PRENATAL CARE OF PREGNANT WOMEN WITH SYPHILIS ASSISTED BY THE FAMILY HEALTH STRATEGY

Anderson Nogueira Mendes, Ozirina Martins Costa, Maria do Carmo Carvalho Martins

Resumo


Objective:This study evaluated prenatal care for pregnant women with a diagnosis of syphilis treated by the Family Health Strategy of Teresina, Piauí. Methods:Data were analyzed from the Notifiable Diseases Information System, the pregnant and newborn medical records and other forms of 62 women diagnosed with syphilis in pregnancy between 2013 and 2015. Results:The diagnosis was made in 85.5% of the cases during the prenatal, where the latent syphilis prevailed. 41.69% of women performed the 2nd Venereal Disease Research Laboratory. In 82.3% of the cases, the prescribed treatment was in accordance with the recommendations of the Ministry of Health, but the partner was treated correctly only in 59.7% of the cases. Half of the live births were diagnosed as congenital syphilis, of these 77.4% were hospitalized after birth. Conclusion:The protocols for the treatment of syphilis in the prenatal have positively impacted the programs of health promotion strategy.


Palavras-chave


Syphilis, Congenital Syphilis, Prenatal Care, Pregnancy.

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Referências


Shahrook S, Mori R, Ochirbat T, Gomi H. Strategies of testing for syphilis during pregnancy. Cochrane Database Syst Rev. [Internet]. 2014 Oct [cited 2013 Jan 15]; 6(1):97-103. Available from: https://doi.org/10.1002/14651858.CD010385.pub2.

Tampa M, Sarbu I, Matei C, Benea V, Georgescu SR. Brief history of syphilis. J Med Life. [Internet]. 2014 Mar [cited 2019 August 17]; 7(1):4–10. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3956094/.

Cohen SE, Klausner JD, Engelman J, Philip S. Syphilis in the modern era: an update for physicians. Infect Dis Clin North Am. [Internet]. 2013 Dec [cited 2019 Jun 25]; 27(4):705–22. Available from: https://doi.org/10.1016/j.idc.2013.08.005.

Gomez GB, Kamb ML, Newman LM, Mark J, Broutet N, Hawkes SJ. Untreated maternal syphilis and adverse outcomes of pregnancy: a systematic review and meta-analysis. Bull World Health Organ. [Internet]. 2013 Mar [cited 2019 July 22]; 91(1):217–26. Available from: https://doi.org/10.2471/BLT.12.107623.

Kingston M, French P, Higgins S, McQuillan O, Sukthankar A, Stott C, et al. UK national guidelines on the management of syphilis 2015. Int J STD AIDS. [Internet]. 2016 Dec [cited 2019 Jun 28]; 27:421–46. Available from: https://doi.org/10.1177/0956462415624059.

Ham DC, Lin C, Newman L, Wijesooriya NS, Kamb M. Improving global estimates of syphilis in pregnancy by diagnostic test type: A systematic review and meta-analysis. Int J Gynaecol Obstet [Internet]. 2015 Apr [cited 2019 Jun 28]; 130(1):10–4. Available from: https://doi.org/10.1016/j.ijgo.2015.04.012.

Stamm L V. Syphilis: antibiotic treatment and resistance. Epidemiol Infect. [Internet]. 2015 Apr [cited 2019 Jun 28]; 143(8):1567–74. Available from: https://doi.org/10.1017/S0950268814002830.

Butler A, Hall H, Copnell B. A Guide to Writing a Qualitative Systematic Review Protocol to Enhance Evidence-Based Practice in Nursing and Health Care. Worldviews evidence-based Nurs. [Internet]. 2016 Jan [cited 2019 Aug 6]; 13(3):241–9. Available from: https://doi.org/10.1111/wvn.12134.

Wu YP, Thompson D, Aroian KJ, McQuaid EL, Deatrick JA. Commentary: Writing and Evaluating Qualitative Research Reports. J

Pediatr Psychol [Internet]. 2016 Apr [cited 2019 Apr 04]; 41(5):493–505. Available from: https://doi.org/10.1093/jpepsy/jsw032.

Saraceni V, Fernando G, Pereira M, Freitas M, Alix M, Araujo L, et al. Vigilância epidemiológica da transmissão vertical da sífilis : dados de seis unidades federativas no Brasil. Rev Panam Saúde Pública. [Internet]. 2017 Jun [cited 2019 Jun 20]; 41(1):1–11. Available from: https://scielosp.org/pdf/rpsp/2017.v41/e44/pt.

Warren HP, Cramer R, Kidd S, Leichliter JS. State Requirements for Prenatal Syphilis Screening in the United States, 2016. Matern Child Health J. [Internet]. 2018 Sep [cited 2019 Fev]; 22(9):1227–32. Available from: https://link.springer.com/article/10.1007%2Fs10995-018-2592-0.

Plotzker RE, Murphy RD, Stoltey JE. Congenital Syphilis Prevention: Strategies, Evidence, and Future Directions. Sex Transm Dis. [Internet]. 2018 Sep [cited 2019 Aug 1]; 45(1):29–37. Available from: https://doi.org/10.1097/OLQ.0000000000000846

Rowe CR, Newberry DM, Jnah AJ. Congenital Syphilis: A Discussion of Epidemiology, Diagnosis, Management, and Nurses’ Role in Early Identification and Treatment. Adv Neonatal Care. [Internet]. 2018 Dec [cited 2019 Aug 1]; 18(6):438–445. Available from: https://doi.org/10.1097/ANC.0000000000000534

Frickmann H, Schwarz NG, Girmann M, Hagen RM, Poppert S, Crusius S, et al. Serological survey of HIV and syphilis in pregnant women in Madagascar. Trop Med Int Health. [Internet]. 2013 Jan [cited 2019 Aug 1]; 18(1):35–9. Available from: https://doi.org/10.1111/tmi.12007.

Maria S, Flôr C. Epidemiological profile of cases of syphilis in pregnant women in the city of sobral, Ceará, from 2006 to 2010. Sanare [Internet]. 2011 Jan-Jul [cited 2019 mar]; 11(1):13–7. Available from: https://sanare.emnuvens.com.br/sanare/article/view/261.

Magalhães DM dos S, Kawaguchi IAL, Dias A, Calderon I de MP. Sífilis materna e congênita: ainda um desafio. Cad Saude Publica [Internet]. 2013 Jan [cited 2019 July 22]; 29(6):1109–20. Available from: http://dx.doi.org/10.1590/S0102-311X2013000600008.

Gava M, Ferreira LS, Palhares D, Mota ELA. Incorporation of information technology in Primary Care of SUS in North-eastern Brazil: expectations and experiences. Ciênc. saúde coletiva [Internet]. 2016 Mar [cited 2019 Aug 17]; 21(3):891–902. Available from: http://dx.doi.org/10.1590/1413-81232015213.01062015.

Oliveira L, Passador C. [Considerations on the Brazilian national health system (SUS) performance index]. Sante Publique. [Internet]. 2014 Nov [cited 2019 Aug 1]; 6(26):829–36. Available from: https://www.cairn.info/revue-sante-publique-2014-6-page-829.html

Pinto VLJ, Cerbino Neto J, Penna GO. The evolution of the federal funding policies for the public health surveillance component of Brazil’s Unified Health System (SUS). Ciênc. saúde coletiva [Internet]. 2014 Dec [cited 2019 Aug 1]; 19(12):4841–9. Available from: http://dx.doi.org/10.1590/1413-812320141912.05962013.

Menicucci TMG. [The history of the public health reform in Brazil and of the Sistema Unico de Saude: changes, continuities, and the current agenda]. Hist Cienc Saude Manguinhos. [Internet]. 2014 Mar [cited 2019 Aug 1]; 21(1):77–92. Available from: http://dx.doi.org/10.1590/S0104-59702014000100004.

Serafim AS, Moretti GP, Serafim GS, Niero CV, da Rosa MI, Pires MM de S, et al. Incidence of congenital syphilis in the South Region of Brazil. Rev Soc Bras Med Trop. [Internet]. 2014 mar [cited 2019 July 18]; 47(2):170–8. Available from: http://dx.doi.org/10.1590/0037-8682-0045-2014.

Maia VKV, Lima E de FA, Machado RAV, Sousa AI, Leite FMC, Primo CC. Quality assessment of a system of prenatal information. Rev Gauch Enferm. [Internet]. 2017 Apr [cited 2019 Fev]; 38(3):1-10. Available from: http://dx.doi.org/10.1590/1983-1447.2017.03.67747.

Lima AP de, Correa AC de P. [Production of data for the pre-natal information system in basic health units]. [Internet]. Rev Esc Enferm USP. 2013 Aug [cited 2019 Fev]; 47(4):876–83. Available from: http://dx.doi.org/10.1590/S0080-623420130000400015.

Andreucci CB, Cecatti JG, Macchetti CE, Sousa MH. SISPRENATAL as a tool for evaluating quality of prenatal care. Rev Saude Publica. [Internet]. 2011 Aug [cited 2019 April 24]; 45(5):854–64. Available from: http://dx.doi.org/10.1590/S0034-89102011005000064.

Muricy CL, Pinto VL. Congenital and maternal syphilis in the capital of Brazil. Rev Soc Bras Med Trop. [Internet]. 2015 Mar [cited 2019 July 25]; 48(2):216–9. Available from: http://dx.doi.org/10.1590/0037-8682-0168-2014

Jain K, Jain NK. Vaccines for visceral leishmaniasis: A review. J Immunol Methods. [Internet]. 2015 July [cited 2019 June 21]; 422:1–12. Available from: https://doi.org/10.1016/j.jim.2015.03.017.

Moline HR, Smith JFJ. The continuing threat of syphilis in pregnancy. Curr Opin Obstet Gynecol. [Internet]. 2016 April [cited 2019 February 20]; 28(2):101–4. Available from: https://doi.org/10.1097/GCO.0000000000000258

Braccio S, Sharland M, Ladhani SN. Prevention and treatment of mother-to-child transmission of syphilis. Curr Opin Infect Dis. [Internet]. 2016 Apr [cited 2019 Feb 20]; 29(3):268–74. Available from: https://insights.ovid.com/pubmed?pmid=27078816.

Li Y, Gonik B. Is Congenital Syphilis Really Congenital Syphilis? Infect Dis Obstet Gynecol [Internet]. 2006 Oct [cited 2018 Sep 20]; 2006(1):1-4. Available from: https://doi.org/10.1155/IDOG/2006/81629

Tinajeros F, Ares LR, Elías V, Reveiz L, Sánchez F, Mejía M, et al. Barreras del personal de salud para el tamizaje de sífilis en mujeres embarazadas de la Red Los Andes, Bolivia Investigación original. Rev Panam Salud Publica Pan Am J Public Heal [Internet]. 2017 May cited 2019 February 20]; 41:1–6. Available from: www.scielosp.org/article/rpsp/2017.v41/e21/.

Nonato SM, Melo APS, Guimarães MDC. Syphilis in pregnancy and factors associated with congenital syphilis in Belo Horizonte-MG, Brazil, 2010-2013. Epidemiol. Serv. Saúde [Internet]. 2015 Dec [cited 2019 Aug 20]; 24(4): 681-694. Available from: http://dx.doi.org/10.5123/S1679-49742015000400010.

Gobel A, Stuhrmann LY, Harder S, Schulte-Markwort M, Mudra S. The association between maternal-fetal bonding and prenatal anxiety: An explanatory analysis and systematic review. J Affect Disord. [Internet]. 2018 Oct [cited 2019 August 6]; 239(1):313–27. Available from: https://doi.org/10.1016/j.jad.2018.07.024.

de Jong A, Maya I, van Lith JMM. Prenatal screening: current practice, new developments, ethical challenges. Bioethics. [Internet]. 2015 Dec [cited 2019 January 14]; 29(1):1–8. Available from: https://doi.org/10.1111/bioe.12123.

Anjos JC dos, Boing AF. Regional differences and factors associated with the number of prenatal visits in Brazil: analysis of the Information System on Live Births in 2013. Rev Bras Epidemiol [Internet]. 2016 Oct [cited 2019 August 17]; 19(4):835–50. Available from: http://dx.doi.org/10.1590/1980-5497201600040013.




DOI: https://doi.org/10.26694/repis.v5i0.8589

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