Incidência de sífilis congênita e sua prevalência em gestantes em um município do noroeste do Paraná

Abstract

The prevalence of syphilis in pregnant women in Nova Esperanca PR Brazil, between 2013 and 2014 and the occurrence of congenital syphilis reported during the same period in the town are investigated by a descriptive and retrospective analysis. Data were retrieved from pregnant women´s clinical charts in which were included Venereal Disease Research Laboratory tests during the prenatal follow-up and compulsory reports for congenital syphilis from the town´s epidemiological sector. Thirty-six cases of pregnancy syphilis and five cases of congenital were registered. All patients had a prenatal follow-up and only one patient was diagnosed with pregnancy syphilis at birth. Results demonstrate a rise in the prevalence of congenital syphilis in Nova Esperanca between 2013 and 2014. Assessment of all pregnant women with syphilis during the prenatal period showed that 13.9% failed to have a satisfactory treatment and the etiological agent caused fetal infection. Comparison of results of current study with data for Brazil revealed a detection rate of 7.5 cases of pregnancy syphilis for every 1000 live births, whereas a rate of 4.8 cases per 1000 live cases of congenital syphilis occurred during the same year. Results reveal weak points in the care and prevention of syphilis. Health professionals should actively participate in the disease´s prevention and follow-up.