Análise epidemiológica da sífilis congênita na capital do Amapá nos períodos pré-pandêmico e pandêmico da Covid-19

Abstract

To characterize the epidemiological and sociodemographic profile of people affected by Congenital Syphilis (SC), in the city of Macapá/AP, in the pre-pandemic and pandemic periods of COVID-19. Methods: This is an ecological study based on cases registered in the Notifiable Diseases Information System. A descriptive analysis of the epidemiological and clinical variables of the mother/pregnant woman and the child was carried out; and the incidence of cases. Data were organized using Microsoft Excel and, later, using IBM SPSS Statistics software. Since this is secondary data, submission to the Research Ethics Committee was not necessary. Results: Of the 644 cases reported in the years 2018 to 2021, the highest number of cases was recorded in the pandemic period. The epidemiological and clinical characteristics of the mother/pregnant woman point to a predominance in the 20-29 age group, low education, lack of employment, prenatal care, inadequate treatment scheme and the diagnosis being evidenced only at delivery/curettage, during pandemic period. As for the epidemiological and clinical characteristics of the child, the diagnosis was made at less than 7 days of age, asymptomatic and evolution with a positive outcome. The incidence of cases showed an increasing trend. Final considerations: It is concluded that the COVID-19 pandemic had a negative impact on CS prevention and control services, so that the high incidence suggests the need to expand health education programs, mainly for reproductive and vulnerable groups.