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Archivos de Pediatría del Uruguay

Print version ISSN 0004-0584On-line version ISSN 1688-1249

Abstract

SOBRERO, Helena et al. Gestational and congenital syphilis at a children Hospital Center Pereira Rossell, 2020-2021. Arch. Pediatr. Urug. [online]. 2023, vol.94, n.2, e212.  Epub Dec 01, 2023. ISSN 0004-0584.  https://doi.org/10.31134/ap.94.2.5.

Introduction:

syphilis is a preventable and treatable sexually transmitted disease that is a major public health problem. Transmission to the fetus, congenital syphilis, is serious and it is also the cause of abortions and deaths. Early and timely maternal diagno sis is a fundamental prevention tool.

Objectives:

to determine the prevalence of gestational syphilis and the incidence of congenital syphilis in the Pereira Rossell Hospital Center in the period March 2020-March 2021, the year in which the COVID-19 pandemic was declared.

Material and Methods: an observational, descriptive study was carried out in which pregnant women diagnosed with gestational syphilis and neonates with congenital syphilis were included.

Results:

a prevalence of gestational syphilis of 27.5/1000 pregnant women and an incidence of congenital syphilis of 1.37/1000 live births were recorded of the 161 newborns, 78 (48.4%) of the neonates were considered to be at high risk of connatal syphilis, for which they received treatment and their hospital stay was prolonged. A high percentage of poorly controlled pregnancies and a low level of treatment for sexual partners were observed.

Conclusions:

the prevalence of gestational syphilis maintained an upward trend at the Pereira Rossell Hospital Center during the first year of the COVID-19 pandemic, mainly due to a significant decrease in pregnancy control, poor treatment of sexual partners and a high percentage of patients at high risk of unconfirmed connatal syphilis. After the first year of the COVID-19 Pandemic this rising trend still remains.

Keywords : Congenital Syphilis.

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