Panorama of congenital syphilis in school hospital of the hospital of the South region of city of São Paulo

Authors

DOI:

https://doi.org/10.33448/rsd-v10i4.13952

Keywords:

Congenital syphilis; Newborn at risk; Public health; Epidemiology.

Abstract

Introduction: Congenital syphilis is an infectious disease that has the etiological agent Treponema pallidum. Its transmission is vertical hematogenous, transplacental, of infected pregnant untreated or inadequately treated for its concept. It divides into two periods: early to the second year of life, and after the second year of life, late. Detection during prenatal care is performed by screening the third trimester of pregnancy with preterm labor, as early as in the maternity ward. The detection of Treponema pallidum through non-treponemal test (VDRL), presents little specificity, high sensitivity, low cost and fast negativation in response to the treatment avoiding that the concept is born with sequels. Thus, prenatal care is an important tool in the control of the disease, and it is necessary to improve care quality, since 70% of the mothers in Brazil are prenatal, not all of them are diagnosed or have the appropriate treatment of syphilis. Objective: To establish an epidemiological panorama of the incidence of Congenital Syphilis in the socioeconomic and cultural context in which the School Hospital of the Southern Region of the city of São Paulo is inserted. Patients and Methods: This is an individualized, observational, cross-sectional study carried out by means of a medical records survey of the Hospital Infection Control Service of Hospital Escola da Região Sul in the city of São Paulo. The survey of data referring to the form with questions of interest to the mother and the newborns diagnosed with Congenital Syphilis in the period from 2012 to 2016 was developed. This project was submitted and approved by the Ethics Committee of the Santo Amaro University - SP (Plataforma Brasil - CAAE: 68103317.6.3001.5447). Results: A total of 183 cases of Congenital Syphilis were registered in the Hospital Infection Control Service of the São Paulo School Hospital from 2012 to 2016, and among these, 126 medical records were reinforced. Prenatal performance (p = 0.0060), schooling (p = 0.5107) and schooling (p = 0.8603) did not influence disease screening by showing insignificant statistical data. Success occurred with companion treatment (p = 0.0451), which showed the highest incidence in 2014 (48.1%) and 2016 (58.3) when compared to the others. Conclusion: In the presented scenario, it was verified that although prenatal and maternal treatment were performed, they were inefficient to prevent pregnant women from transmitting the disease. This is probably related to the inefficiency of the treatment of the companions, who although in the year 2014 and 2016 presented a higher incidence of accomplishment, coincided with the increase of notifications in those same years. There were no statistically significant differences in relation to other factores, a fact that causes concern in the field of Public Health.

Author Biographies

Karina Bonilha Roque , Santo Amaro University

Student of the Medical Course of Santo Amaro University (UNISA).

Bruna de Paula Alves, Santo Amaro University

Student of the Medical Course of Santo Amaro University (UNISA).

 

Beatriz Félix da Silva, Santo Amaro University

Student of the Medical Course of Santo Amaro University (UNISA).

 

Neil Ferreira Novo, Dentist, PhD in Health Sciences from UNIFESP, professor of the Master's degree in Health Sciences, Santo Amaro University (UNISA)

Dentist, PhD in Health Sciences from UNIFESP, professor of the Master's degree in Health Sciences, Santo Amaro University (UNISA)

Yara Juliano , Santo Amaro University

Hospital administrator, PhD in Health Sciences from UNIFESP, professor of the Master's degree in Health Sciences, Santo Amaro University (UNISA)

Jefferson Carlos de Oliveira, Anhanguera University Center of São Paulo

Nurse, Master's degree from the Nursing Program in the Health Care Process Centro Universitário São Camilo - São Paulo. Professor Anhanguera-Vila Mariana University Center - São Paulo. Professor of the Postgraduate Course in Urgency and Emergency - University Center Anhanguera-Vila Mariana - São Paulo.

Jane de Eston Armond, Santo Amaro University

Medical, PhD in Public Health, University of São Paulo - USP, Director of the Course of Institutional Relations in Health, Santo Amaro University, Professor of Graduate Studies: Master's degree in Health Sciences, Santo Amaro University (UNISA)

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Published

17/04/2021

How to Cite

ROQUE , K. B. .; ALVES, B. de P. .; SILVA, B. F. da .; NOVO, N. F. .; JULIANO , Y. .; OLIVEIRA, J. C. de; ARMOND, J. de E. . Panorama of congenital syphilis in school hospital of the hospital of the South region of city of São Paulo . Research, Society and Development, [S. l.], v. 10, n. 4, p. e43410413952, 2021. DOI: 10.33448/rsd-v10i4.13952. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/13952. Acesso em: 15 may. 2021.

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Health Sciences