Gestational Syphilis In Santos/Sp: Epidemiologic Analysis From 2016 To 2022

J. Paschoal, D. T. M. Malaquias, Camila Santos Da Costa, Bruna Duarte Monteiro, Lorenza Rech Galvan, G. R. Victorello, Giovanna Vetter Paulino, Luana Sousa, Vithória Tilemahos Zervoudakis De Castro, Alessandra Carvalho Silva, Maria Gabriela Guzzi, Ana Carolina P. Bergamin, Lisandra Silva Do Amaral, Sarah Olinda De Lima, A. S. Pascoal, I. G. Oliveira, Amanda Magdah Pereira De Azevedo Dantas, Laura De Castro Ortega, Alessandra Santos De Freitas, Thiago A Rochetti Bezerra
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Abstract

Introduction: This study analyzes the incidence and trends of gestational syphilis in the city of Santos/SP between 2016 and 2022. Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum, which can be transmitted from mother to fetus during pregnancy if not properly treated. In Brazil, congenital syphilis is a public health concern and has been compulsorily notifiable since 1986. Objectives: The study aims to describe the epidemiological profile of syphilis in pregnant women in Santos/SP, analyzing the number of reported cases and detection rates over the years, comparing with national and state data. It also aims to contribute to a better understanding of local dynamics and public health policies related to syphilis among pregnant women. Methodology: An ecological descriptive study was used to analyze secondary data from the São Paulo State Epidemiological Surveillance Center (CVESP). The data was obtained from the Santos Epidemiological Bulletin No. 5, 2023 edition. Results: Santos recorded a total of 1,049 confirmed cases of gestational syphilis during the period analyzed, with significant variations from year to year. There was an increase in reported cases, with peaks in 2021 and 2022. Detection rates also varied, with Santos showing rates higher than the national and state averages at various times. Conclusion: The study reveals significant challenges in the management of gestational syphilis in Santos/SP, indicating the need for effective public health interventions. It is essential to implement policies aimed at improving early diagnosis, timely treatment and prevention of vertical transmission, in order to reduce congenital syphilis rates and protect maternal and neonatal health in the city
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桑托斯/Sp.的妊娠梅毒2016 年至 2022 年流行病学分析
导言本研究分析了2016年至2022年期间桑托斯市(Santos/SP)妊娠梅毒的发病率和趋势。梅毒是一种由苍白螺旋体引起的性传播疾病,如果治疗不当,可在怀孕期间由母亲传染给胎儿。在巴西,先天性梅毒是一个公共卫生问题,自 1986 年起已被强制通报。研究目的本研究旨在描述桑托斯/南太平洋州孕妇梅毒的流行病学概况,分析多年来报告的病例数和检出率,并与国家和各州的数据进行比较。研究还旨在帮助人们更好地了解当地与孕妇梅毒相关的动态和公共卫生政策。研究方法:采用生态描述性研究方法,分析圣保罗州流行病监测中心(CVESP)提供的二手数据。数据来自《桑托斯流行病学公报》第5期(2023年版)。结果显示在分析期间,桑托斯共记录了1,049例妊娠梅毒确诊病例,各年之间差异显著。报告病例呈上升趋势,2021 年和 2022 年达到高峰。检出率也各不相同,桑托斯的检出率在不同时期高于全国和各州的平均水平。结论:这项研究揭示了桑托斯/南太平洋妊娠梅毒管理方面的重大挑战,表明需要采取有效的公共卫生干预措施。必须实施旨在改善早期诊断、及时治疗和预防垂直传播的政策,以降低先天性梅毒发病率,保护该市孕产妇和新生儿的健康。
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