SÍFILIS GESTACIONAL EM CASCAVEL-PR: ANÁLISE EPIDEMIOLÓGICA DE 2020 A 2024

Abstract

ABSTRACT

Objective: To analyze epidemiological data and describe the current scenario of gestational syphilis (GS) in the municipality of Cascavel, Paraná, Brazil, between 2020 and 2024, with the aim of identifying risk patterns. Methodology: This was a retrospective observational epidemiological study based on mandatory notification data (SINAN/DATASUS) of pregnant women residing in Cascavel-PR who were diagnosed with syphilis from 2020 to 2024. Results: During the study period, 744 cases were reported in Cascavel, showing an upward trend, consistent with the national pattern. The highest prevalence was observed among women aged 20–39 years (78.4%). The local sociodemographic profile differed from the national standard. Most reported cases involved pregnant women who self-identified as white (61.1%), contrasting with the national predominance of brown/mixed-race women. Regarding education, the largest proportion of patients had completed high school (39.9%). In terms of clinical classification, a high incidence of diagnoses occurred during the latent stage (47%). Conclusions: The increase in GS cases in Cascavel mirrors the national trend; however, the local patient profile (characterized by a predominance of white women and intermediate educational attainment) diverges from traditional risk factors commonly described in the literature. Strengthening prenatal care for early diagnosis, ensuring complete treatment for both pregnant women and their sexual partners, and expanding surveillance efforts directed at vulnerable groups are essential to reducing vertical transmission and cases of congenital syphilis.