Cenário epidemiológico da sífilis materna e congênita no Estado do Amapá, Amazônia Brasileira

Abstract

Objective: To characterize the epidemiological scenario of maternal and congenital syphilis in the State of Amapá, from 2018 to 2023. Methods: Epidemiological, descriptive and retrospective study, with a quantitative approach, carried out in Macapá/AP, based on cases reported and stored in the database of the Hospital Epidemiology Center, of Hospital Maternidade Mãe Luzia. Variables based on compulsory notification forms were included. Results: Between the years 2018-2023, a total of 1,397 cases of maternal syphilis were recorded and 393 of congenital syphilis. There was a higher prevalence in pregnant women aged between 21-30 years, mixed race and incomplete primary and secondary education. The majority of pregnant women underwent prenatal care, had reactive treponemal and non-traponemic serology, were diagnosed with syphilis during prenatal care, had inadequate or no treatment and did not treat their partner. Among newborns, the majority (n=346; 88%), were diagnosed within 7 days, (n=381; 97%) had reactive peripheral blood tests, (n=322; 82%) used Penicillin (n = 360; 92%) were alive, (n= 9; 2%) died from the disease. Conclusion: The prevalence of maternal and congenital syphilis can be an indicator of weaknesses in prenatal care, making it necessary to implement new measures to reduce cases.