EPIDEM/OLOGI CALFINDING S OF CONGENITAL SYPHILIS ATA MATERNITY SERVICE IN CAMPOS DOS GOYTACAZES, RJ.

• Autor(a) principal: Campos Fernandes, Rafael de Souza
• Data de Publicação: 2006
• Outros Autores: Campos Fernandes, Ricardo de Souza, Campos Fernandes, Regina Célia de Souza
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Científica da Faculdade de Medicina de Campos
• DOI: 10.29184/1980-7813.rcfmc.167.vol.1.n1.2006
• Texto Completo: https://www.fmc.br/ojs/index.php/RCFMC/article/view/167
• topic: Sífilis congênita; Recém-nascido; Gestante; Congenital syphilis; Newborn; Pregnant women

lntroduction: Mother-to-child transmission occurs almost in all babies bom of women with untreated primary or secondary syphili s. lnfection can be transmitted to the fetus at any time during gestation or any clinical stage of disease in pregnant women. Brazilian Public Health did not achieve the year 2000 goal for elimination of congenital syphilis setat < 1 case for 1000 newborns. Objectives: To describe and analyze the epidemiological profil es of pregnant women reacti ves by VDRL testing at delivery or submitted to curettage at the Maternity Unit of the Hospital da Sociedade Portuguesa de Beneficência de Campos in Campos- RJ from 2003 to 2004; to notify cases of congenital syphilis, conclude investigationsand  treat  confirmed cases. Methods: Analysi s of 33 notifi cations of congenital syphilis. The frequencies of vari ablesunder study were determined as well  as the frequency of syphilis (95% confidence interval). Associations of variables with the outcome "congenit al syphili  s"  wereverifi edusi ngthe Fisher exact t est. Results: 72,7% of womenwere <30 years of age; 78,8% had only fir st gradeeducationlevel; story of abortion was repor t ed by 39,4% and story of still borns was reported by 15,2%; 84,8% of pregnant women had access to prenatal care and 33,3% of those we re di agnosed with syphili s. The final classification of studied cases was: 2 newborns with confirmed syphilis and 8 cases of suspected syphilis (1newborn, 6 abortions and 1 stillborn). Conclusions: lt  is necessary to improve the efficiency of antenatal care and the universal screening by VDRL of pregnant women at admission for delivery. lt is crucial to test for VDRL all babies born of women with positive VDRL. Newborns must have complete  investigation before releasing them from the hospital.