Adhesion to the monitoring of newborns from VDRL positive mothers

• Autor(a) principal: Lopes, Izailza Matos Dantas
• Data de Publicação: 2016
• Outros Autores: Aragão, José Aderval, Lopes, Adriana Dantas, Almeida-santos, Marcos, Lima, Sônia Oliveira, Fonseca, Vania, Feitosa, Vera Lúcia Corrêa, Reis, Francisco Prado
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.5935/medicalexpress.2016.06.02; http://hdl.handle.net/11449/158065
• topic: Congenital syphilis; prenatal care; prevalence; Sífilis congênita; Pré-natal; Prevalência

OBJECTIVE: Treponema pallidum is the etiological agent of congenital syphilis, which results from fetal contamination by the infected mothers, who were not treated or were inadequately treated during pregnancy.METHODS: An observational, prospective and longitudinal study, was performed (2010-2014), through the evaluation of 428 newborns during 18 months in a syphilis clinic from a Philanthropic Maternity Hospital in Aracaju, capital city of the Northeastern state of Sergipe, Brazil. The findings were statistically expressed as descriptive data and the statistical program used was SPSS (Statistical Package for Social Sciences).RESULTS AND CONCLUSIONS: The prevalence of congenital syphilis was 10.02/1,000 live births. A total of 120 (28%) of newborns did not attend the first appointment. During the observational period, at 18 months, the rate of abandonment was 75%. The average interval of healing of the newborns was 4.25 months. A high prevalence of congenital syphilis was found with low adhesion to the first consultation and monitoring period; 67.1% of newborns were treated with Crystalline Penicillin (Penicillin G) and only 3% of them required a repeat treatment.