Principais complicações de sífilis congênita em serviço de referência do Estado do Pará

Abstract

Congenital Syphilis (CS) is one of the main pathologies of vertical transmission observed in clinical practice. Although it has well-established management with specific clinical protocols, significant indicators of maternal-fetal involvement by this pathology are still observed, with the possibility of developing complications for the child from the gestational period until years after birth. To evaluate the prevalence of the main complications of Congenital Syphilis in children attended at a reference service in the state of Pará from January 2019 to December 2020. Study carried out through the analysis of medical records of newborns attended at the Units Intensive Care Unit (ICU) and Neonatal Intermediate Care Unit (ICU) of the Santa Casa de Misericórdia do Pará Foundation. 117 medical records were evaluated, of which 41% of newborns were asymptomatic. Of the neonates who presented clinical manifestations, the most prevalent were jaundice (39.3%) and respiratory distress (23.1%). Conclusion: Due to the considerable number of asymptomatic NBs or those with nonspecific symptoms, the importance of of maternal testing throughout the prenatal period, with correct registration in the pregnant woman's booklet of the instituted management, in addition to the screening of the child in the peripartum so that it is treated early. It is indispensable that in the care services for pregnant women, existing flaws in the registration process regarding the treatment of the mother and her partners are reassessed, essential information in the flow of approaching these individuals at the time of delivery and that can prevent the maintenance of CS indicators.