Epidemiological profile of syphilis in pregnant women and congenital: historical series from 2011 to 2020 in the Metropolitan Health Region I, state of Pará, Brazil

• Autor(a) principal: Passos, Alessandra Teixeira dos
• Data de Publicação: 2022
• Outros Autores: Damasceno, Charliana Aragão, Corvelo , Tereza Cristina Oliveira
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/34398
• topic: Sífilis congênita; Gestantes; Assistência pré-natal; Vigilância epidemiológica.; Sífilis Congénita; Mujeres embarazadas; Atención prenatal; Monitoreo epidemiológico.; Congenital syphilis; Pregnant women; Prenatal care; Epidemiological monitoring.

Objective: To describe the epidemiological profile of syphilis in pregnant women (SG) and congenital (SC) in Health Region I, Pará state, Brazil, in the historical series from 2011 to 2020. Methodology: Ecological study of mixed design that aims to analyze the temporal trend and spatial distribution of SG and SC. The data were obtained through the Panel of Epidemiological Indicators of the Ministry of Health. Results: 3038 cases of SG and 1703 cases of SC were reported. Belém had the highest frequency of SG and SC cases, followed, respectively, by Ananindeua, Marituba, Benevides and Santa Bárbara. Significant increases in the incidence of SG were observed in all municipalities in Health Region I (p<0.05). As for the incidence of SC, there was a significant increase in Belém and Ananindeua (p<0.05), but the variations in rates were not significant in Marituba (p=0.169), Benevides (p=0.632) and Santa Bárbara (p=0.731). Among pregnant women with syphilis, there was a predominance of brown women (78.5%); age group from 20 to 29 years (57.2%); intermediate (34.0%) and low (33.5%) level of education; with a record of “prenatal care” (76.2%); who were diagnosed in the 3rd trimester of pregnancy (58%); and had inadequate treatment (48.8%). Most SC diagnoses were performed in children younger than 7 days of life (95.9%). Conclusion: The increasing incidence of SG and SC in Health Region I, in the state of Pará, points to the need for improvements in actions related to the prevention, diagnosis, treatment and control of the disease, as well as in prenatal care.