Epidemiological and clinical profile of gestational and congenital syphilis in the state of Bahia in the period 2010-2019

Authors

DOI:

https://doi.org/10.17267/2317-3378rec.2022.e4026

Keywords:

Syphilis, Gestation, Congenital syphilis, Epidemiology, Mortality

Abstract

OBJECTIVE: To describe the epidemiological and clinical profile of gestational and congenital syphilis in the state of Bahia from 2010 to 2019. METHODOLOGY:  Ecological, exploratory study, using secondary data obtained from the Informatics Department of the Unified Health System and the Superintendence of Health Surveillance and Protection, selecting all diagnosed cases of and congenital syphilis in the state of Bahia within the stipulated period. RESULTS:  The highest frequencies of gestational syphilis and congenital syphilis were observed in 2018 (4,375 and 1,902 cases, respectively). The pregnant women were aged between 19 and 27 years (49.8%) and a significant number of cases were registered during the 3rd trimester of pregnancy (34.8%). As for the epidemiology of congenital syphilis and the mortality rate, the following stood out: female children (47.9%), brown (60.8%), aged between 0 and 27 days (97%) and a rate of 15 /1,000 live births (in 2014).  CONCLUSION:  A high frequency of gestational and congenital syphilis was found in the state of Bahia. The findings may suggest failure in prenatal care and in the treatment of pregnant women and partners, indicating a need for specific attention to the pregnant woman, with strategies to reduce its occurrences, especially of congenital syphilis.

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References

Silva GM, Silva MAP, Martins DC, Pesce GB, Mendonça RR, Fernandes CAM. Gestational and congenital syphilis: incidence and factors associatedwith vertical transmission. Saud Pesq. 2021;14(2):369–82. https://doi.org/10.17765/2176-9206.2021v14n2e8837

Silva NCP, Carvalho KBS, Chaves KZC. Gestational syphilis in a public maternity hospital in Brazilian Northeast region countryside. Femina [Internet]. 2021;49(1)58-64. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1146935

Favero MLDC, Ribas KAW, Costa MCD, Bonafé SM. Congenital and gestational syphilis: notification and pre-natal care. Arq Health Sci. 2019;26(1):2–8. https://doi.org/10.17696/2318-3691.26.1.2019.1137

Bernardi LE, Ramos MC, Silva MSN, Rossetti MLR. Pilot Evaluation of a rapid immunochromatographic test for the diagnosis of gestational syphilis. DST-J Bras Doenças Sex Transm [Internet]. 2017;29(3):106–9. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-879139

Cesar JA, Camerini AV, Paulitsch RG, Terlan RJ. Non-performance of serological tests for syphilis during prenatal care: prevalence and associated factors. Rev Bras Epidemio. 2020;23:e200012. https://doi.org/10.1590/1980-549720200012

Lafetá KRG, Martelli Júnior H, Silveira MF, Paranaíba LMR. Maternal and congenital syphilis, underreported and difficult to control. Rev Bras Epidemio. 2016;19(1):63–74. https://doi.org/10.1590/1980-5497201600010006

Soares MAS, Aquino R. Association between the incidence rates for gestational syphilis and congenital syphilis and prenatal care coverage in the State of Bahia, Brazil. Cad Saúde Pública. 2021;37(7):e00209520. https://doi.org/10.1590/0102-311X00209520

Secretaria da Saúde do Estado da Bahia (Brasil). Boletim Epidemiológico de Sífilis. Salvador: Secretaria de Saúde do Estado da Bahia; 2019. Available from: http://www.saude.ba.gov.br/wp-content/uploads/2018/08/boletim_sifilis_2019.pdf

Oliveira JS, Santos JV. Perfil Epidemiológico da Sífilis Congênita no Estado da Bahia no período de 2010 a 2013. Rev Eletrôn Atualiza Saúde [Internet]. 2015;2(2). Available from: https://atualizarevista.com.br/article/perfil-epidemiologico-da-sifilis-congenita-no-estado-da-bahia-no-periodo-de-2010-a-2013-v-2-n-2/

Conceição HN, Câmara JT, Pereira BM. Epidemiological and spatial analysis of cases of gestational and congenital syphilis. Saúde Debate. 2019;43(123):1145–58. https://doi.org/10.1590/0103-1104201912313

Santos GC, Borges-Paluch LR, Cerqueira TPS, Passos NCR. Prevalence and factors associated with syphilis in pregnancy answered by the sus in municipality of bahia. Rev Baiana Saúde Pública. 2015;39(3):529–41. https://doi.org/10.22278/2318-2660.2015.v39.n3.a1758

Padovani C, Oliveira RR, Pelloso SM. Syphilis in during pregnancy: association of maternal and perinatal characteristics in a region of southern Brazil. Rev Latino-Am. 2018;26:e3019. https://doi.org/10.1590/1518-8345.2305.3019

Hong FC, Wu XB, Yang F, Lan LN, Guan Y, Zhang CL, et al. Risk of Congenital Syphilis (CS) Following Treatment of Maternal Syphilis: Results of a CS Control Program in China. Clin. 2017;65(4):588–94. https://doi.org/10.1093/cid/cix371

Parkes-Ratanshi R, Kimeze JM, Nakku-Joloba E, Hamill MM, Namawejje M, Kiragga A, et al. Low male partner attendance after syphilis screening in pregnant women leads to worse birth outcomes: The Syphilis Treatment of Partners (STOP) randomised control trial. J Sex Health. 2020;17(3):214–22. https://doi.org/10.1071/SH19092

Domingues RMSM, Leal MC. Incidence of congenital syphilis and factors associated with vertical transmission: data from the Birth in Brazil study. Cad Saude Publica. 2016;32(6):e00082415. https://doi.org/10.1590/0102-311X00082415

Sousa OC, Matos PVC, Aguiar DG, Rodrigues RL, Cordeiro DSM, Ferreira MCS. Congenital syphilis: the reflex of pre natal care in Bahia. Braz. J. Health Rev. [Internet]. 2019;2(2):1356–76. Available from: https://www.brazilianjournals.com/index.php/BJHR/article/view/1352

Peterman TA, Kidd SE. Trends in deaths due to syphilis, United States, 1968-2015. Sex Transm Dis. 2019;46(1):37–40. https://doi.org/10.1097/OLQ.0000000000000899

Bezerra MLMB, Fernandes FECV, Nunes JPO, Baltar SLSMA, Randau KP. Congenital syphilis as a measure of maternal and child healthcare, Brazil. Emerging Infect Dis. 2019;25(8):1469–76. https://doi.org/10.3201/eid2508.180298

Gomez GB, Kamb ML, Newman LM, Mark J, Broutet N, Hawkes SJ. Untreated maternal syphilis and adverse outcomes of pregnancy: a systematic review and meta-analysis. Bull Word Health Organ [Internet]. 2013;91:217–26. Available from: https://www.scielosp.org/pdf/bwho/2013.v91n3/217-226/en

Saraceni V, Guimarães MHFS, Theme Filha MMT, Leal MC. Perinatal mortality due to congenital syphilis: a quality-of-care indicator for women's and children's healthcare. Cad Saúde Pública. 2005;21(4):1244-50. https://doi.org/10.1590/S0102-311X2005000400027

Published

01/06/2022

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Original Articles

How to Cite

1.
Barreto Cerqueira L, Andrade de Jesus T, de Menezes Andrade AC, Cardoso dos Santos Oliveira M, Aires Brasil C. Epidemiological and clinical profile of gestational and congenital syphilis in the state of Bahia in the period 2010-2019. Rev Enf Contemp [Internet]. 2022 Jan. 6 [cited 2024 Jul. 3];11:e4026. Available from: https://www5.bahiana.edu.br/index.php/enfermagem/article/view/4026

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