Sífilis congênita no município de Lagarto – Sergipe: perfil epidemiológico e taxa de detecção de 2012 a 2021

Abstract

Good prenatal care is of fundamental importance to ensure the development of pregnancy as well as the childbirth of a healthy newborn, as recommended by the Ministry of Health. Among the purposes of prenatal care is the identification of potentially treatable diseases, such as gestational and congenital syphilis. The objective of this study was to outline the epidemiological profile and calculate the incidence rate of congenital syphilis in the Lagarto city - Sergipe, with a temporal analysis of this condition from 2012 to 2021. This is an ecological study with a quantitative and qualitative approach. The research sample consisted of cases of congenital syphilis whose diagnosis had been reported in SINAN and whose data were available on the TABNET-DATASUS platform. 1 In the study, an increase in the incidence rate of congenital syphilis in Lagarto was observed, higher than regional and national levels, with a peak in 2020. About the profile of children with congenital syphilis, all were diagnosed within 6 days of life and with a final classification of recent congenital syphilis; 85% were brown, 47% female and 47% male; no death records. The epidemiological profile of mothers is 20 to 24 years old (33%), with low level of education (51% incomplete 1st to 8th grade), 88% performed prenatal care, 54% were diagnosed during prenatal care and 19% at childbirth/curettage and without partner treatment (68%). These data reflect flaws in the prenatal care offered to pregnant women in the city of Lagarto, concluding on the need to improve early diagnosis and treatment strategies for pregnant women, aiming to reduce cases of congenital syphilis, fetal deaths and stillbirths, improving as well as health care indicators.