Epidemiological characterization of syphilis in pregnant and newborn in a Brazilian university hospital

Abstract

Introduction: Gestational and congenital syphilis are preventable diseases, but has a high incidence in Brazil. Objective: To characterize the epidemiological situation of syphilis cases in pregnant women and congenital syphilis reported in the University Hospital in 2015 to 2017. Methods: This is a study of a series of cases, using secondary data made available by the SINAN Notification System. The study population included the reported cases of gestational syphilis and congenital syphilis at the University Hospital Cassiano Antônio Moraes (HUCAM) from 2015 to 2017. Results: In the study period, 49 cases of GS and 56 cases of CS were reported. It was observed that mothers whose children had CS outcome, 44.6% were considered inadequate during prenatal care and 60% of the partners did not receive treatment. Among the concepts, one was stillborn, one evolved to death associated with syphilis and one died from other causes. Conclusion: The epidemiological profile showed a predominance of young, brown and low-educated women, and most of the mothers did not undergo treatment or were inadequately performed, in addition to a large number of untreated partners, factors that may have contributed to the outcome of congenital syphilis in newborns and shows difficulties in reaching the goal of elimination of CS established by the World Health Organization (0.5 or less cases/ 1000 live births). The data presented point out the need to include differentiated clinical management for this population.