Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil

Detalhes bibliográficos
Autor(a) principal: Rodrigues, Danielle Carvalho
Data de Publicação: 2017
Outros Autores: Domingues, Rosa Maria Soares Madeira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/25685
Resumo: 2018-10-31
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spelling Rodrigues, Danielle CarvalhoDomingues, Rosa Maria Soares Madeira2018-04-09T15:41:02Z2018-04-09T15:41:02Z2017RODRIGUES, Danielle Carvalho; DOMINGUES, Rosa Maria Soares Madeira. Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil. International Journal of Health Planning and Management, out. 2017.0749-6753https://www.arca.fiocruz.br/handle/icict/2568510.1002/hpm.2463engWileyManagement of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2018-10-31Fundação Municipal de Saúde de Teresina, Teresina, BrazilFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Aims: The aim of the study is to verify the knowledge and practices of health professionals working in prenatal care (PNC) relatedwith syphilis during pregnancy and to identify the main barriers to the implementation of protocols for the control of this disease. Methods: A cross‐sectional study in Teresina, Brazil, from January to May 2015, was conducted with 366 physicians and nurses working in PNC, corresponding to 70% of eligible professionals. We evaluated 20 knowledge and practice criteria related to the diagnosis and treatment of syphilis during pregnancy with a 95% compliance standard. We performed descriptive analysis of the data and used χ2 statistical test to verify differences according to professional category. Results: Only 2 criteria, “knowledge about mother to child transmission according to gestational age” and “counselling on infection,” reached 95% compliance. Knowledge of the epidemiological profile of congenital syphilis and the goal of elimination of congenital syphilis and knowledge about serological tests had scores below 50%, while practices related with posttest counselling, cure control, and treatment of partners reached 60%. We identified organisational barriers related to the late initiation of PNC, to the delayed return of syphilis test results, to the application of benzathine penicillin in primary care units and to the treatment of partners. Conclusions: Strategies for early initiation of PNC, implementation of rapid tests for syphilis, ensuring treatment of pregnant women with penicillin, adequate partner treatment, and continued education of health professionals on clinical management and counselling in sexually transmitted diseases are necessary to eliminate congenital syphilis.Clinical ProtocolsFamily Health StrategyPrenatal CareSyphilisInfectious Disease Transmission, VerticalProtocolos ClínicosEstratégia Saúde da FamíliaCuidado Pré-NatalSífilisTransmissão Vertical de Doença Infecciosainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; 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dc.title.pt_BR.fl_str_mv Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil
title Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil
spellingShingle Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil
Rodrigues, Danielle Carvalho
Clinical Protocols
Family Health Strategy
Prenatal Care
Syphilis
Infectious Disease Transmission, Vertical
Protocolos Clínicos
Estratégia Saúde da Família
Cuidado Pré-Natal
Sífilis
Transmissão Vertical de Doença Infecciosa
title_short Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil
title_full Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil
title_fullStr Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil
title_full_unstemmed Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil
title_sort Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil
author Rodrigues, Danielle Carvalho
author_facet Rodrigues, Danielle Carvalho
Domingues, Rosa Maria Soares Madeira
author_role author
author2 Domingues, Rosa Maria Soares Madeira
author2_role author
dc.contributor.author.fl_str_mv Rodrigues, Danielle Carvalho
Domingues, Rosa Maria Soares Madeira
dc.subject.en.pt_BR.fl_str_mv Clinical Protocols
Family Health Strategy
Prenatal Care
Syphilis
Infectious Disease Transmission, Vertical
topic Clinical Protocols
Family Health Strategy
Prenatal Care
Syphilis
Infectious Disease Transmission, Vertical
Protocolos Clínicos
Estratégia Saúde da Família
Cuidado Pré-Natal
Sífilis
Transmissão Vertical de Doença Infecciosa
dc.subject.decs.pt_BR.fl_str_mv Protocolos Clínicos
Estratégia Saúde da Família
Cuidado Pré-Natal
Sífilis
Transmissão Vertical de Doença Infecciosa
description 2018-10-31
publishDate 2017
dc.date.issued.fl_str_mv 2017
dc.date.accessioned.fl_str_mv 2018-04-09T15:41:02Z
dc.date.available.fl_str_mv 2018-04-09T15:41:02Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv RODRIGUES, Danielle Carvalho; DOMINGUES, Rosa Maria Soares Madeira. Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil. International Journal of Health Planning and Management, out. 2017.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/25685
dc.identifier.issn.pt_BR.fl_str_mv 0749-6753
dc.identifier.doi.none.fl_str_mv 10.1002/hpm.2463
identifier_str_mv RODRIGUES, Danielle Carvalho; DOMINGUES, Rosa Maria Soares Madeira. Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil. International Journal of Health Planning and Management, out. 2017.
0749-6753
10.1002/hpm.2463
url https://www.arca.fiocruz.br/handle/icict/25685
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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