Analysis of the situation of the incidence of congenital syphilis and maternal epidemiological profile in Santa Catarina between 2020 and 2021

Abstract

Objective: To evaluate the incidence of congenital syphilis and the maternal epidemiological profile in the state of Santa Catarina in times of the pademic. Methodology: Quantitative research with a cros-sectional design with secondary data for the period 2020 and 2021. The outcome under study were the reported cases of congenital syphilis, and the exposure variables were maternal sociodemographic. Data analysis was performed using SPSS software. Descriptive analyzes were performed, presenting absolute and relative frequencies, with respective 95% confidence intervals. Results: The incidence of congenital syphilis in the year 2021 was 6.7 cases/1,000 live births, in 2020 it was 5.8 cases/1,000 live births. Cases were concentrated in the Midwest and Serra (10.7%) and Greater Florianópolis (8.8%) regions. Most mothers were between 20 and 34 years old (71.5%), lived in greater Florianópolis (23,5%), white skin color (82.7%), completed high school (49.1%). Most mothers performed prenatal care (89.5%) and were diagnosed with syphilis during prenatal care (69.5%), 16.1% performed the treatment properly and 69.6% of partners did not perform the prenatal care. With regard to the final evolution of newborns, (88.3%) had a favorable evolution, while 6.7% evolved to abortion, 3.5% died shortly after birth and 1.3% died of congenital syphilis. Conclusion There is a high incidence of congenital syphilis in the state of Santa Catarina. Considering that there are several strategies for coping with syphilis in Brazil, it’s essencial for the identification of flaws in the implementation of control measures, as well as the search for strategies to prevent vertical transmission, through effective and quality prenatal care. It is essential to direct new strategies and actions for health promotion and prevention during pregnancy, graranteeing access and comprehensive care.