Vigilancia Epidemiológica de la sífilis gestacional y congénita en el departamento de Córdoba, Colombia, 2012- 2016
Vigilancia Epidemiológica de la sífilis gestacional y congénita en el departamento de Córdoba, Colombia, 2012- 2016
复制标题
哥伦比亚科尔多瓦妊娠和先天性流行病学调查，2012-2016 年
DOI：
10.31052/1853.1180.v23.n3.20637
复制
发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Javier A. Bula Romero
中科院分区：
文献类型：
--
作者：
María Angélica Barrera Sánchez;Javier A. Bula Romero
简介：妊娠期梅毒和先天性梅毒是公共卫生方面的重大事件，不仅因为它对孕妇有影响，而且因为这些事件可能对胎儿和新生儿造成后果和/或后遗症。方法：本研究为描述性、回顾性、流行病学研究。目的：描述2012-2016年期间科尔多瓦省妊娠期和先天性梅毒的流行病学监测，包括产前检查期间诊断和告知的病例的筛查和治疗。结果如下：66.6%接受产前诊断的孕妇生活在城市首府，其中大多数（87.6%）获得补贴; 50%的被告知病例在怀孕36周左右开始治疗，只有35.9%的性伴侣获得治疗。大多数先天性梅毒病例是通过流行病学联系诊断的，这种情况反映了所要求的治疗方案存在缺陷，包括对性接触的治疗。在研究期间，科尔多瓦省的大多数先天性梅毒病例集中在锡努河和圣豪尔赫河流域。结论：在产前护理期间缺乏对妊娠梅毒病例的跟踪，以及被诊断患有这种感染的妇女的性伴侣缺乏治疗，是该地区实现控制先天梅毒目标的最明显的限制因素。
Introduction: gestational and congenital syphilis are events of great interests in public health, not only because of the implications it has for the pregnant woman but also for the consequences and/or sequelae these events may cause in the fetus and the newborn. Method: this research is a descriptive, retrospective, epidemiological study. Objective: To describe epidemiological surveillance of gestational and congenital syphilis in the department of Cordoba from the screening and treatment of the cases diagnosed and informed during prenatal care in the period 2012-2016. Results: 66.6% of pregnant women diagnosed in prenatal care lived in municipal capitals, most of them (87.6%) received a subsidy; 50% of the cases informed started treatment at around 36 weeks of pregnancy and only 35.9% of sexual partners had access to treatment. Most cases of congenital syphilis were diagnosed by epidemiological nexus, situation which reflects flaws in the requested therapeutic schemes, including treatment of sexual contacts. Most cases of congenital syphilis in the department of Cordoba during the study period were concentrated in the basin ofSinu and San Jorge rivers. Conclusions: lack of follow up of gestational syphilis cases during prenatal care and lack of treatment of sexual partners of women diagnosed with this infection have been the most evident limitations to reach the objectives set to control congenital syphilis in the region.