Syphilis in pregnancy and congenital syphilis in Palmas, Tocantins State, Brazil, 2007-2014

Epidemiol Serv Saude. 2017 Apr-Jun;26(2):255-264. doi: 10.5123/S1679-49742017000200003.
[Article in English, Portuguese]

Abstract

Objective: to describe the epidemiological profile of reported cases of syphilis in pregnant women and congenital syphilis in the period 2007-2014 in Palmas-TO, Brazil.

Methods: this is a descriptive study with data from the Information System for Notifiable Diseases (Sinan).

Results: 171 pregnant women with syphilis (4.7/1,000 live births [LB]) and 204 cases of congenital syphilis (5.6/1,000 LB) were identified; most women were brown-skinned (71.3%), had low education level (48.0%) and received late diagnosis during prenatal care (71.9%); the incidence of congenital syphilis varied from 2.9 to 8.1/1,000 LB in the period; the predominant maternal characteristics were age from 20 to 34 years (73.5%), having up to complete high school (85.3%), attending prenatal care (81.4%), diagnosis of syphilis during prenatal care (48.0%), and untreated partners of mothers who attended prenatal care (83.0%), reaching almost 80% of live births with congenital syphilis.

Conclusion: it is necessary to adopt new strategies for the effectiveness of the prenatal care provided, and, consequently, to reduce the incidence of congenital syphilis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Brazil / epidemiology
  • Child
  • Delayed Diagnosis
  • Educational Status
  • Female
  • Humans
  • Incidence
  • Infant, Newborn
  • Infectious Disease Transmission, Vertical / prevention & control*
  • Information Systems
  • Middle Aged
  • Pregnancy
  • Pregnancy Complications, Infectious / diagnosis
  • Pregnancy Complications, Infectious / epidemiology*
  • Pregnancy Complications, Infectious / microbiology
  • Prenatal Care / statistics & numerical data
  • Risk Factors
  • Syphilis / diagnosis
  • Syphilis / epidemiology*
  • Syphilis / transmission
  • Syphilis, Congenital / epidemiology*
  • Young Adult