Characterization and geospacialization of gestational and congenital syphilis in Paraná, Brazil, 2012-2020

• Autor(a) principal: Souza, Maria Luiza Almeida de
• Data de Publicação: 2023
• Outros Autores: Lima, Lucas Vinícius de, Pavinati, Gabriel, Uema, Roberta Tognollo Borotta, Nogueira, Iara Sescon, Magnabosco, Gabriela Tavares
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Baiana de Saúde Pública (Online)
• Texto Completo: https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3808
• topic: Sífilis; Gravidez; Transmissão vertical de doenças infecciosas; Infecções por treponema; Estudos epidemiológicos; Saúde Materno-Infantil; Epidemiologia Descritivo-Exploratória; Syphilis; Pregnancy; Infectious disease transmission, vertical; Treponemal infections; Epidemiologic studies; Sífilis; Embarazo; Transmisión vertical de enfermedad infecciosa; Infecciones por treponema; Estudios epidemiológicos

Syphilis remains as serious public health issue due to existing obstacles in combating gestational and congenital syphilis. Since the onset of these infections is related to maternal and programmatic factors, this study analyzed the epidemiological profile of the mother-child binomial exposed to syphilis and its spatial distribution in Paraná from 2012 to 2020. This is a descriptive, ecological study with data from Brazilian national information systems. Cases of pregnant women and children recorded between 2012 and 2020 in the state of Paraná were considered. Absolute and relative frequencies were estimated for characterization, calculating the percentage variation between the first and last three years. The Moran index was also used for geospacialization according to health regions. Most women were aged 20 to 39 years (71.24%), white (67.22%), and had up to 8 years of schooling (80.76%), with diagnosis in the primary and latent stages (76.42%). Most cases concerned male children (48.72%), diagnosed in the recent phase (96.42%), and from mothers who adhered to prenatal care (88.88%), but the partners were untreated (69.46%). Maternal diagnosis increased during prenatal care (16.61%) and infant deaths by syphilis decreased (31.25%). Most cases were notified in the Metropolitan and Pato Branco regions. In short, the pregnant women were of reproductive age, had low education, and were treated during prenatal care, but their partners were not included. The health regions showed random spatial behavior, with disparity between gestational and congenital syphilis.