scholarly journals Epidemiological characterization of congenital syphilis in a health region of the northern zone in the state of Ceará, Brazil

2021 ◽  
Vol 43 ◽  
pp. e55046
Author(s):  
David Gomes Araújo Júnior ◽  
Maria Adelane Monteiro da Silva ◽  
Anna Larissa Moraes Mesquita ◽  
Verena Emmanuelle Soares Ferreira ◽  
Maria Socorro Carneiro Linhares
Keyword(s):  
Prenatal Care ◽  
Congenital Syphilis ◽  
Secondary Data ◽  
The State ◽  
Health Region ◽  
Vaginal Deliveries ◽  
Health System Information ◽  
Northern Zone ◽  
Maternal Syphilis ◽  
Epidemiological Profile

The study sought to investigate the epidemiological profile of congenital syphilis in a health region in the State of Ceará, in the period from 2015 to 2019. This is a descriptive epidemiological study, with a quantitative approach, with secondary data collected through the Health System. Information on Notifiable Diseases and Live Birth Information System. There were a total of 248 cases: 65 cases in 2015, 50 in 2016, 45 in 2017, 51 in 2018 and 37 in 2019. The incidence of congenital syphilis was: 8.1 (2015), 6.1 (2016), 5.1 (2017), 5.3 (2018) and 3.9 (2019). In 62.9% of cases from all the years, women were between 20 and 34 years old and in 45.5% of cases they had less than eight years of educational instruction. 57.2% never had a miscarriage, 63.3% had vaginal deliveries and 59.2% had full-term deliveries. Most women received prenatal care (95.9%). In 49.5% of cases, the diagnosis of maternal syphilis occurred during prenatal care. Only 67 (27%) of the pregnant women were treated properly and only 52 (29%) had their partners treated. The study shows a flaw in prenatal care with low effectiveness of the prevention actions, determining factors in the control of congenital syphilis.

scholarly journals INCREASE OF INCIDENCE OF CONGENITAL SYPHILIS IN SANTA CATARINA STATE BETWEEN 2007-2017: TEMPORAL TREND ANALYSIS

2020 ◽  
Vol 38 ◽  
Author(s):  
Julia Souza Vescovi ◽  
Fabiana Schuelter-Trevisol
Keyword(s):  
Prenatal Care ◽  
Congenital Syphilis ◽  
Linear Trend ◽  
Temporal Trends ◽  
Secondary Data ◽  
The State ◽  
Trend Test ◽  
Santa Catarina ◽  
Exponential Increase ◽  
White Mothers

ABSTRACT Objective: To estimate the incidence of congenital syphilis and temporal trends of the reported cases of the disease in the state of Santa Catarina between 2007 and 2017. Methods: Observational study with retrospective cohort design, with secondary data from the Injury of Notification Information System (SINAN). Linear trend test and geoprocessing were performed to verify the behavior of the cases in the period. Results: There were 2,898 reported cases of congenital syphilis in the period, with an average of 2.9 per 1,000 live births in the period. There was an exponential increase of 0.9 percentage points per year, considered statistically significant (p<0.001). There was no difference between the incidences of cases in the different regions of the State. The fatality rate was 8.5%, considering deaths from syphilis, miscarriages and stillbirths. The profile was predominant of white mothers, with low schooling and 11.8% did not perform prenatal care. For this reason, 26.9% of them had a diagnosis of syphilis at the time of delivery. Most of the pregnant women (51.9%) had inadequate pharmacological treatment and 65.1% of the partners were not treated. Conclusions: There was an exponential increase tendency in cases of congenital syphilis in the State of Santa Catarina in the period studied in all regions of the State, which reveals the failure of prenatal care, late diagnosis and inadequate treatment of the pregnant woman and her partner.

scholarly journals SÍFILIS CONGÊNITA NO ESTADO DO TOCANTINS 2007-2017: UMA ANÁLISE EPIDEMIOLÓGICA

2019 ◽  
Vol 6 (2) ◽  
pp. 15-19
Author(s):  
Luisa Lopes Dias da Silva ◽  
Alyne Maria Figueira de Alencar ◽  
Marcos Vinicius Aires Ferreira ◽  
Delcides Bernardes da Costa Neto
Keyword(s):  
Prenatal Care ◽  
Epidemiological Study ◽  
Congenital Syphilis ◽  
The State ◽  
Disease Notification ◽  
Appropriate Treatment ◽  
Epidemiological Profile

Objetivo: descrever a ocorrência da sífilis congênita no Tocantins considerando-se o perfil epidemiológico das mães e dos casos notificados no estado. Metodologia: estudo do tipo epidemiológico observacional de casos notificados de crianças com até 23 meses diagnosticadas com sífilis congênita pelo Sistema de Informação de Agravos de Notificação (Sinan) através do DATASUS TABnet para o período de 2007 a 2017. Resultados: durante esses dez anos, a incidência de sífilis congênita para o grupo pesquisado aumentou em cerca de 3,5 vezes, sendo perceptível a influência no nível de escolaridade materna bem como a realização de pré-natal e o tratamento adequado do parceiro. Conclusão: entre 2007 e 2017, o número de casos de sífilis congênita no Brasil e no estado do Tocantins, em geral, aumentou, havendo diferenças entre grupos epidemiológicos. O controle da sífilis congênita envolve medidas públicas voltadas para campanhas, melhoria nos sistemas de detecção e tratamento, além de maior controle de notificação da doença.   Palavras-chave: sífilis congênita; epidemiologia; cuidado pré-natal. ABSTRACT Objective: to describe the occurrence of congenital syphilis in Tocantins, Brazil, considering the epidemiological profile of mothers and reported cases in the State. Methodology: observational epidemiological study of reported cases of children up to 23 months old diagnosed with congenital syphilis by the Sistema de Informação de Agravos de Notificação (SINAN) through DATASUS TABnet for the period 2007 to 2017. Results: during these ten years, the incidence of congenital syphilis for the group studied increased by about 3,5 times, being perceptible the influence of mother´s level education as well as prenatal and appropriate treatment of the partner. Conclusion: between 2007 and 2017, the number of cases of congenital syphilis in Brazil and in the state of Tocantins, in general, increased, with differences between epidemiological groups. Congenital syphilis control involves public measures aimed at campaigns, improvement in detection and treatment systems, and greater control of disease notification. Keywords: congenital syphilis; epidemiology; prenatal care.

scholarly journals Congenital syphilis in Marabá (State of Pará, Brazil): epidemiological analysis of a decade

2018 ◽  
Vol 5 (9) ◽  
pp. 183-193
Author(s):  
Caroline Mendes Santos ◽  
Daniela Soares Leite
Keyword(s):  
Congenital Syphilis ◽  
Low Cost ◽  
Secondary Data ◽  
Positive Outcome ◽  
Epidemiological Surveillance ◽  
Effective Control ◽  
Abrupt Decrease ◽  
Sexually Transmitted ◽  
Live Births ◽  
Epidemiological Profile

Congenital syphilis (CS) is a systemic infect contagious disease, sexually transmitted, easily diagnosed, with effective and low cost treatment. Thus, the existence of a paradox is detached, once infectious diseases of greater complexity have already been controlled. In its congenital form, syphilis in Brazil constitutes a sentry event of high magnitude that presents unfavorable indicators in terms of its control. In the State of Pará, Marabá is the municipality with the highest number of cases in the past years. The aimed of this study was describing a clinical-epidemiological profile of congenital syphilis in Marabá, from 2006 to 2015. This was a descriptive, retrospective and documental study which analyzed secondary data from SINAN/SMS/SVS/DATASUS/Marabá/PA. Between 2006 and 2015, 323 cases of CS were notified in Marabá. The incidence of congenital syphilis of 6.5 cases per 1,000 live births from 2006-2015 is 6.5 the Ministry of Health goal; from 2012 to 2015 the rates were 8, 9.8, 26.3 and 11.3/1,000, respectively. Most pregnant women performed prenatal (88.6%), was between 20 and 24 years old (62.2%), 26.6% did not finish Middle School. Most partners, 67.5%, of the pregnants diagnosed with did not perform treatment; in 55% of cases, the maternal syphilis diagnosis happened during labor/curettage. Congenital syphilis in Marabá overcame the highest incidence in 2014, with 26.3 cases per 1,000 live births. This great value in 2014 may be a result of the campaign "It's possible to born without syphilis in Pará", released by the Secretary of State for Health of Pará at the end of 2013, since in periods of huge campaigns there is an increase of notifications, due to easier access to the diagnosis of the disease. In the year of 2015, an incidence of 11.3 cases per 1,000 live births was observed, this abrupt decrease, compared to 2014, corroborates with the influence of the campaigns in the detection of new cases. The cases of congenital syphilis notified in the Municipality of Marabá demonstrated failures in the prenatal service, particularly in the time of verification of gestational syphilis and in the treatment of the partners. However, most cases had a positive outcome, with a low number of pre and perinatal deaths due to CS. According to the section of Epidemiological Surveillance of Marabá, many factors are responsible for the high incidence of congenital syphilis in the municipality, among them the lack of clarification of the pregnants/mothers about syphilis, a low demand by the prenatal care and the low attendance of partners, what unfeasible the effective control of this disease, as well as the precarious training of health professionals, who give little importance to the disease and show difficulty to interpret lab results. The correct notification (if there is a higher quality in the reports, the number will be closer to the real), investigation of cases, appropriate treatment and implementation of measures to prevent new cases of congenital syphilis will contribute to the reduction of cases in Marabá.

scholarly journals Spatial analysis of congenital syphilis in the State of Rio Grande do Norte, between 2008 and 2018

2021 ◽  
Vol 55 ◽  
Author(s):  
Dhyanine Morais de Lima Raimundo ◽  
George Jó Bezerra Sousa ◽  
Ana Beatriz Pereira da Silva ◽  
Romanniny Hévillyn Silva Costa Almino ◽  
Nanete Carolina da Costa Prado ◽  
...  
Keyword(s):  
Spatial Analysis ◽  
Congenital Syphilis ◽  
Secondary Data ◽  
Rio Grande ◽  
The State ◽  
Northeastern Brazil ◽  
Effective Strategies ◽  
Units Of Analysis ◽  
Increased Risk ◽  
Empirical Bayesian Method

ABSTRACT Objective: To analyze the spatial distribution of congenital syphilis cases in a state in northeastern Brazil. Method: This is an ecological study, with secondary data for the period from 2008 to 2018, taking as a sample the notified cases of congenital syphilis in Rio Grande do Norte. In the data analysis, the eight health regions of the state were used as units of analysis, and the local and global Moran’s I was performed, with subsequent smoothing through the local empirical Bayesian method, which resulted in thematic maps. Results: The results showed an increase in cases of congenital syphilis in the 3rd and 7thhealth regions. In terms of spatial analysis, this investigation showed clusters in the 3rd, 5th, and 7thhealth regions, with an increased risk for congenital syphilis of up to 2.65 times and with an incidence rate of 7.91 cases per 1,000 live births. Conclusion: The spatial analysis of congenital syphilis cases allowed observing a high incidence in some health regions, with averages above those calculated for the entire state, indicating the need to implement effective strategies to achieve its control.

scholarly journals Spatiotemporal dynamics of syphilis in pregnant women and congenital syphilis in the state of São Paulo, Brazil

2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Joelma Alexandra Ruberti Medeiros ◽  
Mellina Yamamura ◽  
Zilda Pereira da Silva ◽  
Carmen Silvia Bruniera Domingues ◽  
Eliseu Alves Waldman ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Teenage Pregnancy ◽  
Congenital Syphilis ◽  
Probability Distributions ◽  
Secondary Data ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
En Bloc ◽  
Continuous Increase

AbstractWe aimed to estimate the occurrence of syphilis in pregnant women (SPW) and congenital syphilis (CS) in the municipalities of the state of São Paulo (SP) and evaluate their relationship with socioeconomic, demographic, and health care variables. We developed an ecological study based on secondary data of SPW and CS with spatiotemporal components from 645 municipalities in SP including data from 2007 to 2018. We modeled the data in a Bayesian context, considered spatial and temporal random effects, and used binomial negative probability distributions. We found a continuous increase in the relative temporal risk of SPW, from 2007 to 2018, and CS, from 2007 to 2017, when their incidences increased by 8.6 and 6.6 times, respectively. This increase occurred en bloc in practically all municipalities of SP. The increase in SPW was associated with teenage pregnancy, municipalities with a large number of inhabitants, and acquired immunodeficiency syndrome (AIDS) incidence. The increase in CS was associated with municipalities with a large number of inhabitants, incomplete antenatal care, and AIDS incidence. Although actions to control these diseases are required in all municipalities of SP, the identification of high-risk areas points to priority regions for development.

scholarly journals Perfil epidemiológico da sífilis congênita em uma microrregião no interior do estado da Bahia (2007-2017)

2019 ◽  
Vol 18 (4) ◽  
pp. 198-229
Author(s):  
Kaic Trindade Almeida ◽  
Álisson Neves Santos ◽  
Ana Karla Araújo Nascimento Costa ◽  
Myllena Rodrigues dos Santos ◽  
Ana Maria Fernandes Menezes ◽  
...  
Keyword(s):  
Public Health ◽  
Prenatal Care ◽  
Quantitative Study ◽  
Health Problem ◽  
Congenital Syphilis ◽  
Public Health Problem ◽  
Cross Sectional ◽  
Notification System ◽  
El Sistema ◽  
Epidemiological Profile

Objective: To analyze the epidemiological profile of Congenital Syphilis in 18 municipalities in the state of Bahia between 2007 and 2017.Method: A descriptive, cross-sectional and quantitative study of the confirmed cases of Congenital Syphilis in the micro-region registered in the Aggravation and Notification Information System.Results: In the study period, 39 cases were confirmed, with 30.8% of the mothers being between 20 and 24 years of age, 59% were brown, 46.2% had incomplete primary education, 33.3% were housewives, 74.4% 94.9% underwent prenatal care, 53.8% were diagnosed at the time of delivery / curettage, 41% received inadequate treatment and 38.5% of the partners were not treated. With regard to newborns, 69.2% were diagnosed with 0 day of life, 74.4% with recent Congenital Syphilis and 46.2% asymptomatic.Conclusion: The data reveal a serious public health problem in the micro-region analyzed, also pointing out failures in the notification system, observed in the high ignored index in the studied variables. Objetivo: Analizar el perfil epidemiológico de Sífilis Congénita en 18 municipios en el interior del estado de Bahía entre 2007 y 2017.Método: Estudio descriptivo, transversal y cuantitativo de los casos confirmados de Sífilis Congénita en la microrregión registrados en el Sistema de Información de Agravios y Notificación.Resultados: En el período estudiado se confirmaron 39 casos, donde el 30,8% de las madres tiene entre 20 a 24 años, el 59% son pardas, el 46,2% tienen enseñanza fundamental incompleta, el 33,3% amas de casa, el 74,4% en el momento del parto / curetaje, el 41% recibió tratamiento inadecuado y el 38,5% de los socios no fueron tratados. Con respecto a los recién nacidos, el 69,2% fue diagnosticado con 0 días de vida, 74,4% con Sífilis Congénita reciente y 46,2% asintomáticos.Conclusión: Los datos revelan un serio problema de salud pública en la microrregión analizada apuntando también fallas en el sistema de notificación, observadas en el elevado índice de ignorados en las variables estudiadas. Objetivo: Analisar o perfil epidemiológico de Sífilis Congênita em 18 municípios no interior do estado da Bahia entre 2007 e 2017. Método: Estudo descritivo, transversal e quantitativo dos casos confirmados de Sífilis Congênita na microrregião registrados no Sistema de Informação de Agravos e Notificação. Resultados: No período estudado foram confirmados 39 casos, onde 30,8% das mães tem entre 20 a 24 anos, 59% são pardas, 46,2% possuem ensino fundamental incompleto, 33,3% donas de casa, 74,4% residentes na zona urbana, 94,9% realizou o pré-natal, 53,8% foram diagnosticadas no momento do parto/curetagem, 41% receberam tratamento inadequado e 38,5% dos parceiros não foram tratados. Com relação aos recém-nascidos, 69,2% foram diagnosticados com 0 dia de vida, 74,4% com Sífilis Congênita recente e 46,2% assintomáticos. Conclusão: Os dados revelam um sério problema de saúde pública na microrregião analisada apontando também falhas no sistema de notificação, observadas no elevado índice de ignorados nas variáveis estudadas.

scholarly journals Epidemiological Profile Of Congenital Syphilis In Alagoas

2021 ◽  
pp. 15
Author(s):  
◽  
Keyword(s):  
Chronic Conditions ◽  
Congenital Syphilis ◽  
The State ◽  
Significant Drop ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
8Th Grade ◽  
Mother’S Age ◽  
Epidemiological Profile ◽  
Age Range

Objective: To analyze the epidemiological profile of congenital syphilis in the state of Alagoas from 2015 to 2019. Methods: Epidemiological study characterized as descriptive, observational, retrospective and cross-sectional, carried out based on data collected from the Information System for Notifiable Diseases (SINAN) and made available by the Department of Chronic Conditions and Sexually Transmitted Infections. Results and Discussions: When observing the cases of congenital syphilis, 2019 saw a significant drop in cases compared to the years 2015 to 2018. Conclusion: It is concluded that the epidemiological profile of DES demonstrates that the number of cases is higher among children under 7 days of age, the mother’s age range between 20 and 29 years, the mother’s education level from 5th to 8th grade incomplete and race / color of the mother, brown. This reflects for health professionals to seek more strategies to eradicate the disease in the state and in Brazil.

scholarly journals Sífilis congênita no estado de Pernambuco: uma análise de tendência e das respostas governamentais 2008-2017

2021 ◽  
Vol 1 (54) ◽  
pp. 104
Author(s):  
Laryssa Cristina Alves da Silva ◽  
Bruno Batista Pereira da Paz ◽  
Matheus Santos Duarte ◽  
Carlos Dornels Freire de Souza ◽  
Túlio Romério Lopes Quirino ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Maternal Education ◽  
Congenital Syphilis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Time Line ◽  
Sexually Transmitted ◽  
Increasing Trend ◽  
And Performance ◽  
Maternal Syphilis

<p><span class="fontstyle0">This article sought to describe the profile of congenital syphilis (CS) cases in Pernambuco and to evaluate government responses from 2008 to 2017. This is a cross-sectional study, with data obtained from the Department of Chronic Conditions and Sexually Transmitted Infections / MS. A trend analysis was conducted with the Joinpoint program and the following variables were adopted: maternal age group, maternal race / color, maternal education, moment of diagnosis of maternal syphilis, maternal treatment scheme, treatment of the mother’s partner and performance of prenatal. From 2008 to 2017, 9866 cases of congenital syphilis were registered in the state of Pernambuco, the numbers of cases showed an increasing trend over the time line. Out of the total, 75% (n = 7405) of women with a notified outcome of CS performed prenatal care. But only 36.9% (n = 3642) of cases of syphilis during pregnancy were diagnosed. As for the treatment performed, 57% (n = 6551) were done inappropriately. The data reflect the need for adjustments in prenatal care in Pernambuco, as well as the strengthening of actions aimed at controlling this indicator</span> <br /><br /></p>

scholarly journals Analysis of Exogenous Poisoning by Pesticide in the State of Bahia-Brazil during the Period from 2007 to 2017

2020 ◽  
Author(s):  
Karolayne Silva Souza ◽  
Flávia Steffany Leite Miranda ◽  
Milena Roberta Freire da Silva ◽  
Caio Rodrigo Dias de Assis ◽  
Rafael Artur de Queiroz Cavalcanti de Sá ◽  
...  
Keyword(s):  
Health Promotion ◽  
Secondary Data ◽  
The State ◽  
Irrigated Agriculture ◽  
Age Group ◽  
International Level ◽  
Pesticide Poisoning ◽  
The World ◽  
The Subject ◽  
Epidemiological Profile

Brazil is one of the main exporters of agricultural products and is one of the largest consumers of pesticides in the world. Bahia stands out in irrigated agriculture, with growth at the national and international level exports. The aim of this study is to describe and analyze the spatial distribution, and the epidemiological profile of the population with confirmed cases of pesticides intoxication in the state of Bahia-Brazil, from 2007 to 2017. It is an ecological and retrospective study of a series, with secondary data collected at the Department of Informatics of the System Of Health (DATASUS), on notifications and confirmed cases of pesticide poisoning in the state in 2007 to 2017. In Bahia, about 1,632 notifications of exogenous pesticide poisoning in the investigated period, confirming about 1137 cases. The main age group affected by these intoxications were related to 20-39 years of age. The results of this study show the increase in the number of notified and confirmed cases in Bahia during years from 2007 to 2017, thus suggesting the carrying out of research on the subject in this and other Brazilian states, in order to monitor and evaluate the causes of these pesticide poisoning, and improve health promotion.

scholarly journals 1142. Increased Odds of Psychiatric Illness Among Mothers of Infants with Congenital Syphilis

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S599-S599
Author(s):  
Corinne R Thornton ◽  
Susan C Bleasdale
Keyword(s):  
Risk Factors ◽  
Prenatal Care ◽  
Sex Work ◽  
Clinical Setting ◽  
Psychiatric Illness ◽  
Congenital Syphilis ◽  
Factors Associated ◽  
Sex With Men ◽  
Maternal Syphilis

Abstract Background Syphilis can be transmitted mother to child during pregnancy leading to multisystem birth defects if untreated. In Illinois, screening is mandated for pregnant women at first and third trimesters. The University of Illinois Hospital (UIH) serves a vulnerable patient population with a high syphilis prevalence. An understanding of risk factors associated with maternal syphilis infection can guide prevention of congenital syphilis (CS) with early prenatal diagnosis and treatment. The aim of this retrospective case control study is to describe maternal risk factors associated with CS in a clinical setting. Methods Using a database used for health department reporting from 2014-2018 at UIH, 106 maternal syphilis diagnoses were identified. Medical records were reviewed for CS infant diagnosis, sociodemographic information, medical history, and potential risk factors, including multiple sex partners, HIV status, drug use, history of incarceration or sex work, and having sex with men who have sex with men (MSM). Cases were matched with controls of pregnant women with syphilis testing that was not indicative of infection. Results Of the maternal syphilis diagnoses identified, there were 8 cases in which CS was possible or highly probable, 68 in which CS was less likely or unlikely, and 30 that were lost to follow up. Of the possible and probable infants’ mothers, 38% had a psychiatric illness (6.80 OR, 95% CI 1.06-43.48) and 25% were homeless (12.00 OR, 95% CI 0.94-153.89). Late or scant prenatal care was seen in 75% (4.15 OR, 95% CI 0.72-23.95) and 75% had inadequate syphilis treatment. None were HIV positive or reported incarceration, intravenous drug use, sex work, or having sex with MSM. Conclusion Among infants with probable or possible CS, there was a 6.80 increased odds of maternal psychiatric illness compared to those born to mothers not diagnosed with syphilis, which may have complicated prenatal care and delayed diagnosis or treatment. Psychiatric illness outnumbered several other known risk factors; however, these may be less often discussed during clinical encounters. Psychiatric illness history may be a risk factor and means to identify women in the clinical setting who need close follow up and outreach after a prenatal syphilis diagnosis to prevent or mitigate congenital transmission. Disclosures All Authors: No reported disclosures

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