Sífilis congênita no município de Niterói: características epidemiológicas e tendência temporal

Abstract

The objective of this study was to describe the temporal distribution and the epidemiological characteristics of congenital syphilis (CS), in the city of Niteroi, from 2007 to 2016. Descriptive and temporal series study with secondary data from SINAN (reporting system of notification- congenital syphilis) and SINASC (Information system on live births) of the Municipality of Niteroi / RJ. The study population consisted of all cases of CS reported in SINAN, residents of the city of Niteroi. The incidence of congenital syphilis was calculated and performed a probabilistic relationship with SINASC to recover information ignored in the CS database. The time series of the incidence of congenital syphilis according to the social and prenatal variables was estimated by the Joinpoint regression program. A total of 754 CS cases were reported from 2007 to 2016. Most of the women received prenatal care and more than half completed seven or more consultations, but about 39% were diagnosed only during hospitalization for childbirth or curettage. The treatment regimen was inadequate or not performed (68,6%; 19,1%) in most women and only 12,2% of the partners were treated. There were high rates of congenital syphilis (23,2/ 1.000 lb in 2016), with increasing tendency over the study period (APC= 16%). There was a constant and significant increase in the incidence, especially in adolescent mothers (25,2%), with low education level (57,1%), with brown color (16,8%) and who received prenatal care (17,3%). The use of the category ignored in the analysis allowed the identification of higher rates of congenital syphilis in this category in the variables schooling and race / color of skin. The temporal series evidenced a significant increase trend for color ignored from 2012 to 2016. Training of health professionals is necessary for the adequate management of syphilis in pregnant and for the correct completion of the CS's notification form. In addition, government actions are needed to reduce social inequalities