Sífilis congênita em Santarém: um olhar a partir das vulnerabilidades em saúde

Abstract

Introduction: Syphilis is a sexually transmitted infection (STI) caused by the pathogenic bacterium Treponema pallidum. Infectious in nature, transmitted by unprotected sex and transplacental. Compulsory notification disease, considered as a sentinel event, to observe the quality of health care services, especially prenatal care in relation to syphilis diagnosed during pregnancy, in an attempt to reduce vertical contamination, Congenital syphilis ( SC). General objective: To analyze the temporal evolution of notified cases of CS in Santarém, Pará, based on health vulnerabilities. Specific Objectives: To identify the cases of CS in Santarém according to the child's age and the final clinical diagnosis; Structuring the profile of SC in Santarém according to prenatal care, age, education and mother's race / color, by year of diagnosis; To raise the cases of SC in Santarém according to the moment of diagnosis of maternal syphilis, the treatment schedule of mother and partner. Methodology: This is a descriptive and exploratory quantitative study, based on secondary data, extracted from tables provided by the Municipal Health Secretariat, with the occurrence of CS notifications in the municipality of Santarém, Pará. The temporal evolution was restricted to period from 2007 to 2017. The variables used were age of the child, age of the mother, education, race / color, prenatal care, time of diagnosis of maternal syphilis, final diagnosis, treatment schedule and treatment of the sexual partner. Results and discussions: The research results showed an increase in SC from 2014. The epidemiological profile found was for the highest age group of women with 20 to 29 years of age, with low education, in women of brown color and with extensive prenatal care. Conclusion: From the results, it was concluded that CS has a higher occurrence in brown women, young age and low level of education. In addition to a good finding regarding the diagnosis of CS, during prenatal care. In this sense, understanding health vulnerabilities was fundamental to understand the influence on the disease process, in order to promote the reduction of morbidity and mortality in relation to CS.