Congenital syphilis

A problem as old as it is current

  • María Hortal Uruguay, Ministerio de Salud Pública, Programa Nacional de Salud de la Niñez
  • Inés Iraola Uruguay, Ministerio de Salud Pública, Programa Nacional de Salud de la Niñez
  • Caroline Agorio Universidad de la República, Facultad de Medicina, Clínica Dermatológica, Prof. Adj.
  • Bremen De Mucio Organización Panamericana de la Salud, Centro Latinoamericano de Perinatología/Salud de la Mujer y Reproductiva. Sacar Uruguay
  • Ricardo Fescina Organización Panamericana de la Salud, Centro Latinoamericano de Perinatología/Salud de la Mujer y Reproductiva. Sacar Uruguay

Abstract

The purpose of this report is to communicate to the health team the seriousness of the increase in maternal and congenital syphilis, to which multiple factors contribute that it is essential to recognize in order to propose control strategies. An investigation carried out at the Pereira Rossell Hospital Center (CHPR), by the National Child Health Program of the Ministry of Public Health (MSP) in collaboration with the Latin American Center for Perinatology-Women's and Reproductive Health (CLAP / SMR) of the Pan American Health Organization during 2007, highlighted critical aspects on which interventions should be focused. The Perinatal Information System (SIP) of the CLAP / SMR in the CHPR, registered in recent years an increasing trend of pregnant women and newborns (NBs) with reactive VDRLs (Table 1). In order to investigate the factors linked to the infection, a review of the medical records and audits of these women was carried out, and a total of 142 maternal syphilis histories were rescued. Different variables such as maternal age, parity, history of syphilis, gestational age at the first check-up, number of prenatal check-ups, VDRL screening, timely treatment, identification and treatment of sexual contacts were analyzed.

References

(1) Organización Panamericana de la Salud. Eliminación de la sífilis congénita en las Américas. Reunión del Consejo Directivo, 38, Washington, D.C., 1995. Disponible en: http://hist.library.paho.org/Spanish/GOV/CD/20775.pdf
(2) Valderrama J. Eliminación de sífilis congénita en América Latina y el Caribe: marco de referencia para su implementación. OPS, 2005. Disponible en: http://www.paho.org/Spanish/AD/FCH/AI/EliminaSifilisLAC.pdf.
(3) Word Health Organization. The global elimination of congenital Syphilis: Rationale and strategy for action, 2007. Disponible en: http://www.who.int/reproductive-health/publications/congenital_syphilis/strategy_congenitalsyphilis.pdf
(4) Fescina RH, Butrón B, De Mucio, B, Martínez G, Díaz Rossello JL, Camacho V, et al. Sistema informático perinatal. Historia clínica perinatal. Instrucciones de llenado y definición de términos. Montevideo, CLAP/SMR: 2008.
Published
2008-06-30
How to Cite
1.
Hortal M, Iraola I, Agorio C, De Mucio B, Fescina R. Congenital syphilis. Rev. Méd. Urug. [Internet]. 2008Jun.30 [cited 2024Dec.18];24(2):146-7. Available from: https://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/586
Section
Letters to the Editor