Factors associated with adherence to clinical and laboratory follow-up of pregnant women with syphilis
Abstract
Objective: to analyze the factors associated with adherence to clinical and laboratory follow-up of pregnant women with syphilis. Method: analytical study carried out in Basic Health Units with 73 pregnant women with syphilis from May 2019 to May 2020 in a capital of the Northeast of Brazil. Data collection occurred in three stages: (1) survey of cases of pregnant women with syphilis, (2) application of a form during prenatal care, prepared by the researchers, to collect sociodemographic, behavioral and clinical variables, and (3) after delivery, data collection regarding the final outcome of pregnancy. The research used descriptive analysis and logistic regression, all tests with p< 0.05. Results: adherence to clinical and laboratory follow-up occurred in 25 (34.3%) pregnant women; and follow the association with the variables: having an affective partner (p=0.012), syphilis in the first quarter of pregnancy (p=0.041), beginning of treatment at the time of diagnosis (p=0.023) and prenatal care performed by two professionals, physician and nurse(p=0.039). Conclusion: adherence was considered low. Multivariate analysis indicates that having a partner and immediate treatment may indicate a reduction in the loss tofollow-up. Primary care plays a fundamental role in thefollow-up of pregnant women with syphilis; identifying barriers related to adherence to follow-up can contribute to the development of more targeted and specific strategies.
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References
World Health Organization. Global progress report on HIV, viral hepatitis and sexually transmitted infections, 2021.Geneva: WHO; 2021. Availablefrom:: https://apps.who.int/iris/bitstream/handle/10665/342813/9789240030992-eng.pdf?sequence=1&isAllowed=y
Cesar JA, Camerini AV, Paulitsch RG, Terlan RJ. Non-performance of serological tests for syphilis during prenatal care: prevalence and associated factors. Rev Bras Epidemiol. 2020;23:e200012. DOI: https://doi.org/10.1590/1980-549720200012
Brasil. Ministério da Saúde. Boletim Epidemiológico da Sífilis 2022. Brasília: Ministério da Saúde, 2022. [citado 2022 Dez 20] Available from: file:///C:/Users/crist/Downloads/boletim_Sifilis%202022_internet.pdf
Moreira BC, Ribeiro JL, Figueredo RC, Amorim RCCS, Silva LS, Silva RS. Os principais desafios e potencialidades no enfrentamento da sífilis pela atenção primária em saúde. São Paulo: Rev Remecs. 2020;5(9):3-13. DOI: http://doi.org/10.24281/rremecs2020.5.9.3-13
Amorim EKR, Matozinhos FP, Araújo LA., Silva TPRD. Trend in cases of gestational and congenital syphilis in Minas Gerais, Brazil, 2009-2019: an ecological study. Epidemiol. Serv. Saude. 2021; 30(4):e2021128. DOI: https://doi.org/10.1590/S1679-49742021000400006
Borges BV de S, Gir E, Galvão MTG, Moura MEB, Brito GMI, Magalhães R de LB. Adherence of female sex workers with syphilis to clinical follow-up. Cogitare enferm. 2020; 25: e65456. DOI: http://dx.doi.org/10.5380/ce.v25i0.65456
Benedetti KCSV, Ribeiro ADDC, Queiroz JHFS, Melo ABD, Batista RB, Delgado FM, et al. High prevalence of syphilis and inadequate prenatal care in brazilian pregnant women: a cross-sectional study. Am J Trop Med Hyg. 2019;101(4):761-766. DOI: https://doi.org/10.4269/ajtmh.18-0912
Caus ECM, Andrade JA de. Avaliação da realização do teste rápido na consulta de enfermagem como enfrentamento da sífilis. Saúde e meio ambient.: rev. interdisciplin. 2020;9:106-19. DOI: https://doi.org/10.24302/sma.v9i0.2594
Brasil. Ministério da Saúde. Protocolo Clínico e Diretrizes Terapêuticas para Atenção Integral às Pessoas com Infecções Sexualmente Transmissíveis – IST. Brasília: Ministério da Saúde, 2022. [citado 2024 Fev 15] Available from:http://www.aids.gov.br/pt-br/pub/2016/boletim-epidemiologico-de-sifilis-2016
Silva PL, Galvão MTG, Silva EF, Borges BVS, Lira JAC, Magalhães RLB. Factors related to the loss of follow-up in pregnant women with syphilis: an integrative review. Rev Rene. 2021;22:e60257. DOI: https://doi.org/10.15253/2175-6783.20212260257
Brasil. Departamento de DST, Aids e Hepatites Virais. Protocolo Clínico e Diretrizes Terapêuticas para Atenção Integral às Pessoas com Infecções Sexualmente Transmissíveis. Brasília: Ministério da Saúde, 2022.Available from:http://antigo.aids.gov.br/pt-br/pub/2022/protocolo-clinico-e-diretrizes-terapeuticas-para-atencao-integral-pessoas-com-infeccoes
Joice EEPO, OPF, MAFJ, Elen FT.Vulnerabilidade à sífilis gestacional e congênita: uma análise de 11 anos. Rev enferm UERJ, 2020; 28:e50487. DOI: DOI: http://dx.doi.org/10.12957/reuerj.2020.50487
Dalla CFML, Andreas WRK, Dalla CMC, Martins BS. Sífilis congênita e gestacional: notificação e assistência pré-natal / Congenital and gestational syphilis: notification and pre-natal care. Arch. Health. Sci. 2019; 26(1):2-8. DOI: 10.17696/2318-3691.26.1.2019.1137.
Silva AMCS, Silva AJS, Oliveira MD, Silva AP, Rodrigues JA, Rêis SAAM et al. Percepção de gestantes com sífilis sobre a assistência pré-natal no município de Floriano, Piauí. Res., Soc. Dev. 2022; 11(7): e42711729557, 2022. DOI: http://dx.doi.org/10.33448/rsd-v11i7.29557
Domingues CSB, Duarte G, Passos MRL, Sztajnbok DCN, Menezes MLB. Protocolo Brasileiro para Infecções Sexualmente Transmissíveis 2020: sífilis congênita e criança exposta à sífilis. Epidemiol. Serv. Saude. 2021; 30(Esp.1):e2020597. DOI: https://doi.org/10.1590/S1679-4974202100005.esp1
Filho LPV, Silva AD, Rosa ACRG, Batista ALF, Chaves BC, Chaves GO.Dificuldades na abordagem e manejo da sífilis na gestação. Braz. J. Hea. Rev. 2020; 3(4): 11163-11179. DOI: https://doi.org/10.34119/bjhrv3n4-366
Pires KR, Duarte MDG, Monteiro VS,Coutinho RMC, Picoli MEFS, Ananias F. AvaliaçãodoperfilepidemiológicodasífilisgestacionalecongênitanoestadodeGoiáseaparticipaçãodoprofissionaldaenfermagem. Braz. J. Dev. 2023: 9(1): 2877-2894. DOI: https://doi.org/10.34117/bjdv9n1-200
Fernandes LPMR, Souza CL, Oliveira MV. Oportunidades perdidas no tratamento de parceiros sexuais de gestantes com sífilis: uma revisão sistemática. Rev. Bras. Saúde Mater. Infant. 2021: 21(2): 369-377. DOI: http://dx.doi.org/10.1590/1806-93042021000200002
Yitbarek GY, Ayele BA. Prevalence of syphilis among pregnant women attending antenatal care clinic, sede muja district, South Gondar, northwest Ethiopia. Journal of Pregnancy. 2019:2019. DOI: https://doi.org/10.1155/2019/1584527
Tareke K, Munshea A, Nibret E. Seroprevalence of syphilis and its risk factors among pregnant women attending antenatal care at Felege Hiwot Referral Hospital, Bahir Dar, northwest Ethiopia: a cross-sectional study. BMC Res Notes. 2019;12(69):1-7. DOI: https://doi.org/10.1186/s13104-019-4106-6
Silva FMG, Santos RC P, Quental OB, Oliveira RR, Macena LFC, Felix MEB, et al. Sífilis gestacional: dificuldade na adesão ao tratamento na perspectiva do profissional de enfermagem. Brazilia Journal of Production Engineering, 2023;9(3), 161-174. DOI: https://doi.org/10.47456/bjpe.v9i3.41246
Macêdo VC, Romaguera LMD, Ramalho MOA, Vanderlei LCM, Frias PG, Lira PIC. Sífilis na gestação: barreiras na assistência pré-natal para o controle da transmissão vertical. Cad. Saúde Colet. 2020;28(4):518-528. https://doi.org/10.1590/1414-462X202028040395.
Rocha AFB, Araújo MAL, Miranda AE, de Leon RGP, da Silva Junior GB, Vasconcelos LDPG. Management of sexual partners of pregnant women with syphilis in northeastern Brazil - a qualitative study. BMC Health Serv Res. 2019;19(1):65. DOI: https://doi.org/10.1186/s12913-019-3910-y
Xu Yh, Zhang F, Dai GH, Li DH, Ma YX, Zhang Y, Yan J. Morbidity and influencing factors of congenital syphilis in newborns in Hubei of China, 2015-2020. Chinese Journal of Disease Control and Prevention. 2022; 26(9):1030-6. DOI: 10.16462/j.cnki.zhjbkz.2022.09.008
Barimacker SV, Zocche DAA, Zanatta EA, Júnior JDR, Korb A.Construção de fluxograma e protocolo de enfermagem para manejo da sífilis na atenção primária em saúde. Cienc Cuid Saude. 2022;21:e59856.DOI: https://doi.org/10.4025/ciencuidsaude.v21i0.59856
Teixeira AMM, Larcipretti ALL, Silva GGS, FerreiraGS, Pinheiro MBST. Abordagem pré-natal da sífilis na atenção primária de saúde: uma revisão bibliográfica. Rev Med Minas Gerais 2023; 33: e-33210. DOI: https://dx.doi.org/10.5935/2238%2D3182.2022e33210.
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