Profile and Spatialization of Pregnant Women with Gestational Syphilis and Congenital Syphilis in a Municipality in South Brazil

Anversa Elenir Terezinha Rizzetti, Santos Tamires Daros dos, Lock Nicássia Cioquetta, Beck Sandra Trevisan, Ramos Silva, Rosa Valéria Parecida da, Weiller Teresinha Heck
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Abstract

Introduction: Congenital Syphilis (CS) is one of the most serious adverse outcomes in pregnancy, avoidable through early detection and treatment of the pregnant woman and her sexual partner. Objectives and methods: To analyze and spatialize the occurrence of CS and Gestational Syphilis (GS) in a municipality in the central region of Rio Grande do Sul, from 2007 to 2012, by observing the population profile, using secondary data from the Notifiable Diseases Information System (SINAN-NET) database. Results: During this period, 128 cases of GS and 73 cases of CS were notified. The frequency of notifications during the studied period increased from 2.3% to 39.2% for GS and from 1% to 41% for CS. Only 23.4% of the pregnant women’s partners with GS were treated during antenatal care. Considering the number of GS and CS cases notified by administrative region, the greatest percentage occurred in the West region of the municipality. Conclusion: GS and CS have increased considerably in the municipality. Actions are needed that qualify the attention to antenatal care and focus on the iniquity and health conditioning factors to reach the integrality of care.
巴西南部一个城市妊娠期梅毒和先天性梅毒孕妇的概况和空间化
先天性梅毒(CS)是妊娠期最严重的不良后果之一,可通过孕妇及其性伴侣的早期发现和治疗来避免。目的与方法:利用来自官方疾病信息系统(SINAN-NET)数据库的二次数据,对2007 - 2012年南里奥格兰德州中部某市的CS和妊娠期梅毒(GS)的发生情况进行分析和空间化。结果:共报告GS病例128例,CS病例73例。在研究期间,GS的报告频率从2.3%增加到39.2%,CS从1%增加到41%。只有23.4%的患有GS的孕妇伴侣在产前保健期间接受了治疗。从各行政区域通报的GS和CS病例数来看,该市西部地区的比例最高。结论:在本市,GS和CS有明显的增加。需要采取行动,使对产前保健的关注有资格,并将重点放在不公平和健康条件因素上,以达到保健的完整性。
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