Incidência de sífilis em gestante e congênita na 4ª região de saúde do RN

Abstract

Syphilis is a systemic, chronic, curable bacterial infection exclusive to humans. Despite advances in prevention, diagnosis and treatment, syphilis is considered a re-emerging disease in Brazil, as well as in other countries, remaining a serious public health problem. The general objective of the study is to analyze the reported cases of syphilis in pregnant and congenital women in the Seridó region of Rio Grande do Norte in the period from 2011 to 2021. This is a research with a quantitative epidemiological approach, of the descriptive observational type, in which secondary data on confirmed cases of syphilis in pregnant women and congenital syphilis from the database of the Notifiable Diseases Information System and Live Birth Information System were used. The studied population was made up of all reported cases of syphilis in pregnant women and congenital syphilis, from January 1, 2011 to December 31, 2021, in the 4th health region of Rio Grande do Norte. Of the 305 reported cases of syphilis in pregnant women, 116 had vertical transmission and of these cases in which there was vertical transmission, 38.7% of mothers were diagnosed with syphilis at the time of birth, demonstrating a failure in diagnosis and treatment in Primary Health Care, and 94.8% received prenatal care. According to the data collected, it can be concluded that the reported cases of syphilis in pregnant women and congenital syphilis represent a serious public health problem in the municipalities of the 4th health region of Rio Grande do Norte, as it highlights the low quality of prenatal care in Primary Health Care and the difficulty in implementing health care measures such as diagnosis, treatment and monitoring of cases.