Incidência de sífilis congênita em Passo Fundo/RS

Abstract

Objectives: To identify the incidence of congenital syphilis infections and describe the epidemiological profile of infected patients. Methods: all cases of congenital syphilis notified in the municipality of Passo Fundo / RS between the years 2014-2018, obtained through the notification forms of the Notifiable Diseases System (SINAN) provided by the Municipal Health Secretariat of the municipality, were included. . Results: N of 540 patients were found. Between the years 2014 and 2018 the average annual incidence coefficients was 37.3 cases / 1,000 live births, with the highest incidence being observed in the year 2017, which reached 46.7 cases / 1,000 live births. Among newborns diagnosed with congenital syphilis, there was a predominance of cases in males (45.7%), white (83.9%), with asymptomatic clinical presentation (69%) and predominant clinical outcome in vivo (86, 9%). Among symptomatic neonates, the most common clinical sign was jaundice (64.3%). As for the maternal sociodemographic profile, the most frequent factors were age between 20 and 29 years (56.2%), white (78.1%) and incomplete elementary education (36.7%). Prenatal care was performed in 88.2% of cases, with 79.1% of mothers diagnosed during follow-up. Regarding treatment, only 33.9% performed it properly, with the partner being treated concomitantly with the pregnant woman in 49.1% of cases. Conclusions: Congenital syphilis is a serious but preventable disease. The high coefficient of incidence in the face of ample prenatal coverage and inadequate maternal treatment exposes the need for improvements in care and maternal and child follow up, suggesting the implementation of prevention and health promotion strategies for pregnant women.