scholarly journals Epidemiological profile of congenital syphilis in the municipality of São Luís, 2008–2017

Author(s):  
Alessandra Coelho Vivekananda Meireles ◽  
Lívia Cristina Sousa ◽  
Wendel Alencar de Oliveira ◽  
Diana Maria Silveira da Silva ◽  
Vanise Frazão Ribeiro ◽  
...  

Introduction: Congenital syphilis is a disease of great magnitude due to increasing numbers of new annual cases, affecting a large contingent of children, which translates into high incidence rates. The occurrence of syphilis cases evidences failures in health services, especially in prenatal care. Objective: To describe the epidemiological profile of congenital syphilis in the municipality of São Luís. Methods: Descriptive study with a quantitative approach. Congenital syphilis data recorded in SINAN from 2008 to 2017 were used. Results: The detection rate in the municipality shows a continuous increase. A total of 1,060 cases of congenital syphilis were diagnosed in neonates, 1,017 (96.0%) after the first week of life. Regarding the final diagnosis of cases, it was observed that 967 (91.2%) were classified as early congenital syphilis. The predominant maternal age range was 20 to 34 years, corresponding to 743 cases (70.1%). Regarding access to prenatal care, 802 (75.6%) mothers underwent prenatal care, while 219 (20.66%) did not. Among those who received prenatal care, 352 (33.0%) were diagnosed with syphilis during prenatal care, 481 (46.0%) were diagnosed at the time of delivery/curettage, and 59 (5.0%) were diagnosed after childbirth. Regarding the treatment regimen during pregnancy, 736 (70.0%) received inadequate treatment, 95 (8.0%) received no treatment and 62 (6.0%) received adequate treatment. Conclusion: The study contributed to the identification of possible losses in the stages of such care, and in obtaining qualified information that will guide decision-making and planning of health actions, supporting the epidemiological surveillance work in guiding managers and health teams.

2018 ◽  
Vol 5 (10) ◽  
pp. 609-618
Author(s):  
Kecya Patricia Costa Macedo ◽  
Matheus Costa Silva ◽  
Jéssica Larissa Sousa Vaz ◽  
Soliane Cristina Rodrigues Costa ◽  
Roseane Mara Cardoso Lima Verde ◽  
...  

Congenital syphilis, caused by the bacterium Treponema pallidum, is one of most prevalent diseases in Brazil. The diagnosis is made through treponemal and non-treponemal tests during prenatal care, in which reagent results are necessary to initiate treatment in order to avoid fetal contamination, miscarriage, prematurity, neurological sequelae, among other fetal and maternal complications. The objective of this study was to investigate the prevalence of congenital syphilis to describe the epidemiological profile based on cases reported in the Municipality of Imperatriz, Maranhão State, Brazil. This is an exploratory, retrospective, descriptive and quantitative study developed between 2010 and 2017. The results obtained in the study reveal that in the period from 2010 to 2017, an accumulated total of 2,507 cases of congenital syphilis were reported in the state of Maranhão, and 514 cases were registered in Imperatriz, representing 20.50% of the total. The study demonstrated the need for effective measures to combat not only the infection of mothers, but also of partners; some of these diagnoses were only identified during or after childbirth/curettage. The lack of previous investigation or lack of adequate treatment during the gestation leading to maternal and fetal risk was evident.


2019 ◽  
Author(s):  
Nina Malysh ◽  
Oksana Chemych ◽  
Roman Rodyna ◽  
Inna Chorna ◽  
Svitlana Doan

Abstract Background : Diarrheal infections remain relevant for many countries of the world. The processes of globalization, fundamental changes in nutrition and water consumption contributed to the fact that the significance of individual infection sources, etiological structure of diarrheal infections changed. Purpose of the study: on the background of the analytical study of the incidence of diarrheal infections in Ukraine under the current conditions, to determine the factors influencing epidemic situation. Methods: The reports of the Ministry of Health of Ukraine, Main Administrations of Statistics in Kharkiv, Odesa, Zaporizhia oblasts for 2011-2018 are used in the paper. Epidemiological and statistical research methods are applied. Results: The epidemic situation with diarrheal infections in Ukraine is characterized by a low incidence of typhoid fever (from 0.012 to 0.14 per 100 thousand people), shigellosis (from 1.97-6.13 per 100 thousand people), stable incidence rates without the downward trend, salmonellosis (from 17.35 till 24.1 per 100 thousand people), high incidence of diahrreal infections of specified etiology (from 115.5 to141.9 per 100 thousand people) and diahrreal infections of unspecified etiology (from 69.76 to 107.02 per 100 thousand people). The most complicated epidemic situation is observed in economically most developed regions of the country. Most diarrheal infectionsoutbreaks are connected with catering establishments 36.5 % and with children educational establishments 26.1 %. In the region with the highest shigellosis and salmonellosis incidence direct strong correlation relationships are established between the incidence and population, density, natural population movement. The oblasts with the highest diahrreal infections of specified etiology, rotaviral enteritis, diahrreal infections of unspecified etiology incidence are at least provided with water resources and have problems with provision of high-quality drinking water. There is a need to improve the system of epidemiological surveillance over diarrheal infections by extension of the indicators of microbiological study of drinking water quality in the regions of Ukraine, where high diahrreal infections of specified etiology, rotaviral enteritis, diahrreal infections of unspecified etiology incidence is registered; by increasing frequency of food item inspections in the oblasts, where mediana shigellosis and salmonellosis incidence exceeds the average one in Ukraine. Keywords: diarrheal infections, shigellosis, salmonellosis, rotaviral enteritis.


2018 ◽  
Vol 5 (9) ◽  
pp. 183-193
Author(s):  
Caroline Mendes Santos ◽  
Daniela Soares Leite

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.


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 ◽  
...  

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.


Author(s):  
Samara Isabela Maia de Oliveira ◽  
Cecília Olívia Paraguai de Oliveira Saraiva ◽  
Débora Feitosa de França ◽  
Marcos Antônio Ferreira Júnior ◽  
Libna Helen de Melo Lima ◽  
...  

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.


Author(s):  
◽  

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.


2021 ◽  
Vol 15 (10) ◽  
pp. 1462-1470
Author(s):  
Carolina Matteussi Lino ◽  
Maria da Luz Rosário de Sousa ◽  
Marília Jesus Batista

Introduction: Syphilis is an infectious disease of bacterial nature, acting on organs and/or systems. The increase in the number of cases worldwide has been of concern and the infection has been considered a public health problem. Given this scenario, this study evaluates the epidemiological profile, spatial distribution, and time series of the cases of acquired syphilis, syphilis in pregnant women, and congenital syphilis in a Brazilian municipality. Methodology: This is a cross-sectional and descriptive study with second data of the notified cases. For the definition of the population universe, an initial survey of syphilis cases notified in the municipality was carried out, from January 1, 2013 to December 31, 2017. Results: There was an increase in the notified cases and the detection/incidence rates of syphilis. The epidemiological profile was composed of men (76.7%), adults (24.8%), white (60.4%), with eight or more years of study (53.7%) in addition to pregnant adolescents (36.7%) and young adults (26.0%), with inadequate treatment and untreated partners. A concentration of cases was identified in the regions with the lowest monthly income and the time series showed an increasing trend (p-value < 0.001). Conclusions: Health actions should continue to improve access to diagnosis and to notification, focusing on treatment, cure and health education actions to control and prevent new cases.


2018 ◽  
Vol 7 (2) ◽  
pp. 236-248
Author(s):  
Luana Rosso ◽  
Mariá Vaz Franco Martins ◽  
Maria Tereza Soratto ◽  
Ivanir Prá da Silva Thomé ◽  
Rozilda Lopes de Souza

A sífilis é uma doença infecciosa sistêmica de evolução crônica e muitas vezes assintomática, transmitida principalmente por via sexual e vertical. O estudo em questão trata-se de um estudo de corte transversal, retrospectivo, descritivo de natureza quantitativa e documental, a coleta de dados se deu no Programa de Atenção Municipal as DST/HIV/AIDS (PAMDHA) do município de Criciúma, através de pesquisa documental com base nos dados da Vigilância Epidemiológico do SINAN com o objetivo de investigar os casos de sífilis congênita no município. Através da pesquisa pode-se perceber que entre os anos de 2015 e 2016 constatou 3,7% do total de casos pesquisados chegaram a óbito, dos RN nascidos com sífilis 51,9% foram assintomáticos e 3,8% sintomáticos, os demais não apresentaram características. Do total de gestantes, 66,6% realizou pré-natal e foram diagnosticadas a partir do mesmo, possibilitando o tratamento. Para que haja uma menor prevalência de casos de sífilis é necessário que os profissionais da saúde adotem, além das políticas públicas já disponíveis outros hábitos que levem ao alcance de todas as classes de gestantes, para evitar mais casos de sífilis.Palavras-chave: Gestantes. Sífilis Congênita. Recém-Nascidos. Infecções Sexualmente Transmissíveis. CONGENITAL SYPHILIS: AN ANALYSIS OF THE EPIDEMIOLOGICAL PROFILE IN THE CITY OF CRICIÚMA ABSTRACT: Syphilis is a systemic infectious disease of chronic evolution and often asymptomatic, transmitted mainly through sexual and vertical. The study in question it is a cross-sectional study, retrospective, descriptive quantitative and documentary nature, data collection took place in the Attention the Municipal STD/HIV/AIDS (PAMDHA) of the city of Criciúma, through documentary research based on Epidemiological Surveillance data from SINAN aiming to investigate the cases of congenital syphilis in the municipality. Through research you can notice that between the years 2015 and 2016 found 3.7% of total cases surveyed came to death, the RN born with syphilis 51.9% 3.8% were asymptomatic and symptomatic, the others did not show characteristics. Of the total of 66.6% pregnant women, prenatal and conducted were diagnosed from the same, allowing the treatment. So there is a lower prevalence of syphilis cases is necessary that health professionals adopt, in addition to the already available public policies other habits that lead to reach of all classes of pregnant women, to prevent more cases of syphilis.Keywords: Pregnant women. Congenital Syphilis. Newborns. Sexually Transmitted Infections.


2020 ◽  
Vol 12 (6) ◽  
pp. 2339
Author(s):  
Cleilton Sampaio De Farias ◽  
Ricardo Antunes Dantas de Oliveira ◽  
Maurício R. M. P. da Luz

As hepatites virais são doenças causadas por vírus distintos (A, B, C e D), que têm em comum o acometimento particularmente forte do fígado humano. Objetivou-se mapear a distribuição das hepatites virais no Acre, no período de 2010 a 2014, por meio de dois indicadores. Esse mapeamento foi associado a proposições para explicar seus territórios, suas territorialidades e suas territorializações, sendo respectivamente os locais de maior ocorrência, as relações históricas e sociais que causaram essas enfermidades e a formação desses territórios. Em vista de tudo isto, as hepatites virais se territorializaram historicamente no Acre, possivelmente favorecidas por aspectos inadequados de vigilância epidemiológica, ligados com o controle de outras endemias que assolavam os municípios. Estes fatores, associados com as condições socioeconômicas e ambientais, com a desigualdade de renda, de escolaridade e de desenvolvimento humano desses espaços, permitiram que as relações que proporcionam a infecção e a transmissão dessas doenças fossem passadas de geração para geração. Esse processo resultou em territórios que apresentam, além de muitos casos notificados altas taxas de incidências como em Cruzeiro do Sul, Rio Branco, Tarauacá e Assis Brasil. The map of viral hepatitis in Acre: between territories and territorialities A B S T R A C TViral hepatitis are diseases caused by distinct viruses (A, B, C and D), which have in common the particularly strong involvement of the human liver. The objective of this study was to map the distribution of viral hepatitis in Acre between 2010 and 2014, using two indicators. This mapping was associated with propositions to explain their territories, their territorialities and their territorializations, being respectively the places of greatest occurrence, the historical and social relations that caused these diseases and the formation of these territories. In view of all this, viral hepatitis were historically territorialized in Acre, possibly favored by inadequate aspects of epidemiological surveillance, linked to the control of other endemic diseases that devastated the municipalities. These factors, associated with socioeconomic and environmental conditions, income inequality, schooling and human development of these spaces, allowed the relations that provide the infection and the transmission of these diseases were passed from generation to generation. This process resulted in territories that have, in addition to many cases reported high incidence rates such as Cruzeiro do Sul, Rio Branco, Tarauacá and Assis Brasil.Keywords: Viral hepatitis, Map, Territories, Acre.


2019 ◽  
Vol 19 (4) ◽  
pp. 865-872
Author(s):  
Taiza Maschio-Lima ◽  
Iara Lúcia de Lima Machado ◽  
João Paulo Zen Siqueira ◽  
Margarete Teresa Gottardo Almeida

Abstract Objectives: to assess the epidemiological profile of congenital and syphilis during pregnancy in residents of São José do Rio Preto in São Paulo State. Methods: ecological study of the epidemiological profile of patients with congenital and gestational syphilis, based on the Sistema de Informação de Agravos de Notificação (Information System for Notifiable Diseases) from 2007 to 2016. Results: there were 396 cases of syphilis reported in pregnant women and 290 of congenital syphilis. In 2016, the rate of detecting syphilis in pregnant women was 13.2 cases/1,000 live births, while congenital syphilis the incidence rate was 6.5 cases/1,000 live births. For gestational syphilis, 54% of the diagnosis was performed in 2nd or 3rd trimester and 85% were reported at the primary care. Adequate treatment for pregnant women occurred in 96% of the notifications with 52% of partners treated. In congenital syphilis, 82% of the mothers underwent prenatal care. However, 94% of the pregnant women were treated inadequately while 82% of the partners did not receive any treatment. Conclusions: there has been an increase in the number of cases of gestational syphilis in pregnant women and a decrease in the cases of congenital syphilis from 2014. These results showed that the goal of 0.5 case/1,000 live births proposed by World Health Organization is still far from being achieved in this city.


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