O panorama epidemiológico da sífilis em gestantes no município de Cajazeiras - PB.

Abstract

For centuries, humanity has been challenged by a systemic infectious disease of chronic progression: syphilis. This can be transmitted sexually or vertically, in the occurrence of gestational syphilis, passing from the mother to the fetus, which can lead to miscarriage or the development of congenital syphilis. Due to this, the present work has as its theme “The epidemiological panorama of syphilis in pregnant women in the city of Cajazeiras-PB”, aiming to analyze the epidemiological picture of gestational syphilis in the city of Cajazeiras-PB, in order to establish, comparatively, a relationship between the epidemiological data presented in the municipality of Cajazeiras with the other spheres of administrative (state and national) and geographical (regional) division; besides analyzing the factors that contribute to the prevalence of syphilis in pregnant women in the city. This is a retrospective ecological study with a quantitative approach. The research was developed from data collected from SINAN from 2008 to 2017. The analysis showed that, during this period, the total number of notifications related to syphilis in pregnant women in Brazil has been growing steadily. The Northeast region is the second with the highest number of cases of pregnant women with syphilis in absolute values (43,900), with Paraíba as the fifth state with the highest number of notifications (2,910). Among the municipalities of Paraíba, Cajazeiras recorded 68 cases of syphilis in pregnant women, and there are no records in the years 2008 and 2009. From 2011 there was a growing curve in the number of notifications, in levels of detection rate that indicate a epidemic. The most frequent profile was that of a pregnant woman aged 20 to 29 years old, brown, with incomplete elementary school, who presented clinically with Primary Syphilis, whose diagnosis was in the third trimester of pregnancy and was treated. with penicillin. These factors demonstrate the failure of prenatal care that, added to social vulnerability, brings the prospect of worsening the condition. Therefore, it can be inferred that in Cajazeiras, as in all Paraíba, the public health system still has a hard work of improvement in Primary Health Care.