com ações em saúde que considerem os aspectos que potencializam a vulnerabilidade social, individual e programática da população.ABSTRACTObjective: to examine the occurrence of gestational and congenital syphilis in the light of vulnerability in Mato Grosso do Sul, from 2008 to 2018. Method: this retrospective, analytical, quantitative, cross-sectional study was based on secondary data collected from Brazil’s Notifiable Disease Information System. Results: gestational and congenital syphilis increased steadily over the eleven years, predominantly in vulnerable groups. The occurrence of congenital syphilis was found to associate (p < 0.05) with the variables “education”, “age group” and “skin color”. Behavioral and health service-related factors – among them, late diagnosis of syphilis and poor treatment adherence by pregnant women and their sexual partners – were found to influence the association. Conclusion: gestational and congenital syphilis had multifactorial causes and can be combated with health measures that address aspects that heighten this population’s social, individual and programmatic vulnerability.RESUMENObjetivo: examinar la ocurrencia de sífilis gestacional y congénita a la luz de la vulnerabilidad en Mato Grosso do Sul, de 2008 a 2018. Método: este estudio retrospectivo, analítico, cuantitativo y transversal se basó en datos secundarios recopilados del Sistema de Información de Enfermedades Notificables de Brasil. Resultados: la sífilis gestacional y congénita aumentó de manera sostenida durante los once años, predominantemente en grupos vulnerables. Se encontró que la ocurrencia de sífilis congénita se asocia (p <0.05) con las variables "educación", "grupo de edad" y "color de piel". Se encontró que factores relacionados con el comportamiento y los servicios de salud, entre ellos, el diagnóstico tardío de la sífilis y la mala adherencia al tratamiento por parte de las mujeres embarazadas y sus parejas sexuales, influyen en la asociación. Conclusión: la sífilis gestacional y congénita tuvo causas multifactoriales y se puede combatir con medidas de salud que aborden aspectos que aumentan la vulnerabilidad social, individual y programática de esta población.

2019 ◽  
Vol 13 ◽  
Author(s):  
Mayk Penze Cardoso ◽  
Marcos Antonio Ferreira Júnior ◽  
Elenilda De Andrade Pereira Gonçalves ◽  
Vanessa Giavarotti Taboza Flores ◽  
Élen Ferraz Teston ◽  
...  

RESUMOObjetivo: caracterizar epidemiologicamente os transplantes de córneas realizados no estado de Mato Grosso do Sul. Método: trata-se de estudo quantitativo, epidemiológico, de desenho transversal. Compor-se-á a amostra de estudo de forma censitária por todos os pacientes em fila de espera, os submetidos ao transplante de córneas e os doadores desse tipo de tecido no Estado de Mato Grosso do Sul. Realizar-se-á a coleta de dados por meio de três instrumentos elaborados para cada população distinta, com as variáveis de dados clínicos e epidemiológicos. Estabelecer-se-ão estatisticamente os padrões de distribuição e as frequências, bem como as medidas de tendência central, além da análise multivariada com aplicação de medidas de magnitude de efeito e associação, de acordo com a natureza de cada variável, a serem apresentados em forma de gráficos e tabelas. Resultados esperados: espera-se identificar as dificuldades encontradas no sistema estadual de transplante de córneas com foco no desenvolvimento de conceitos técnicos, de planejamento e organização do atendimento aos usuários em fila de espera, doadores e transplantados. Descritores: Transplante de Córnea; Doenças da Córnea; Retalhos de Tecido Biológico; Epidemiologia; Serviços de Saúde; Bancos de Olhos.ABSTRACTObjective: to make the clinical and epidemiological characterization of corneal transplants performed in the state of Mato Grosso do Sul. Method: this is a quantitative, epidemiological, cross-sectional study. A sample of the study will be collected in a census form for all patients in queue, those submitted to corneal transplantation and donors of this type of tissue in the State of Mato Grosso do Sul. Data collection will be performed by means of three instruments elaborated for each distinct population, with the variables of clinical and epidemiological data. Distribution patterns and frequencies as well as measures of central tendency will be statistically established, as well as multivariate analysis with application of magnitude of effect and association, according to the nature of each variable, to be presented in charts and tables. Expected results: it is hoped to identify the difficulties found in the state transplant system of corneal aimed at the development of technical concepts, planning and organization of care for waiting users, donors and transplanted patients. Keywords: Corneal Transplantation; Corneal Diseases; Biological Tissue Patchwork; Epidemiology; Health services; Eye Banks. Descriptors: Corneal Transplantation; Corneal Diseases; Free Tissue Flaps; Epidemiology; Health Services; Eye Banks.RESUMENObjetivo: caracterizar epidemiológicamente los trasplantes de córneas hechos en el estado de Mato Grosso do Sul. Método: trata-se de un estudio cuantitativo, epidemiológico, de diseño transversal. La muestra de estudio se compondrá de forma censal por todos los pacientes en cola de espera, los sometidos al trasplante de córneas y los donantes de ese tipo de tejido en el Estado de Mato Grosso do Sul. Se realizará la recolección de datos mediante tres instrumentos preparados para cada población distinta, con las variables de datos clínicos y epidemiológicos. Se establecerán estadísticamente los patrones de distribución y las frecuencias, así como las medidas de tendencia central, además del análisis multivariado con aplicación de medidas de magnitud de efecto y asociación, de acuerdo con la naturaleza de cada variable, que deberán presentarse en forma de gráficos y tablas. Resultados esperados: se espera identificar las dificultades encontradas en el sistema estatal de trasplante de córneas mirando el desarrollo de conceptos técnicos, de planificación y organización de la atención a los usuarios en cola de espera, los donantes y los trasplantados. Descriptores: Trasplante de Córnea; Enfermedades de Córnea; Colgajos Tisulares Libres; Epidemiología; Servicios de Salud; Bancos de Ojos.


Author(s):  
Camila Padovani ◽  
Rosana Rosseto de Oliveira ◽  
Sandra Marisa Pelloso

ABSTRACT Objective: To analyze the prevalence of syphilis in during pregnancy and its association with socioeconomic characteristics, reproductive history, prenatal and labor care, and newborn characteristics. Method: A retrospective, cross-sectional study based on gestational and congenital syphilis reports. A (records) linkage was performed in the Brazilian databases: “Information System for Notifiable Diseases” (Sistema de Informação de Agravos de Notificação - SINAN); “Live Births Information System” (Sistema de Informação sobre Nascidos Vivos - SINASC); and “Mortality Information System” (Sistema de Informação sobre Mortalidade - SIM). Results: The prevalence of gestational syphilis was 0.57%. The following associations of syphilis in pregnancy were found: non-white skin color/ethnicity (PR=4.6, CI=3.62-5.76); low educational level (PR=15.4; CI=12.60-18.86); and absence of prenatal care (PR=7.4, CI=3.68-14.9). The perinatal outcomes associated with gestational syphilis were prematurity (PR=1.6 CI=1.17-2.21) and low birth weight (PR=1.6; CI=1.14-2.28). Two deaths from congenital syphilis, one death from another cause and five stillbirths were reported. Conclusion: The results signify a long way until reaching the World Health Organization’s goal of eradicating congenital syphilis.


2017 ◽  
Vol 17 (4) ◽  
pp. 781-789 ◽  
Author(s):  
Larissa Gramazio Soares ◽  
Bruna Zarpellon ◽  
Leticia Gramazio Soares ◽  
Tatiane Baratieri ◽  
Maicon Henrique Lentsck ◽  
...  

Abstract Objectives: to describe the occurrence of gestational and congenital syphilis in Guarapuava-PR, according to maternal, neonatal characteristics and outcome of cases. Methods: cross-sectional study, retrospective, held in Guarapuava/PR, with secondary data collected in the laboratory of clinical analyses and information system of Compulsory Notification, collected between October 2015 and August/2016, the variables were described through absolute and relative frequencies. Results: of the 40 newborn (NB) children ofpregnant women with syphilis, 30.0% had congenital syphilis. The variables that were associated with were: gestational quarter of positive examination (p=0.008), number of antenatal consultations (p=0.041), gestational risk stratification (p= 0.041) and treatment of partner (p<0.001). The variables that were associated with the occurrence of congenital syphilis were: risk classification at birth (p=0.004) and examination VDRL in the peripheral blood of the NB (p=0.004). Conclusions: reinforcing prenatal, with the early capture of the pregnant woman by basic care, expansion of the diagnostic coverage and timely and adequate treatment of the pregnant woman and partner, as a prophylactic measure of a possible reinfection.


2018 ◽  
Vol 16 (2) ◽  
Author(s):  
Flávia Mylla de Sousa Reis ◽  
Renata Rodrigues de Oliveira Castelo Branco ◽  
Amanda Mota Conceição ◽  
Letícia Paula Benvindo Trajano ◽  
José Felipe Pinheiro do Nascimento Vieira ◽  
...  

ABSTRACT Objective To evaluate the incidence of variant hemoglobins in different health regions. Methods A descriptive, observational, and cross-sectional study with a quantitative approach based on secondary data in the internal records of the neonatal screening service - Laboratório Central de Saúde Pública do Estado do Piauí (PI, Brazil). The variables related to sex, ethnicity and positive diagnosis for variant hemoglobins were analyzed, with further population distribution of hemoglobinopathies among the macroregions of the state. Results A total of 69,180 samples of newborns were analyzed, and 3,747 were diagnosed as hemoglobinopathies, from February 1st, 2014 and December 31st, 2015. Sickle cell trait was the most frequent (4.1%), followed by hemoglobinopathy C in 0.9%; homozygous hemoglobin S cases 0.1% stood out and there were no cases of hemoglobinopathy D in the state. It is also worth noting that the highest frequencies of hemoglobin alterations in Piauí were in males (49.8%) and of parda skin color (38.5%). The region of Piauí presenting the highest incidence of heteroygous variant hemoglobins was Tabuleiros do Alto Parnaíba and Vale do Sambito, due to importance of the region's population Entre Rios. Conclusion Neonatal screening programs are important for screening, orientations regarding health actions and monitoring of families with hemoglobinopathies, in order to reduce morbidity and mortality rates.


Author(s):  
Nazaret Alonso-Fernández ◽  
Isabel Jiménez-Trujillo ◽  
Valentín Hernández-Barrera ◽  
Domingo Palacios-Ceña ◽  
Pilar Carrasco-Garrido

Background: The purpose of this study was: (a) to estimate trends over time in the prevalence of alcohol consumption among female adolescents between 2006 and 2014; (b) to identify the factors associated with the probability of consuming alcohol during this period for Spanish female adolescents (14–18 years old). Methods: Spanish nationwide, epidemiological, cross-sectional study on alcohol consumption by adolescent women. We used individualized secondary data retrieved from the 2006 and 2014 Spanish state survey on drug use in secondary education, for a total of 48,676 survey respondents aged 14 to 18 years. Alcohol use was the dependent variable. We also analyzed sociodemographic and educational features, lifestyle habits, perceived health risk for consumption, and perceived availability of substance using logistic regression models. Results: The prevalence of alcohol consumption among female adolescents was 62.35% during the study period. Alcohol consumption increased with age and was more frequent on weekends than on school days. The variables associated with a greater probability of alcohol consumption were tobacco, marijuana (aOR = 2.37; 95% CI: 2.08–2.72), and alcohol consumption by friends (aOR = 7.24; 95% CI: 6.42–8.16). Conclusions: Alcohol consumption by female adolescents in Spain significantly increased from 2006 to 2014. Marijuana and alcohol consumption by friends were associated factors.


2021 ◽  
pp. 1385-1395
Author(s):  
João Pedro Arantes da Cunha ◽  
Rafael Vilela de Campos ◽  
Ruberval Franco Maciel ◽  
Ana Maria Campos Marques

This study aims to assess the epidemiological situation of five municipalities that are part of the bioceanic route in order to analyze the descriptors and general health aspect of the population through a retrospective, quantitative and cross-sectional descriptive study with a documentary approach, from secondary data reported to the National System of Notifiable Diseases in the municipalities of Guia Lopes da Laguna, Jardim, Nioaque, Porto Murtinho, Sidrolândia and Campo Grande, in the state of Mato Grosso do Sul, in the period from January 2015 to December 2020. The incidence rate ranged between 32.23 and 79.4 cases/100,000 inhabitants. There was a predominance of individuals aged between 30-39 years (26.05%) and males (67.5%). The most important injuries were alcoholism (19.15%) and smoking (18%). In the exams, 52.3% had positive bacilloscopy and 32.03% had a positive culture. The incidence of tuberculosis in the evaluated municipalities was higher than the Brazilian average and that of the state of Mato Grosso do Sul. These evaluated municipalities do not have a favorable epidemiological situation with regard to tuberculosis and the construction of the biocenic route may further aggravate the situation.


2020 ◽  
Vol 22 (4) ◽  
pp. 289-294
Author(s):  
Tânia Gisela Biberg-Salum ◽  
José Luis Quelho Filho ◽  
Gabriela Freitas Sorrilha ◽  
Pietro Delgado Rezende ◽  
Eduarda Oliveira Celeri ◽  
...  

Abstract Infection caused by the new Coronavirus (SARS-COV-2) causes a variable clinical picture. Due to its high transmissibility, Covid-19 was declared a pandemic. In view of this, in Brazil, the Ministry of Education (MEC) published an ordinance that temporarily suspended face-to-face activities at Higher Education Institutions (HEIs). Despite this and other measures, the number of cases and deaths in Brazil has, so far, increased exponentially, a fact that impacts the health and educational authorities, due to the exceptionality imposed on the development of teaching activities. In view of this context, the present study aimed to measure the frequency of the Flu Syndrome in medical students from Mato Grosso do Sul during the Covid-19 pandemic period, in order to propose resolutions for conducting academic activities. A descriptive, observational and cross-sectional study carried out among students enrolled in medical courses in the state of Mato Grosso do Sul. The data were obtained through a semi-structured questionnaire, online and based on the Google Forms platform. Descriptive results were prepared automatically, from the platform itself. Result: 371 responses were computed. Approximately 50% had flu-like symptoms, the most common of which were runny nose, nasal obstruction and cough. Among the diagnoses reported, the most described was rhinosinusitis, with 7 participants presenting Covid-19. It was possible to measure the condition of flu-like syndrome among medical students in this state, seeking to provide support and possible basis for decision-making by the coordinators of medical courses in Mato Grosso do Sul regarding the referral of academic activities. Keywords: Coronavirus; SARS-CoV-2; Students, Medical; Disease Notification; Prevalence. Resumo A infecção causada pelo novo Coronavírus (SARS-COV-2) causa quadro clínico variável. Devido à sua alta transmissibilidade, decretou-se estado de pandemia pela Covid-19. Diante disto, no Brasil, o Ministério da Educação (MEC) publicou portaria que suspendeu, temporariamente, as atividades presenciais nas Instituições de Ensino Superior (IES). Apesar desta e de outras medidas, o número de casos e óbitos no Brasil continua, até o momento, aumentando de forma exponencial, fato que impacta as autoridades sanitárias e educacionais, pela excepcionalidade imposta no desenvolvimento das atividades de ensino. Em face deste contexto, o presente trabalho teve como objetivo mensurar a frequência da Síndrome Gripal em acadêmicos de medicina do Mato Grosso do Sul durante o período da pandemia da Covid-19, para assim, propor resoluções para condução das atividades acadêmicas. Um estudo descritivo, observacional e transversal, realizado entre estudantes matriculados nos cursos de medicina do estado de Mato Grosso do Sul. Os dados foram obtidos por questionário semiestruturado, online e assentado na plataforma Google Forms. Os resultados descritivos foram elaborados automaticamente, a partir da própria plataforma. Computou-se 371 respostas. Aproximadamente 50% apresentaram algum sintoma gripal, sendo os mais comuns: coriza, obstrução nasal e tosse. Entre os diagnósticos informados, o mais descrito foi rinossinusite, sendo que 7 participantes apresentaram Covid-19. Foi possível mensurar o quadro de síndrome gripal, entre estudantes de medicina neste estado, buscando proporcionar apoio e eventual embasamento para a tomada de decisões das coordenações dos cursos de medicina do Mato Grosso do Sul quanto aos encaminhamentos das atividades acadêmicas. Palavras-chave: Coronavirus; SARS-CoV-2; Estudantes de medicina; Notificação de Doenças; Prevalência.


2016 ◽  
Vol 28 (9) ◽  
pp. 876-880 ◽  
Author(s):  
Jessica Dallé ◽  
Vanessa Z Baumgarten ◽  
Mauro C Ramos ◽  
Mirela F Jimenez ◽  
Lisiane Acosta ◽  
...  

Congenital syphilis (CS) is a preventable epidemic disease for which control is hindered by socioeconomic and health system issues. Inadequately treated maternal syphilis (MaS) commonly has serious adverse obstetric outcomes. This study – which is a cross-sectional study in a Brazilian large urban public Mother and Child hospital, making use of secondary data – evaluated the occurrence of treatment of sexual partners (SP) among women with MaS. The results showed that 771 MaS cases were identified from 2007 to 2014. No information on SP treatment was available in 570 (73.9%) cases. Of the 201 cases presenting information, 25 (12.4%) SP were treated. Out of 164 women having six or more prenatal visits, 25 (15.2%) SP received treatment. Data analyzed biennially have shown a growing trend of cases without collected information, ranging from 27.2% in 2007–2008 to 87.5% in 2013–2014. No linear trend in proportions of treated SP (maximum 7.4% SP treated) was found. Thus, in this study, it has been concluded that the proportion of SP adequately treated was consistently low, and the quality of information deteriorated during the studied period. Prenatal care per se, as provided, was not effective in delivering adequate treatment of SP. Creative integrated services with SP active participation are greatly needed if CS is to be controlled.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Pilar Carrasco-Garrido ◽  
Isabel Jiménez-Trujillo ◽  
Valentín Hernández-Barrera ◽  
Nazaret Alonso-Fernández ◽  
Soledad García-Gómez-Heras ◽  
...  

Abstract Background The nonmedical use of prescribed medicines among adolescents has increased significantly in recent years. Our study was designed to describe the prevalence of the nonmedical use of tranquilizers, sedatives, and sleeping pills (TSSp) among the school-age population residing in Spain from a gender perspective, and to identify factors associated with such use. Methods Nationwide, epidemiological, cross-sectional study on the nonmedical use during the previous 30 days, of TSSp by the Spanish school population. We used individualized secondary data retrieved from the 2004, 2006, 2008, 2010, 2012 and 2014 Spanish state survey on Drug Use in Secondary Education and a total of 179,114 surveys from respondents aged 14 to 18 years. Using logistic multivariate regression models, we estimated the independent effect of each of these variables on the nonmedical use of medicines. Two models were generated- one for females and one for males. Results 2.86% (5116) of the Spanish school population of both sexes made nonmedical use of TSSp. Prevalence was greater among girls than among boys for all the study years. Patterns of nonmedical use among female adolescents were related to alcohol, tobacco and marijuana use. Consumption of illegal psychoactive substances, other than marijuana, was the variable showing the greatest value among male teenagers (aOR 6.21 (95% CI 4.97–7.77). Conclusions The prevalence of the nonmedical use of TSSp is higher in girls than in boys. The influence of legal and illegal psychoactive substances leads to a higher likelihood of nonmedical use of TSSp in high-school students in Spain.


Author(s):  
Delia Esmeyre Paredes ◽  
Maria Lúcia Ivo ◽  
Sandra Lucia Arantes ◽  
Rosangela dos Santos Ferreira ◽  
Carmen Silvia Martimbianco de Figueiredo ◽  
...  

OBJECTIVE. To describe the epidemiological profile of donors and recipients of a Human Milk Bank at a referral hospital in the State of Mato Grosso do Sul. METHODS.  This is a descriptive cross-sectional study with retrospective data from the Milk Banks Network system and secondary data from medical records of a tertiary public hospital, between January and December 2017. Descriptive statistics was performed using the Statistic Package for Social Sciences (SPSS®), version 25.0. RESULTS. In 2017, 383 human milk donors were registered, totaling a volume of approximately 614 liters of donated milk. Of this total, 88.51% donors lived in the city of Campo Grande, state capital; 56.40% reported no paid activity; the mean age was 27.45 years; and 79.63% had prenatal care in the public network. Of the 149 recipients, 71.1% (n = 106) were premature with a median gestational age of 34.00 weeks (minimum 21.00 and maximum 42.00); and birth weight with a median of 2225.00 (minimum 660.00 and maximum 5230.00). Also, 61.1% (n = 91) of the recipients weighed less than 2,500 grams and were distributed in: extremely low weight 0.7% (n = 1); very low weight 11.4% (n = 17); low weight 49.0% (n = 73); and normal weight 38.9% (n = 58). CONCLUSION: The donors are young women who had support from the Unified Health System for the prenatal assistance. Among human milk recipients, 61.1% are premature babies weighing less than 2,500 grams.


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