巴西南马托格罗索州先天性梅毒流行概况

Gilvan Caetano dos Santos Júnior, Maressa Maziero de Carvalho, Alessandra Salvatori, Karine Ferreira Barbosa, Larissa Domingues Castilho de Arruda, Danila Fernanda Rodrigues Frias
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摘要

导言:如果梅毒在妊娠期得不到治疗,会导致相当一部分胎儿和新生儿早期死亡,而且极有可能发生垂直传播,一旦发生这种情况,就会发展成先天性梅毒(CS)。目的:评估南马托格罗索州2012年至2021年先天性梅毒的流行病学概况。设计:在2012年至2021年期间,利用二手数据和以下变量开展了一项横断面、描述性、回顾性、定性和定量研究:儿童的年龄、最终诊断、母亲的年龄范围、种族或肤色、是否接受过产前护理、母亲梅毒确诊时间、母亲的治疗方案以及一岁以下儿童因先天性梅毒导致的死亡。结果:在此期间共报告了 2 932 例 CS。在该州,88.1%的病例发生在出生不到7天的儿童身上。71.4%的母亲表示接受过产前护理。根据有关母亲治疗方案的信息,39.1%的母亲未接受适当的治疗,28.8%的母亲未接受治疗,只有 3.2%的母亲接受了适当的治疗。影响:该州的 CS 发病率仍高于既定的国家参数,因此有必要加大对流行病监测的投入,因为这是 控制该疾病的第一步。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epidemiological profile of congenital syphilis in the state of Mato Grosso do Sul, Brazil
Introduction: When syphilis is not treated during pregnancy, it results in a considerable proportion of early fetal and neonatal deaths, with a high probability of vertical transmission, and when this occurs, Congenital Syphilis (CS) develops. Aim: To evaluate the epidemiological profile of SC in the state of Mato Grosso do Sul, from 2012 to 2021. Design: A cross sectional, descriptive, retrospective, qualitative and quantitative study was carried out, limited to the years 2012 to 2021, with secondary data and the variables: child's age, final diagnosis, mother's age range, race, or color, having undergone prenatal care, time of diagnosis of maternal syphilis, maternal treatment regimen and deaths due to CS in children under one year of age. Results: 2,932 cases of CS were reported during the period. In the state, 88.1% of cases were in children less than 7 days old. 71.4% of mothers reported receiving prenatal care. Given the information about the mother's therapeutic regimen, 39.1% were inadequate, 28.8% did not receive treatment and in only 3.2% the treatment was adequate. Implications: The CS incidence rate in the State remained above the established national parameter, which is why it is necessary to invest more in epidemiological surveillance, as this is the first step to controlling the disease.
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