Domingues Carmen Silvia Bruniera, Duarte Geraldo, Passos Mauro Romero Leal, Sztajnbok Denise Cardoso das Neves, Menezes Maria Luiza Bezerra
Secretaria de Estado da Saúde de São Paulo, Centro de Referência e Treinamento de Doenças Sexualmente Transmissíveis e Aids, São Paulo, SP, Brasil.
Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brasil.
Epidemiol Serv Saude. 2021 Mar 15;30(spe1):e2020597. doi: 10.1590/S1679-4974202100005.esp1. eCollection 2021.
The topics of congenital syphilis and children exposed to syphilis are part of the Clinical Protocol and Therapeutic Guidelines for Comprehensive Care for People with Sexually Transmitted Infections, published by the Brazilian Ministry of Health in 2020. The Protocol and Guidelines have been developed based on scientific evidence and validated in discussions with specialists. This article provides guidelines for clinical management of both syphilis in pregnant women and also congenital syphilis, emphasizing prevention of vertical transmission of Treponema pallidum. Epidemiological and clinical aspects of these infections are presented, as well as recommendations for health service managers regarding the programmatic and operational management of syphilis. The article also includes guidelines for health professionals on screening, diagnosing and treating people with sexually transmitted infections and their sex partners, in addition to strategies for syphilis surveillance, prevention and control actions.
先天性梅毒及接触梅毒的儿童相关主题，是巴西卫生部于2020年发布的《性传播感染患者综合护理临床协议及治疗指南》的一部分。该协议和指南是基于科学证据制定的，并在与专家的讨论中得到验证。本文提供了孕妇梅毒及先天性梅毒临床管理的指南，强调预防梅毒螺旋体的垂直传播。介绍了这些感染的流行病学和临床方面，以及针对梅毒的规划和运营管理向卫生服务管理人员提出的建议。本文还包括针对卫生专业人员的指南，内容涉及性传播感染患者及其性伴侣的筛查、诊断和治疗，以及梅毒监测、预防和控制行动的策略。
