2007-2015 年巴西托坎廷斯州先天性梅毒的分布情况。
Congenital syphilis distribution in the State of Tocantins, Brazil, 2007-2015.
机构信息
Núcleo de Vigilância Epidemiológica Hospitalar, Secretaria de Saúde do Estado do Tocantins, Guaraí, TO, Brasil.
Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, BA, Brazil.
出版信息
Epidemiol Serv Saude. 2020;29(2):e2018477. doi: 10.5123/s1679-49742020000200017. Epub 2020 May 8.
OBJECTIVE
to describe the epidemiological profile of congenital syphilis (CS) in Tocantins, from 2007 to 2015.
METHODS
this was a cross-sectional descriptive study conducted with data from the Notifiable Health Conditions Information System (SINAN) and the Live Birth Information System (SINASC).
RESULTS
1,029 CS cases were reported; mean CS incidence was 4.6/1,000 Live Births (LB), increasing from 3.1/1,000 LB in 2007 to 9.8/1,000 LB in 2015 (increase of 216.1%); municipalities located in the central and northern regions of the state had the highest rates; the majority of mothers of newborn babies were 15-24 years old, had elementary school education, started prenatal care in the third trimester of pregnancy, and received inadequate prenatal care.
CONCLUSION
high occurrence of congenital syphilis in Tocantins requires immediate intensification of CS surveillance and improved prenatal care quality, especially in municipalities with higher incidence.
目的
描述 2007 年至 2015 年托坎廷斯先天性梅毒（CS）的流行病学特征。
方法
这是一项横断面描述性研究，数据来自法定传染病报告信息系统（SINAN）和活产信息系统（SINASC）。
结果
共报告了 1029 例 CS 病例；CS 的发病率平均为每 1000 例活产儿 4.6 例，从 2007 年的每 1000 例活产儿 3.1 例增加到 2015 年的每 1000 例活产儿 9.8 例（增加 216.1%）；州中部和北部地区的市发病率最高；新生儿母亲大多为 15-24 岁，接受过小学教育，在妊娠晚期开始产前护理，且接受的产前护理不足。
结论
托坎廷斯 CS 发生率较高，需要立即加强 CS 监测和提高产前护理质量，尤其是在发病率较高的市。
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