Fatores associados à sifilis congênita em Sergipe

• Autor(a) principal: Santos, José Matheus de Melo
• Data de Publicação: 2018
• Outros Autores: Almeida, Lilian da Conceição
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UFS
• Texto Completo: https://ri.ufs.br/jspui/handle/riufs/18293
• topic: Sífilis; Sífilis congênita; Transmissão vertical de doença infecciosa; Cuidado pré-natal; Saúde materno-infantil; Syphilis; Congenital syphilis; Infectious disease transmission vertical; Prenatal care; Maternal and child health; CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM DE DOENCAS CONTAGIOSAS

Objectives: to identify associated factors with congenital syphilis in Sergipe, to analyze the antenatal assistance for the mothers of children with congenital syphilis and to identify the follow up of these children. Methods: transversal study accomplished in the follow up outpatient in motherhoods of Sergipe between November 2017 and April 2018 with one hundred twelve mothers with their children. After the interview with the mothers, we verify the children’s medical records, the abstracts of maternity hospital discharge and the historic of the mother’s antenatal care. The analyzed data were inserted in the software Microsoft Excel and the bivariate analyze was performed in the program Epi Info version 7.2.1.0. Results: Most women is between 20 and 24 years old (30/27.52%), 58(52.79%) live in countryside, 62(56.36%) were married. 71(63.39%) of them had studied more than eight years. The sexual activity with more than one partners in the 12 months before pregnancy was reported by 14(13.46%). The inconstant use of condom was reported by 59(53.15%); 18(16.21%) reported diagnosis of sexually transmitted infection before pregnancy. 28(25.22%) reported not knowing the severity of the disease during the pregnancy e 27(24.32%) not knowing the importance of the partner being treated. Almost the total did perform treatment and only one third had diagnosis of syphilis in the first trimester. Among who did perform treatment, 88(78.57%) were appropriate. Among the 10 cases who did not perform treatment, the main reason were service flow failure (6/60%). Most children (77/74.04%) were born normal, 106 (97.25%) did perform one complementary exam at least, 25 (22.32%) did not perform the non-treponemal testing in the spinal tap and 72 (67.92%) were asymptomatic. Among the 99 cases registered of the children’s treatment, 88(88.89%) neonates received appropriate treatment. The bivariate analyze showed significance between some study variables. Conclusion: it is very important to understand the syphilis dynamics in the state, because knowing the real magnitude of this infection and the reality of the assistance, arise the opportunity to start strategies for the improvement in the pregnancy assistance and in the prevention of the vertical transmission.