Sífilis congênita no município de Macapá/AP: análise dos dados registrados no Sistema de Informação de Agravos de Notificação (SINAN), no período de 2007 a 2012

Abstract

Although there are sensitive diagnostic tests, effective treatment at low cost, congenital syphilis (CS) remains a serious public health problem in Brazil. The establishment of the actions in the CS control should be seen as a strategy aimed at the analysis and interpretation of data on the local epidemiological context, so data present in the Notifiable Diseases Information System (SINAN) takes over as useful tool for planning of prevention and health care. The aim of this study was to analyze the cases of SC in the Newborn (RNs) in the city of Macapá/AP, from 2007 to 2012 and describe the demographic profile, obstetric and epidemiological partner of the mothers and the clinical and laboratory aspects of RNs. It is a retrospective, descriptive exploratory survey with quantitative and qualitative approach. The data revealed an incidence rate of 7.9 cases of CS per thousand live births during the study, of whom four died from CS; 56.4 % male; 84 % of mixed race and 96.8 % were asymptomatic. Regarding the mothers, 55.3 % were aged 20-29 years; 80.7 % of mixed race; 52.1 % had low level of education; 87.3 % homemaker; 76 % received prenatal care; 63 % received a diagnosis of maternal syphilis at or after birth; 95.2 % had positive VDRL at delivery; 78.8 % had inadequate treatment and 84.8 % partner was not treated. It is concluded that the profile of the study population was RNs of brown, asymptomatic and live race evolved, and their mothers also of mixed race / color, housewife, mother diagnosed with syphilis during prenatal or postpartum with VDRL at birth, and had not made a confirmatory test, with inadequate treatment regimen and untreated partners. The CS in Macapá persists as a public health problem, keeping incidence above the accepted threshold for achieving their removal. It seems that efforts at the national purpose of CS eradicating should be more valued, aiming at less than or equal to a case for a thousand live births incidence. Information obtained revealed an unfavorable situation demonstrating the importance of knowing the profile of the affected population to the availability of a prenatal care quality and uniformity of surveillance SC ducts