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- Title
DISTRIBUIÇÃO TEMPORAL DOS CASOS E DA MORTALIDADE INFANTIL POR SÍFILIS CONGÊNITA NAS CINCO REGIÕES GEOGRÁFICAS DO BRASIL ENTRE 2009 E 2018.
- Authors
Maia Coutinho, Fernando; Fadi Geha, Yuri; Costa Reis, Luzivan; Luciano Kaizer, Wesley; Arantes, Tiago; Bastos Brega, Carolina
- Abstract
Introduction: Worldwide, it is estimated that about 1.8 million pregnant women are infected with syphilis, although only 10% of them are diagnosed and treated appropriately. Therefore, the present study aims to describe the temporal evolution of the incidence of cases of and mortality rates from congenital syphilis (CS) in children younger than 1 year, as well as to compare the impact of this mortality by regions of Brazil between 2009 and 2018. Methods: This is an ecological, retrospective study, with data from the Information System and Notifiable Diseases (SINAN), Mortality Information System (SIM) and the Information System on Live Births (SINASC). Results: The incidence of CS in individuals younger than 1 year showed an increase of 328.57% in the rates recorded between 2009 (2.1/1,000) and 2018 (9/1,000). The mean annual incidence (ß1) per CS was 0.80 (95% confidence interval [95%CI] 0.75-0.86; p = 00006), with a coefficient of determination (R2) equal to 0.99%. The mean variation in mortality rate from SC (ß1) was 0.006/1,000 (95%CI 0.005-0.008; p = 0.00004, R2 = 0.93%). The southeast region had the highest proportion of mortality from the disease among children younger than 1 year due to CS, with 43.14% of deaths. Conclusion: There was a positive correlation between incidence of and mortality from CS among children younger than 1 year in Brazil over the years analyzed, with high rates in the five geographic regions, suggesting the need for greater attention to prenatal screening and improvements in the training of health service professionals.
- Subjects
BRAZIL; MEDICAL personnel; DEATH rate; SYPHILIS; INFORMATION storage &; retrieval systems; JUVENILE diseases; PREGNANT women
- Publication
Clinical & Biomedical Research, 2021, Vol 41, Issue 4, p291
- ISSN
2357-9730
- Publication type
Article
- DOI
10.22491/2357-9730.113237