Abstract
Introduction: Congenital syphilis is a serious public health problem, it is responsible for several unfavorable outcomes such as fetal or perinatal death. In this sense, in order to provide information for better planning of education and prevention measures in vulnerable groups aiming at reducing the transmission chain, the objective of this study was to analyze epidemiological aspects of congenital syphilis in Tocantins state. Outline: Cross-sectional, retrospective study with a quantitative and descriptive approach by consulting the database of the Information System for Notifiable Diseases of Brazilian Ministry of Health from January 2009 to December 2019. Results: 1746 reports of syphilis were verified in the age group under one year of age. Regarding the mother's age group, a greater number of cases were identified between 20 and 29 years old, totaling 959 diagnosed cases. Considering the time of diagnosis, most were performed during prenatal care (945 cases), those mothers with less education had a higher incidence. Implications: The profile of congenital syphilis in Tocantins state has a high incidence of cases in the sample studied, a fact associated with deficits in the therapeutic interventions of infected pregnant women.
Highlights
Congenital syphilis is a serious public health problem, it is responsible for several unfavorable outcomes such as fetal or perinatal death
Congenital syphilis (CS) has the bacterium Treponema Pallidum as an etiologic agent, and this infection is mandatory, as it is responsible for unfavorable outcomes such as fetal or perinatal death, prematurity, low birth weight, neurological injuries, among other sequelae.[2]
The criteria for inclusion in the study were the cases diagnosed with congenital syphilis in Tocantins state, registered in the SINAN, from January 2009 to December 2019, to present the endemic behavior of the disease during the study period
Summary
Congenital syphilis is a serious public health problem, it is responsible for several unfavorable outcomes such as fetal or perinatal death. In this sense, in order to provide information for better planning of education and prevention measures in vulnerable groups aiming at reducing the transmission chain, the objective of this study was to analyze epidemiological aspects of congenital syphilis in Tocantins state. Congenital syphilis (CS) has the bacterium Treponema Pallidum as an etiologic agent, and this infection is mandatory, as it is responsible for unfavorable outcomes such as fetal or perinatal death, prematurity, low birth weight, neurological injuries, among other sequelae.[2]. In Brazil, only in 2016, 19,846 cases of CS were diagnosed, and 185 deaths in children under the age of one year were declared in the mortality information system, verifying that in ten years, there was a considerable increase in the rate of infant mortality due to CS.[2]
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