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2007 - 2014年,巴西托坎廷斯州帕尔马斯市妊娠期梅毒及先天性梅毒情况

Syphilis in pregnancy and congenital syphilis in Palmas, Tocantins State, Brazil, 2007-2014.

作者信息

Cavalcante Patrícia Alves de Mendonça, Pereira Ruth Bernardes de Lima, Castro José Gerley Diaz

机构信息

Centro Universitário Luterano de Palmas, Programa de Residência Multiprofissional em Saúde Coletiva com Ênfase em Vigilância em Saúde, Palmas-TO, Brasil.

Centro Universitário Luterano de Palmas, Departamento de Enfermagem e Saúde Coletiva, Palmas-TO, Brasil.

出版信息

Epidemiol Serv Saude. 2017 Apr-Jun;26(2):255-264. doi: 10.5123/S1679-49742017000200003.

Abstract

OBJECTIVE

to describe the epidemiological profile of reported cases of syphilis in pregnant women and congenital syphilis in the period 2007-2014 in Palmas-TO, Brazil.

METHODS

this is a descriptive study with data from the Information System for Notifiable Diseases (Sinan).

RESULTS

171 pregnant women with syphilis (4.7/1,000 live births [LB]) and 204 cases of congenital syphilis (5.6/1,000 LB) were identified; most women were brown-skinned (71.3%), had low education level (48.0%) and received late diagnosis during prenatal care (71.9%); the incidence of congenital syphilis varied from 2.9 to 8.1/1,000 LB in the period; the predominant maternal characteristics were age from 20 to 34 years (73.5%), having up to complete high school (85.3%), attending prenatal care (81.4%), diagnosis of syphilis during prenatal care (48.0%), and untreated partners of mothers who attended prenatal care (83.0%), reaching almost 80% of live births with congenital syphilis.

CONCLUSION

it is necessary to adopt new strategies for the effectiveness of the prenatal care provided, and, consequently, to reduce the incidence of congenital syphilis.

摘要

目的

描述2007 - 2014年巴西托坎廷斯州帕尔马斯市孕妇梅毒报告病例和先天性梅毒的流行病学概况。

方法

这是一项利用法定传染病信息系统(Sinan)数据进行的描述性研究。

结果

确定了171例患梅毒的孕妇(4.7/1000活产儿[LB])和204例先天性梅毒病例(5.6/1000 LB);大多数女性为棕色皮肤(71.3%),教育水平低(48.0%),产前检查时诊断较晚(71.9%);在此期间,先天性梅毒的发病率从2.9至8.1/1000 LB不等;主要的母亲特征为年龄20至34岁(73.5%),最高学历为高中(85.3%),接受产前检查(81.4%),产前检查时诊断为梅毒(48.0%),以及接受产前检查的母亲的未治疗伴侣(83.0%),几乎80%的先天性梅毒活产儿为此情况。

结论

有必要采取新策略,提高所提供产前检查的有效性,从而降低先天性梅毒的发病率。

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