Analysis of protocols for the treatment of congenital syphilis: A scoping review
DOI:
https://doi.org/10.33448/rsd-v13i3.45406Keywords:
Syphilis, congenital; Syphilis; Clinical protocols.Abstract
Introduction: Congenital syphilis is an infectious disease caused by the bacterium Treponema pallidum with gestational transmission, which has a significant impact on the health of the fetus. Although prevention of this disease during pregnancy is safe and the treatment effective, its incidence has remained high in several countries, especially Brazil, which makes congenital syphilis a serious global public health problem that needs to be studied. Objective: To analyze the protocols for the treatment of congenital syphilis in Brazil and the United States in order to identify possible reasons for the increase in the incidence rate of this disease in different countries with different territorial areas, development rates and economies. Method: This is a scoping review based on a search of the PubMed database for the period 2013 to 2023. Results: One of the main factors responsible for the difference in congenital syphilis rates in each country is economic and territorial differences. In addition, the offer of screening for syphilis during pregnancy is not homogeneous throughout the territory of the countries analyzed and there are differences in the form of access for each social group within the same country. Conclusion: The protocols of the two countries analyzed are adequate and the biggest problem is adequate access to information and screening during prenatal care, treatment during pregnancy, for both the pregnant woman and her partner, and after childbirth.
References
Arksey, H., & O'Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19-32.
Bezerra, M. L. d. M. B., Fernandes, F. E. C. V., de Oliveira Nunes, J. P., de Araújo Baltar, S. L. S. M., & Randau, K. P. (2019). Congenital Syphilis as a Measure of Maternal and Child Healthcare, Brazil. Emerging Infectious Diseases, 25(8), 1469–1476. https://doi.org/10.3201/eid2508.180298
Brasil, (2022). Guia de Vigilância em Saúde. Ministério da Saúde, & Secretaria de Vigilância em Saúde.
Brasil, (2022). Protocolo clínico e diretrizes terapêuticas para atenção integral às pessoas com infecções sexualmente transmissíveis (IST). Ministério da Saúde, & Secretaria de Vigilância em Saúde.
Brasil, (2022). Protocolo clínico e diretrizes terapêuticas para prevenção da transmissão vertical do HIV, sífilis e hepatites virais. Ministério da Saúde, & Secretaria de Vigilância em Saúde.
Brasil, (2023). Boletim epidemiológico - Sífilis. Ministério da Saúde, & Secretaria de Vigilância em Saúde.
CDC. (2021). Congenital Syphilis - STI Treatment Guidelines. Centers for Disease Control and Prevention. https://www.cdc.gov/std/treatment-guidelines/congenital-syphilis.htm
Coelho, L. F. & Coelho, C. M. (2019). Tratamento de sífilis com ceftriaxona e sua eficácia na prevenção da sífilis congênita. Revista da Faculdade de Medicina de Teresópolis. 3 (2), página 80-89
Conceição, H. N. d., Câmara, J. T., & Pereira, B. M. (2019). Análise epidemiológica e espacial dos casos de sífilis gestacional e congênita. Saúde em Debate, 43(123), 1145–1158. https://doi.org/10.1590/0103-1104201912313
CONITEC, (2015). Penicilina benzatina para prevenção da Sífilis Congênita durante a gravidez. Comissão Nacional de Incorporação de Tecnologias no SUS.
de Brito Pinto, T. K., da Cunha-Oliveira, A. C. G. D. P., Sales-Moioli, A. I. L., Dantas, J. F., da Costa, R. M. M., Silva Moura, J. P., Gómez-Cantarino, S., & Valentim, R. A. d. M. (2022). Clinical Protocols and Treatment Guidelines for the Management of Maternal and Congenital Syphilis in Brazil and Portugal: Analysis and Comparisons: A Narrative Review. International Journal of Environmental Research and Public Health, 19(17), 10513. https://doi.org/10.3390/ijerph191710513
Ehrenreich, K., & Kimport, K. (2022). Prenatal Care as a Gateway to Other Health Care: A Qualitative Study. Women's Health Issues. https://doi.org/10.1016/j.whi.2022.08.006.
Feitosa, J. A. d. S., da Rocha, C. H. R., & Costa, F. S. (2016). Artigo de Revisão: Sífilis congênita. Revista de Medicina e Saúde de Brasília, 5(2), 286–297.
Gouveia, A. I., & Borges-Costa, J. (2014). Sífilis na gravidez. Revista Da Sociedade Portuguesa De Dermatologia E Venereologia, 71(4), 513-517. https://doi.org/10.29021/spdv.71.4.213
Holcomb, D. S., Pengetnze, Y., Steele, A., Karam, A., Spong, C., & Nelson, D. B. (2021). Geographic barriers to prenatal care access and their consequences. American Journal of Obstetrics & Gynecology MFM, 3(5), 100442. https://doi.org/10.1016/j.ajogmf.2021.100442
Joanna Briggs Institute. (2015). The Joanna Briggs Institute reviewers’ manual 2015: Methodology for JBI scoping reviews. Adelaide: The Joanna Briggs Institute, 6-22.
Kimball, A., Torrone, E., Miele, K., Bachmann, L., Thorpe, P., Weinstock, H., & Bowen, V. (2020). Missed Opportunities for Prevention of Congenital Syphilis — United States, 2018. MMWR. Morbidity and Mortality Weekly Report, 69(22), 661–665. https://doi.org/10.15585/mmwr.mm6922a1
Paula, M. A. d., Simões, L. A., Mendes, J. C., Vieira, E. W., Matozinhos, F. P., & Silva, T. M. R. d. (2022). Diagnóstico e tratamento da sífilis em gestantes nos serviços de Atenção Básica. Ciência & Saúde Coletiva, 27(8), 3331–3340. https://doi.org/10.1590/1413-81232022278.05022022
Ribeiro, D. A. P. C. G. & dos Santos Morais, M. O. (2023). A importância do exame de sífilis no pré-natal. Revista Inova Saúde, 13(2), 119-27
Santos, A. A. A. d., Araújo, F. A. G. d., & Guimarães, T. M. M. (2022). Qualidade da assistência pré-natal associada à incidência de sífilis congênita: revisão integrativa. Research, Society and Development, 11(14), Artigo e541111436854. https://doi.org/10.33448/rsd-v11i14.36854
Soares, J. A. S., Holzmann, A. P. F., Alves, B. B. d. S., Lima, C. F. Q., & Caldeira, A. P. (2023). Congenital syphilis: associated factors in a follow-up outpatient clinic. Revista Paulista de Pediatria, 41. https://doi.org/10.1590/1984-0462/2023/41/2022049
Torres, P. M. A., Reis, A. R. d. P., Santos, A. S. T. d., Negrinho, N. B. d. S., Menegueti, M. G., & Gir, E. (2022). Fatores associados ao tratamento inadequado da sífilis na gestação: revisão integrativa. Revista Brasileira de Enfermagem, 75(6). https://doi.org/10.1590/0034-7167-2021-0965pt
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Jordana Alves Novais; Juliana Silva Albuquerque; Larissa Bernardes Araújo Garrido; Adriana Helena de Matos Abe
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
