Syphilis in pregnant women in Acre: an analysis of the period from 2015 to 2020

Abstract

OBJECTIVE: To describe cases of syphilis in pregnant women in the state of Acre from 2015 to 2020. METHOD: This is a descriptive ecological study using secondary data available on the website of the Information Department of the Unified Health System - DATASUS, tabulated from the TABNET whose variables used were: year of notification, level of education, age group, race/color, clinical classification, gestational age, and treatment regimen. RESULTS: 2443 cases were reported in the period, and most were aged between 20 and 29 years, 1146 (47%), with incomplete primary education 677 (28%) and brown race/color 1983 (81%). The disease had its highest peak in 2018, with the notification of 627 (26%) cases, showing a reduction from this year. As for the clinical classification, most were classified as primary syphilis 900 (37%), diagnosed in the 1st trimester of pregnancy 876 (36%). As for the treatment scheme used, the one without information in the system predominated 1891 (77.4%), and among the available data, penicillin was the antibiotic of choice 529 (21.7%). CONCLUSION: it was found that the cases of syphilis in Acre showed a reduction in the last year analyzed, which may be related to the low frequency of prenatal care due to the Covid-19 pandemic. Young women were affected and classified as primary syphilis in the 1st trimester of pregnancy.