Epidemiological profile of gestational syphilis in the municipality of Cacoal between 2016 and 2020

Abstract

Syphilis is a Sexually Transmitted Infection caused by the bacterium Treponema pallidum, with various forms of clinical presentations and different stages. When not diagnosed and treated early, it can cause harm to the pregnant woman and fetus. The present study aimed to identify the characteristics of the epidemiological profile of pregnant women affected by syphilis in the city of Cacoal between 2016 and 2020. Descriptive, retrospective and quantitative documentary research, where the initial sample consisted of 95 pregnant women who were registered in the database SINAN data with a diagnosis of Gestational Syphilis. The collected data were distributed and presented by means of statistics through tables and/or graphs elaborated after the analysis. The study complies with CONEP Resolution No. 466/2012 and was developed after approval by the CEP under Opinion 5,060,962. As a result of the research, it was identified that the year with the highest notification rate was in 2020, totaling 26% of cases, the predominance of the diagnosis was stopped in the first gestational trimester with 53%, in relation to age there was a variation between 14 and 41 years. of age, with an average age of 23 years and greater involvement in the young population, from 21 to 30 years of age, comprising 45% of the sample, 33% have completed high school and only 2% have completed higher education. Regarding the clinical classification, 76% of the cases were diagnosed as tertiary syphilis, the rapid test was performed in 84% of the pregnant women and the VDRL in 94%, in both with a predominant reagent result rate, without the occurrence of concomitant non-performance of the tests, it was observed that the titration 8 of VDRL/RPR was predominant, totaling 18% of the cases studied. It is concluded that the increase in the number of cases, the predominance in the young population with complete secondary education, the diagnosis in the first trimester, however prevalently in the tertiary phase, and the failure to perform the rapid test in part of the cases, although the Ministry of Health recommends, highlight the need for improvements in the effectiveness of prenatal care and to outline strategies for prevention, promotion and health awareness.