Figueiredo Elisabeth N, Vianna Lucila A C, Peixe Marina B, Ramos Valdete M, Succi Regina C M
Universidade Federal de São Paulo, Escola de Enfermagem, São Paulo, SP, Brasil.
An Acad Bras Cienc. 2009 Sep;81(3):551-8. doi: 10.1590/s0001-37652009000300018.
The objective of this study was to determine the prevalence of infectious diseases, such as syphilis, acquired immune deficiency syndrome (AIDS) and hepatitis B and C, in pregnant women who undertook their prenatal care in thirteen basic health units (BHU) in São Paulo city. The efficiency of the reference and counter-reference system in such prenatal infectious diseases was evaluated considering the medical recordings of the final result of the pregnancy and the vertical transmission rates of these diseases. It consists of an epidemiologic study whose observations were based on the notes of the prenatal medical and nurse records of pregnant women who had infectious diseases susceptible to vertical transmission and final infectious status registers of their concepts. Women's syphilis prevalence was 0. 86%, HIV and Hepatitis B was 0. 22% and Hepatitis C was 0. 36%. It's possible to conclude that there is no register of the reference and counter-reference system of these infectious diseases analyzed at the thirteen basic health units of the south-east region of São Paulo city evaluated in 2005. This lack of register makes it impossible to know the preventive measures taken and the vertical transmission rates. Making the professionals and the Health Coordination authorities aware of the importance of the dynamic of the prenatal attendance is necessary.
本研究的目的是确定在圣保罗市13个基本卫生单位（BHU）接受产前护理的孕妇中梅毒、获得性免疫缺陷综合征（艾滋病）以及乙型和丙型肝炎等传染病的患病率。考虑到妊娠最终结果的医疗记录以及这些疾病的垂直传播率，评估了此类产前传染病的参比和反参比系统的效率。这是一项流行病学研究，其观察基于患有易垂直传播传染病的孕妇的产前医疗和护理记录以及其妊娠结局的最终感染状况登记。孕妇梅毒患病率为0.86%，艾滋病毒和乙型肝炎为0.22%，丙型肝炎为0.36%。可以得出结论，在2005年评估的圣保罗市东南部地区的13个基本卫生单位中，没有对所分析的这些传染病的参比和反参比系统进行登记。这种登记缺失使得无法了解所采取的预防措施以及垂直传播率。有必要让专业人员和卫生协调当局认识到产前护理动态的重要性。
