Sífilis congênita em um hospital de referência do Rio Grande do Sul: avaliação das notificações (2015-2022)

Abstract

Introduction: Syphilis is a chronic disease caused by the bacterium Treponema pallidum, it is treatable and has affected approximately 1 million pregnancies worldwide, resulting in more than 350,000 pregnancy outcomes, of which more than 200,000 were stillbirths or neonatal deaths. Its transmission is usually caused through sexual intercourse, however, placental transmission to the fetus may occur, causing Congenital Syphilis. Objective: to describe the cases of congenital syphilis treated at a reference hospital in Rio Grande do Sul from 2015 to 2022. Method:This is a cross-sectional, descriptive, historical series study, which had as its source the Notifiable Diseases Information System (SINAN) and the online medical records of the Management Application for University Hospitals. The data obtained were imported into Excel software and underwent treatment and analysis in the Statistical Package for the Social Sciences software. Results: 444 notifications of cases of congenital syphilis were registered in SINAN, from 2015 to 2022, in the municipality of Santa Maria/RS. Of this total, 109 notifications were excluded in situations of prenatal care in the 4th Regional Health Coordination, since the study scenario is a reference for highly complex services and 111 notifications of pregnant women who did not undergo prenatal care and had the outcome of birth in this hospital. Thus, the present study analyzed 224 congenital syphilis notification forms. Conclusion: Challenges were identified in case surveillance and low integration of health information systems, especially regarding incompleteness, since the proportion of variables with a regular, poor and very poor degree of completion indicate weaknesses in the process of filling out the notification forms. It is recommended to strengthen surveillance of cases, in the different systems, and their outcomes, as well as the role of surveillance centers in assessing the quality and completeness of the information present in the files.