Congenital syphilis: injury panorama at a teaching Hospital

Rosalete Landim De Castro Coutinho,Elaine Meireles Castro,Régia Christina Moura Barbosa Castro,Francisco Herlanio Costa Carvalho,Cláudia Rejane Pinheiro Maciel Vidal,Karla Maria Carneiro Rolim,Vicente Lima Crisóstomo,Eveliny Silva Martins

doi:10.3823/2149

Rosalete Landim De Castro Coutinho, Elaine Meireles Castro + Show 6 more

Open Access

https://doi.org/10.3823/2149

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Abstract

Establish the profile of women with syphilis in pregnancy as well as aspects of prenatal care, and the incidence and prevalence of congenital syphilis in that specific population. Documental study at a teaching maternity in Fortaleza, CearÃ¡, Brazil. The population consisted of 787 women with syphilis diagnosed at the childbirth or curettage in the period from 2007 to 2012. The prevalence rate in pregnant women was 2.7%. In relation to health care of pregnant women, 57.82% had prenatal care. However, most (59.47%) of the diagnosis of maternal syphilis was held at childbirth or curettage and only 9.89% had proper treatment in the follow-up. Regarding the management of newborns, the data show that the majority (62.20%) had signs and symptoms of congenital syphilis; among them, 93.30% had proper treatment, although 66.85% did not undergo X-Ray (XR) of long bones. Reducing the cases of congenital syphilis depends on the quality of the prenatal care provided to those women, through training and professional involvement to fulfill the recommendations of health policies for combating syphilis.&nbsp

Highlights

IntroductionIn the context of health challenges, sexually transmitted infections (STIs) stand out for their ability to have a profound impact on the human
In the context of health challenges, sexually transmitted infections (STIs) stand out for their ability to have a profound impact on the humanRégia Christina Moura Barbosa.Address: Departamento de Enfermagem da Universidade Federal do Ceará
The collection took place from June to November 2013 by secondary data, according to the following steps: obtaining the records and reporting forms for congenital syphilis from 2007 to 2012 in the hospital surveillance core of the research institution; search for the medical records of women treated for childbirth or curettage who had the pregnancy outcome notified for congenital syphilis; building a database with the studied variables for later comparison with System for Information of Notifiable Diseases (SINAN) database for tracking possible underreporting in the system

Summary

Introduction

In the context of health challenges, sexually transmitted infections (STIs) stand out for their ability to have a profound impact on the human. Address: Departamento de Enfermagem da Universidade Federal do Ceará. They are one of the most common public health problems in the world. In Brazil, the estimates of cases of infections by sexual transmission, in the sexually active population for 2014, were 937,000 for syphilis, 1,541,800 for gonorrhea, 1,967,200 for chlamydia, 640,900 for genital herpes and 685,400 for human papilloma virus (HPV) [1]

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