BR Wakim Ferla, Caico Bruno Curcio Oliva de Paula, F. Barros, Victoria Marsura Caselli, Claudia Polubriaginof
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引用次数: 0
摘要
导言:性传播感染是一个公共卫生问题,影响到社会的其他领域。先天性梅毒就是一个例子,梅毒螺旋体通过胎盘传播给胎儿,死亡率很高。尽管如此,诊断可以在产前护理,加强其重要性。目的:了解和加深对先天性梅毒的认识,强调预防、诊断和治疗的初级卫生保健。材料和方法:基于PubMed、Scielo和Public Health articles收录的科学文章对先天性梅毒进行文献综述。使用了以下描述词:“性传播感染”、“梅毒”、“先天性梅毒”、“怀孕”、“新生儿”、“后果”、“治疗”和“青霉素”。结果:先天性梅毒主要由妊娠期细菌垂直传播或新生儿接触母体病变引起。其致病性取决于宿主的营养、环境和免疫反应。它的诊断是在怀孕期间通过密螺旋体和非密螺旋体检测作出的,应在孕妇、伴侣和未来的新生儿中尽快开始治疗,阻断传播链并预防新病例。结论:先天性梅毒的理想控制仍存在许多挑战,婴儿死亡和流产的比例仍然很高。
Introduction: Sexually transmitted infections are a public health problem that has consequences in other areas of society. An example is congenital syphilis, where the agent Treponema pallidum is transmitted to the fetus via placenta, with a high death rate. Despite this, the diagnosis can be made during prenatal care, reinforcing its importance. Objective: To identify and deepen knowledge about congenital syphilis, emphasizing primary health care for prevention, diagnosis, and treatment. Materials and methods: Literature review on congenital syphilis based on scientific articles included in PubMed, Scielo and Public Health Articles. The following descriptors were used: “STI”, “syphilis”, “congenital syphilis”, “pregnancy”, “newborns”, “consequences”, “treatment” and “penicillin”. Results: Congenital syphilis is caused by the vertical transmission of bacterium during pregnancy or by the newborn’s contact with maternal lesions. Its pathogenicity depends on the host’s nutrition, environment, and immune response. Its diagnosis is made during pregnancy by treponemic and non-treponemic tests and treatment should be started as soon as possible, in the pregnant woman, in the partner and in the future newborn, interrupting the transmission chain and preventing new cases. Conclusion: There are many challenges for the ideal control of congenital syphilis, still with a high number of infant deaths and abortion.