Cadernos de Saúde Pública
On-line version ISSN 1678-4464
Print version ISSN 0102-311X
CAMPOS, Ana Luiza de Araujo; ARAUJO, Maria Alix Leite; MELO, Simone Paes de and GONCALVES, Marcelo Luiz Carvalho. Epidemiology of gestational syphilis in Fortaleza, Ceará State, Brazil: an uncontrolled disease. Cad. Saúde Pública [online]. 2010, vol.26, n.9, pp.1747-1755. ISSN 1678-4464. http://dx.doi.org/10.1590/S0102-311X2010000900008.
This cross-sectional study investigated the epidemiological profile of pregnant women with positive VDRL in Fortaleza, Ceará State, Brazil, in 2008. The study verified the proportion of pregnant women with syphilis that was classified as treated incorrectly according to Brazilian Ministry of Health guidelines, and assessed the reasons for inadequate treatment. Fifty-eight women who had given birth at five public maternity hospitals were interviewed consecutively following delivery. Data were also recovered from medical files and pregnancy cards. Sociodemographic and obstetric data and information related to the diagnosis and treatment of syphilis in both pregnant women and their partners were analyzed. Only three (5.2%; 95%CI: 1.8%-14.1%) pregnant women had received adequate treatment. The main reason for inadequate treatment was lack of partner treatment (88% of cases; 95%CI: 76.2%-94.4%). Medical care as currently provided does not guarantee the control of gestational syphilis in this sample.
Keywords : Congenital Syphilis; Pregnant Women; Prenatal Care.