Father’s treatment of children with congenital syphilis

Authors

DOI:

https://doi.org/10.33448/rsd-v12i3.40775

Keywords:

Syphilis, Congenital; Sexual Partners; Drug Therapy; Pregnancy.

Abstract

Introduction: Congenital syphilis (CS) is an important public health problem in Brazil. Failure to treat sexual partners is one of the main factors that make it difficult to control CS and continues to be a challenge for health professionals (Rocha, et al., 2019). The partner's poor adherence contributes to the exponential growth in the number of infections and children affected with CS in recent years, but such data are still limited. Objective: The objective was to conduct a survey to evaluate the treatment of partners of puerperal women who had syphilis during pregnancy and whose children were diagnosed with congenital syphilis. Methods: Cross-sectional, retrospective and analytical study carried out in a Philanthropic Maternity Hospital in Aracaju SE, from 2010 to 2020. Data were collected from the paper records of patients with congenital syphilis, at the newborn follow-up clinic. Results: With regard to maternal treatment, 5.4% of the women were not treated, 15.8% were inadequately treated and 78.8% were adequately treated. Regarding paternal treatment, 30.4% of the men did not, 29.6% did it inappropriately and 40.1% were treated properly. Furthermore, 25.3% had 1 child with the disease in another pregnancy and 6.8% had 2 or more children with syphilis. The incidence of abortions was zero for 75.8% of women. Conclusion: Through this vision, it is concluded that the treatment of the partners of seropositive women during pregnancy is still neglected in Brazil, since approximately 30% of the men in this analysis were not treated for syphilis and 30% were treated inappropriately.

References

Brasil; Ministério da Saúde. (2022). Boletim Epidemiológico: Sífilis 2022. Brasília. https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/epidemiologicos/especiais/2022/boletim-epidemiologico-de-sifilis-numero-especial-out-2022

Brasil. Ministério da Saúde. (2016). Guia do pré-natal do parceiro para profissionais de saúde. Brasília, DF. https://bvsms.saude.gov.br/bvs/publicacoes/guia_pre_natal_parceiro_profissionais_saude.pdf

Brasil; Ministério da Saúde. (2022). Protocolo Clínico e Diretrizes Terapêuticas para Atenção Integral às Pessoas com Infecções Sexualmente Transmissíveis – IST. Brasília. https://bvsms.saude.gov.br/bvs/publicacoes/protocolo_clinico_atecao_integral_ist.pdf

Cope, A. B., Bernstein, K. T., Matthias, J., Rahman, M., Diesel, J. C., Pugsley, R. A., Schillinger, J. A., Chew Ng, R. A., Klingler, E. J., Mobley, V. L., Samoff, E., & Peterman, T. A. (2021). Effectiveness of Syphilis Partner Notification After Adjusting for Treatment Dates, 7 Jurisdictions. Sexually Transmitted Diseases, 49(2), 160–165. https://doi.org/10.1097/olq.0000000000001518

Folke, T., & Menon-Johansson, A. S. (2022). An Evaluation of Digital Partner Notification Tool Engagement and Impact for Patients Diagnosed With Gonorrhea and Syphilis. Sexually Transmitted Diseases, 49(12), 815–821. https://doi.org/10.1097/olq.0000000000001707

Júnior, Dioclécio C., & Burns, D. A. R., & Lopez, F. A. (2021). Tratado de pediatria. v.1. Editora Manole.

Menezes L. O., Floriano T. V. N., & Lopes I. M. D. (2021). Impacto do perfil socioeconômico de gestantes e parceiros na avaliação da qualidade do pré-natal. Revista Eletrônica Acervo Saúde, 13(1), e5686. https://doi.org/10.25248/reas.e5686.2021

Nakku-Joloba, E., Kiguli, J., Kayemba, C. N., Twimukye, A., Mbazira, J. K., Parkes-Ratanshi, R., Birungi, M., Kyenkya, J., Byamugisha, J., Gaydos, C., & Manabe, Y. C. (2019). Perspectives on male partner notification and treatment for syphilis among antenatal women and their partners in Kampala and Wakiso districts, Uganda. BMC infectious diseases, 19(1), 124. https://doi.org/10.1186/s12879-019-3695-y

Parkes-Ratanshi, R., Mbazira Kimeze, J., Nakku-Joloba, E., Hamill, M. M., Namawejje, M., Kiragga, A., Kayogoza Byamugisha, J., Rompalo, A., Gaydos, C., & Manabe, Y. C. (2020). Low male partner attendance after syphilis screening in pregnant women leads to worse birth outcomes: the Syphilis Treatment of Partners (STOP) randomised control trial. Sexual health, 17(3), 214–222. https://doi.org/10.1071/SH19092

Pereira Da Silva, N., Serafim De Carvalho, K., Zolinda, K., & Chaves, C. (2020). Sífilis gestacional em uma maternidade pública no interior do Nordeste brasileiro Gestational syphilis in a public maternity hospital in Brazilian Northeast region countryside. https://docs.bvsalud.org/biblioref/2021/02/1146935/femina_2020_491_p5864sifilisgestacionalemumamaternidade_5e0G9Ch.pdf#:~:text=Quanto%20%C3%A0%20fase%20da%20doen%C3%A7a

Resende, W. M. G., Silva, G. P. O., Ferreira, A. S., Santos, K. F. L., Cruz, Í. R. R., & Lopes, I. M. D. (2021). Sífilis congênita: análise do bonômio mãe/filho no estado de Sergipe na última década / Congenital syphilis: analysis of the mother-child bonomies in the state of Sergipe in the last decade. Brazilian Journal of Health Review, 4(6), 24484–24497. https://doi.org/10.34119/bjhrv4n6-072

Rocha, A. F. B., Araújo, M. A. L., Miranda, A. E., de Leon, R. G. P., da Silva Junior, G. B., & Vasconcelos, L. D. P. G. (2019). Management of sexual partners of pregnant women with syphilis in northeastern Brazil - a qualitative study. BMC health services research, 19(1), 65. https://doi.org/10.1186/s12913-019-3910-y

Soares, L. G., Zarpellon, B., Soares, L. G., Baratieri, T., Lentsck, M. H., & Mazza, V. de A. (2017). Gestational and congenital syphilis: maternal, neonatal characteristics and outcome of cases. Revista Brasileira de Saúde Materno Infantil, 17(4), 781–789. https://doi.org/10.1590/1806-93042017000400010

Swayze, E. J., Cambou, M. C., Melo, M., Segura, E. R., Raney, J., Santos, B. R., Lira, R., Pinto, R. B., Varella, I. R. dos S., & Nielsen-Saines, K. (2022). Ineffective penicillin treatment and absence of partner treatment may drive the congenital syphilis epidemic in Brazil. AJOG Global Reports, 2(2), 100050. https://doi.org/10.1016/j.xagr.2022.100050

Torres, R. G., Mendonça, A. L. N., Montes, G. C., Manzan, J. J., Ribeiro, J. U., Paschoini, M. C., Torres, R. G., Mendonça, A. L. N., Montes, G. C., Manzan, J. J., Ribeiro, J. U., & Paschoini, M. C. (2019). Syphilis in Pregnancy: The Reality in a Public Hospital. Revista Brasileira de Ginecologia E Obstetrícia, 41(2), 90–96. https://doi.org/10.1055/s-0038-1676569

Torres, P. M. A., Reis, A. R. de P., Santos, A. S. T. dos, Negrinho, N. B. da S., Menegueti, M. G., & Gir, E. (2022). Factors associated with inadequate treatment of syphilis during pregnancy: an integrative review. Revista Brasileira de Enfermagem, 75(6). https://doi.org/10.1590/0034-7167-2021-0965

Uchôa, T. L. D. A., Araújo, E. D. C., da Silva, R. A. R., Valois, R., de Azevedo Junior, W. S., Nascimento, V. G. C., Aben-Athar, C. Y. U. P., Parente, A. T., Botelho, E. P., & Ferreira, G. R. O. N. (2022). Determinants of gestational syphilis among women attending prenatal care programs in the Brazilian Amazon. Frontiers in public health, 10, 930150. https://doi.org/10.3389/fpubh.2022.930150

Zhang, X. H., Chen, Y. M., Sun, Y., Qiu, L. Q., & Chen, D. Q. (2019). Differences in maternal characteristics and pregnancy outcomes between syphilitic women with and without partner coinfection. BMC pregnancy and childbirth, 19(1), 439. https://doi.org/10.1186/s12884-019-2569-z

Published

17/03/2023

How to Cite

CORREIA, V. L. de S. .; LOPES, I. M. D. .; ALMEIDA, R. C. .; GONÇALVES, A. C. O. S. .; CEDRAZ, M. E. S. .; COUTO, F. D. S. do . Father’s treatment of children with congenital syphilis. Research, Society and Development, [S. l.], v. 12, n. 3, p. e25612340775, 2023. DOI: 10.33448/rsd-v12i3.40775. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/40775. Acesso em: 23 apr. 2024.

Issue

Section

Health Sciences