Abstract
Introduction: Even though syphilis is an easily detectable and treatable disease, it is still considered a major public health problem, which may lead to Congenital Syphilis (CS). Objective: To analyze the final conclusion and the situations of vulnerability of cases of CS reported in Niterói in 2018 and 2019. Methods: A review of the reported cases of CS, except for abortions, diagnosed in 2018 and 2019, was carried out through SINAN forms and research questionnaires. Results: Of the 46 cases of CS in 2018 and the 107 cases in 2019, 8 (17.4%) and 4 (4%) did not undergo prenatal care, respectively; 2 (4.4%) and 4 (4%) were not screened for CS in the prenatal period; 3 (6.5%) and 13 (12%) were screened, but not treated; 11 (23.9%) and 17 (16%) did not receive an adequate treatment; 1 0 (21.7%) and 23 (21%) were reactive in the screening process, received adequate treatment, but were reinfected; 9 (19.6%) and 32 (30%) were reactive in the screening process, received adequate treatment, but had confirmed CS due to other criteria; 3 (6.5%) and 12 (11%) were non-reactive in prenatal care, but reactive in childbirth; and 0 (0%) and 2 (2%) were reactive, considered a serological scar, untreated, but confirmed by other criteria. The “low-income family” vulnerability aspect appears 21 times in 2018 and 50 times in 2019; “alcohol user”, 11 times in 2018; “frequent change of address”, 18 times in 2019. Conclusion: The social context of pregnant women living in Niterói in 2018 and 2019 may have determined the outcome of congenital syphilis.
Highlights
Even though syphilis is an detectable and treatable disease, it is still considered a major public health problem, which may lead to Congenital Syphilis (CS)
Of the 100 cases that appeared as CS in SINAN, we observed that 19 notifications were from outside the coverage area; 33 were exposed children; and 48 were considered as CS
In 2019, COVIG received 402 notifications of CS; of these, 169 were from non-residents, and 233 from residents of Niterói, of whom 65 were children exposed to maternal syphilis
Summary
Even though syphilis is an detectable and treatable disease, it is still considered a major public health problem, which may lead to Congenital Syphilis (CS). Transmitted diseases (STDs) are considered as a public health issue due to their major impact on the health of people and populations all around the world. This includes proposals of stronger surveillance activities, bringing up the theme and its relevance in the proper instances
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