Banca de DEFESA: SAMARA ISABELA MAIA DE OLIVEIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : SAMARA ISABELA MAIA DE OLIVEIRA
DATA : 15/12/2016
HORA: 09:00
LOCAL: Departamento de Enfermagem
TÍTULO:

Notifications of Syphilis in Pregnant Women and Congenital Syphilis: An Epidemiological Analysis

PALAVRAS-CHAVES:

Syphilis, Congenital; Infectious Disease Transmission, Vertical; Prenatal Care; Public Health Surveillance.

PÁGINAS: 100
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:

Syphilis is an infectious disease that remains as one of the major reporting aggravations to be addressed globally. In the maternal-infant context, it is related to deleterious effects from the vertical transmission and exposes the binomial mother and child to risks such as abortion and perinatal death. Effective actions to control the disease should be carried out in prenatal care, in a timely manner, to ensure the prevention of the congenital form of the disease. In this sense, this research aims to analyze the syphilis notification in pregnant women and congenital syphilis and the factors related to vertical transmission. This is a sectional, retrospective, documental epidemiological study of a descriptive and analytical nature carried out in the year 2016. The population was recruited from the eligibility criteria and totaled 129 reports of syphilis in pregnant women and 132 notifications for congenital syphilis in the period between June 2011 and December 2015, in the municipality of Natal / RN. Data were analyzed through descriptive and inferential statistics. The Chi-square test, the T-student test and the Fisher test were used to verify the associations between the variables of interest. The research received a favorable opinion by the Ethics Committee of the Federal University of Rio Grande do Norte under number 1,449,134 and Certificate of Presentation for Ethical Assessment 53305315.3.0000.5537. In the period under investigation, there was an increase in reported cases in the year 2012. The maternal profile points to women with a mean age of 24.7 years, browns (75.8%), urban residents (99.2%) of the municipality from Natal. The prenatal analysis identified a predominance of maternal diagnosis in the third gestational trimester (69%) and presence of non-treponemal reactive tests in (94.6%) of the women at the time of delivery. Regarding maternal treatment, only (1.6%) of these were registered with an adequate treatment scheme and (16.7%) of the partners were treated concomitantly with the pregnant women. In the children's outcomes, (78%) were registered as asymptomatic, however, this variable presented statistical significance when related to titration of the maternal non-treponemal test and to the pre-delivery treatment. In the geo-referenced spatial analysis, the predominance of cases in Quintas and Felipe Camarão’s neighborhoods, both belonging to the Western Sanitary District of the municipality investigated, was identified. The results also point to important gaps in the completion of notifications. It was concluded that the loss of diagnostic opportunity, as well as the inadequacy of maternal treatment and the low adherence to treatment by the partner were prominent factors in the occurrence of syphilis vertical transmission. The development of strategies for early detection and adherence to treatment of the disease should be adopted, with a view to strengthening care and breaking down the vertical transmission of the disease. It is important to emphasize the need for an increase in the provision of information to epidemiological surveillance in order to continue the analysis of the disease in the health context studied.

MEMBROS DA BANCA:
Interno - 1995800 - ERIKA SIMONE GALVAO PINTO
Externo à Instituição - JORIA VIANA GUERREIRO - UFPB
Interno - 1352508 - MARCOS ANTONIO FERREIRA JUNIOR
Presidente - 3168491 - NILBA LIMA DE SOUZA