Prenatal approach to syphilis in primary health care: a literature review

Autor: Amanda Miranda Matos Teixeira, Anna Laura Lima Larcipretti, Giovanna Gonçalves de Souza e Silva, Giovanna Sousa Ferreira, Marcella Barbosa Sampaio Tropia Pinheiro
Jazyk: English<br />Portuguese
Rok vydání: 2023
Předmět:
Zdroj: Revista Médica de Minas Gerais, Vol 33, p e-33210 (2023)
Druh dokumentu: article
ISSN: 2238-3182
0103-880X
DOI: 10.5935/2238-3182.2022e33210-en
Popis: Syphilis is caused by the infectious agent Treponema Pallidum, which can be vertically transmitted. This can generate serious complications in pregnancy and for the development of the fetus. When transmitted to the fetus, it leads to congenital syphilis. There is a high rate of transmission in the first and third trimesters of pregnancy. When transmitted, the fetal mortality rate is about 40%. Thus, it is a serious public health concern, which can be prevented with effective prenatal care. This is a review of the Medline, SciELO and LILACS databases of articles from the last 10 years. These aim to verify the Brazilian medical aid to gestational and congenital syphilis in primary care. Data shows that 1.3 to 2.0 million women are infected with syphilis per year worldwide, and that about 1/3 of these are not tested for syphilis during pregnancy. In Brazil, the incidence rate of congenital syphilis is 9.0/1000 live births, with a mortality rate of 8.2/1,000 live births in 2018, contrary to the expectations of the Pan American Health Organization to reduce to
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