Alarming data on the notification of congenital syphilis in a capital of the North of Brazil: A cross-sectional study

Abstract

Study model: A Prevalence study. Objective: Describing the clinical and epidemiological profile of patients with Congenital Syphilis between January 2010 and June 2016 in a capital city in the North of Brazil. Methodology: A survey was carried based on the reports of infection for congenital syphilis of the Epidemiological Surveillance in Rio Branco-Acre from January 2010 to June 2016. The data were analyzed through the SPSS Program. Results: 189 cases of early congenital syphilis were reported. Only 36.51% (n = 69) were diagnosed with gestational syphilis before delivery. The cases evolved with 74.6% of live births, 15.3% of stillborn infants, 6.3% of abortions, and 2.1% of congenital syphilis deaths. The relationship between the maternal VDRL and the outcome of the cases suggests that children from mothers with titles ≥1:16 represent 82.2% of the associated deleterious evolutions (p = 0.045). Conclusion: Congenital syphilis is a pathology still underdiagnosed during pregnancy and, in this study, was more frequent in children of mothers at the height of menacme, low schooling, and urban dwellers. Despite preventive measures already in place, congenital syphilis continues to be a public health problem in this capital of the Brazilian North and should continue to be the target of studies that generate new prevention strategies.