Abstract
<h3>Background</h3> Congenital syphilis (CS) is a public health issue in Brazil. Despite the importance of on the border strip, the country do not have many data in these areas. Our goal is analyzing the profile of syphilis in pregnancy and CS in the Brazilian border strip. <h3>Methods</h3> We performed an ecological and cross-sectional study using data from 2019. Cases of Syphilis were available at the National System of Disease Notification and diagnostic and treatment data were available at the Primary Health Care System. The syphilis in pregnancy and CS detection rates per 1.000 living-births (LB) were calculated. Comparisons data were made between the municipalities in the strip border and the federative units. <h3>Results</h3> Among the 586 municipalities, 84.8% carry out rapid test, 391(67%) reported syphilis in pregnancy and 396(67.6%) applied benzathine penicillin in primary care units. Regarding CS, 366(64%) municipalities did not report CS cases, 90(17%) had a lower incidence than the national average and 102(19%) had similar or greater incidence. Around 45% of women were diagnosed in the first trimester of pregnancy; this proportion was higher in the southern region (52.6%). Around 80.5% of women received adequate treatment, with no difference between regions. The national detection rate of syphilis during pregnancy was 20.8 cases/1000LB and in border region was 23.3/1000LB. Regarding the CS incidence, we calculated 8.2/1000LB for Brazil and 5.5/1000LB for border region. It is noted that the northern region presented the lowest syphilis rate in pregnancy (19.2/1000NV) and CS (3.7/1000LB) compared to the Midwest (27.9/1000LB and 6,4/1000LB, respectively) and South (24.9/1000LB and 6.6/1000LB, respectively). <h3>Conclusion</h3> The results showed a good performance of care in pregnancy and low rate of CS. Although it is still important diagnostic and treatment implementation to qualify the care in order to reduce the vertical transmission of syphilis in the Brazilian border strip.
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