Lara Leite de Oliveira

Sífilis congênita no Ceará: análise epidemiológica de uma década

Se objetivo evaluar la incidencia de la sifilis congenita en Ceara entre 2000 y 2009; describir perfil epidemiologico de gestantes cuyos recien nacidos presentaron sifilis congenita y verificar la realizacion del prenatal y de tratamiento de sus companeros. Estudio documental, realizado en julio 2010, sobre banco de datos disponible en Nucleo de Informacion y Analisis en Salud, conteniendo informaciones del Sistema Nacional de Patologias de Notificacion Obligatoria. Se notificaron 290 casos de sifilis congenita, demostrando una serie creciente ano tras ano. La mayoria de las gestantes tenia entre 20 y 34 anos (1832-62,7%), ninguna o escasa escolarizacion (162355,4%) y prenatal efectuado (207770,9%). El tratamiento inadecuado de las gestantes y la falta de tratamiento de sus companeros son una realidad en el SUSCE. La incidencia de sifilis congenita indica la calidad de atencion prenatal. Consecuentemente, su aumento en los ultimos diez anos resalta necesidad de acciones orientadas a su control.This study evaluates the incidence of congenital syphilis in the Brazilian state of Ceará from 2000 to 2009, describes the epidemiologic profile of pregnant women whose newborns had congenital syphilis and verifies the receipt of prenatal care and treatment of their partners. It is a retrospective study that was conducted in July 2010 using a Center for Information and Analysis in Health database that contains information on National Notifiable Diseases. There were 2,930 reported cases of congenital syphilis, demonstrating an annual ascending historical series. The majority of the pregnant women were 20 to 34 years of age (n=1,836, 62.7%), illiterate or with little education (n=1623, 55.4%) and had received prenatal care (n=2077, 70.9%). The inadequate treatment of women and the lack of treatment for their partners is a reality in Ceará. The incidence of congenital syphilis is a quality indicator of prenatal care. Therefore, its increase in the last ten years highlights the necessity of syphilis control.

[Congenital syphilis in Ceará: epidemiological analysis of one decade].

Se objetivo evaluar la incidencia de la sifilis congenita en Ceara entre 2000 y 2009; describir perfil epidemiologico de gestantes cuyos recien nacidos presentaron sifilis congenita y verificar la realizacion del prenatal y de tratamiento de sus companeros. Estudio documental, realizado en julio 2010, sobre banco de datos disponible en Nucleo de Informacion y Analisis en Salud, conteniendo informaciones del Sistema Nacional de Patologias de Notificacion Obligatoria. Se notificaron 290 casos de sifilis congenita, demostrando una serie creciente ano tras ano. La mayoria de las gestantes tenia entre 20 y 34 anos (1832-62,7%), ninguna o escasa escolarizacion (162355,4%) y prenatal efectuado (207770,9%). El tratamiento inadecuado de las gestantes y la falta de tratamiento de sus companeros son una realidad en el SUSCE. La incidencia de sifilis congenita indica la calidad de atencion prenatal. Consecuentemente, su aumento en los ultimos diez anos resalta necesidad de acciones orientadas a su control.This study evaluates the incidence of congenital syphilis in the Brazilian state of Ceará from 2000 to 2009, describes the epidemiologic profile of pregnant women whose newborns had congenital syphilis and verifies the receipt of prenatal care and treatment of their partners. It is a retrospective study that was conducted in July 2010 using a Center for Information and Analysis in Health database that contains information on National Notifiable Diseases. There were 2,930 reported cases of congenital syphilis, demonstrating an annual ascending historical series. The majority of the pregnant women were 20 to 34 years of age (n=1,836, 62.7%), illiterate or with little education (n=1623, 55.4%) and had received prenatal care (n=2077, 70.9%). The inadequate treatment of women and the lack of treatment for their partners is a reality in Ceará. The incidence of congenital syphilis is a quality indicator of prenatal care. Therefore, its increase in the last ten years highlights the necessity of syphilis control.

Sífilis congénita en Ceará: análisis epidemiológico de una década

Se objetivo evaluar la incidencia de la sifilis congenita en Ceara entre 2000 y 2009; describir perfil epidemiologico de gestantes cuyos recien nacidos presentaron sifilis congenita y verificar la realizacion del prenatal y de tratamiento de sus companeros. Estudio documental, realizado en julio 2010, sobre banco de datos disponible en Nucleo de Informacion y Analisis en Salud, conteniendo informaciones del Sistema Nacional de Patologias de Notificacion Obligatoria. Se notificaron 290 casos de sifilis congenita, demostrando una serie creciente ano tras ano. La mayoria de las gestantes tenia entre 20 y 34 anos (1832-62,7%), ninguna o escasa escolarizacion (162355,4%) y prenatal efectuado (207770,9%). El tratamiento inadecuado de las gestantes y la falta de tratamiento de sus companeros son una realidad en el SUSCE. La incidencia de sifilis congenita indica la calidad de atencion prenatal. Consecuentemente, su aumento en los ultimos diez anos resalta necesidad de acciones orientadas a su control.This study evaluates the incidence of congenital syphilis in the Brazilian state of Ceará from 2000 to 2009, describes the epidemiologic profile of pregnant women whose newborns had congenital syphilis and verifies the receipt of prenatal care and treatment of their partners. It is a retrospective study that was conducted in July 2010 using a Center for Information and Analysis in Health database that contains information on National Notifiable Diseases. There were 2,930 reported cases of congenital syphilis, demonstrating an annual ascending historical series. The majority of the pregnant women were 20 to 34 years of age (n=1,836, 62.7%), illiterate or with little education (n=1623, 55.4%) and had received prenatal care (n=2077, 70.9%). The inadequate treatment of women and the lack of treatment for their partners is a reality in Ceará. The incidence of congenital syphilis is a quality indicator of prenatal care. Therefore, its increase in the last ten years highlights the necessity of syphilis control.

EpidEmiological analysis of congEnital syphilis in thE statE of cEará, Brazil

Introduction: congenital syphilis is a systemic infectious disease of chronic evolution caused by the Treponema pallidum bacterium dissemination to the fetus through the placenta of infected pregnant women untreated or treated improperly, occurring at any stage of pregnancy or clinical stage of the disease. Objective: epidemiological analysis of congenital syphilis in the State of Ceara from 2007 to 2010. Methods: documentary study conducted in March, 2013, through the database available at the Center for Information and Analysis in Health which keep the information about the National System of Notifiable Diseases records. There were 1,577 notifications of congenital syphilis cases. Results: the following results were observed: 71.78% (n = 1,132) of women who had their children diagnosed with congenital syphilis attented to prenatal consultation; 46.16% (n = 728) had a diagnosis of syphilis identified only during delivery/curettage; about 69.5% (n = 1,096) of pregnant women partners did not undergo any treatment for congenital syphilis. It was noted that over 90% of children were diagnosed with congenital syphilis until the sixth day of birth, and the most prevalent final classification was recent syphilis with 83.83% (n = 1,322) of cases. The most common clinical evolution for children had a favorable outcome, as more than 75% of them underwent treatment and remained alive during the studied period. Conclusion: the thorough analysis of congenital syphilis cases and the factors involved in the process are of fundamental importance to support the actions to prevent and control the disease.