EPIDEMIOLOGICAL PROFILE OF CONGENITAL SYPHILIS IN THE STATE OF TOCANTINS IN THE YEAR 2018

Abstract

Introduction: Congenital syphilis is a bacterial disease whose etiological agent is Treponema pallidum. It is transmitted to the fetus when the pregnant woman is infected or has undergone inappropriate treatment. Transmission can be vertical (transplacental) or during labor. It has a very variable clinical picture, and can be classified as early or late congenital syphilis. Objective: To describe the epidemiological profile of cases of congenital syphilis in the state of Tocantins in 2018. Methodology: This is an epidemiological, descriptive, quantitative and retrospective study, based on secondary data, extracted from SINAN-Net. Results: In 2018, 286 cases of congenital syphilis were confirmed in the state of Tocantins, 151 of which were in male newborns and 135 in females. Regarding race, 90.55% of cases were in brown patients. Regarding maternal education, 76 reported cases were children of mothers with incomplete primary education and 60 of them had incomplete secondary education. Most cases of congenital syphilis were transmitted transplacentally, with 182 cases (63.63%) reported during prenatal care and 92 during labor. Among the 286 cases reported, 13 mothers did not undergo prenatal care and 66.08% of partners did not undergo treatment for syphilis. Conclusion: In view of this, it is concluded that, among the factors that increase the incidence of congenital syphilis in Tocantins, the low level of education of mothers stands out, and, in most cases, there was no treatment for their partners. Therefore, measures such as disseminating guidance on syphilis in primary health care, associated with training professionals in the area, are crucial to reducing cases of the disease.