Epidemiological characterization of congenital syphilis in a health region of the northern zone in the state of Ceará, Brazil

The study sought to investigate the epidemiological profile of congenital syphilis in a health region in the State of Ceará, in the period from 2015 to 2019. This is a descriptive epidemiological study, with a quantitative approach, with secondary data collected through the Health System. Information on Notifiable Diseases and Live Birth Information System. There were a total of 248 cases:65cases in 2015, 50 in 2016, 45 in 2017, 51 in 2018 and 37 in 2019. The incidence of congenital syphilis was: 8.1(2015), 6.1(2016), 5.1 (2017), 5.3(2018) and 3.9(2019). In 62.9% of cases from all the years, women were between 20 and 34 years old and in 45.5% of cases they had less than eight years of educational instruction. 57.2% never had a miscarriage, 63.3% had vaginal deliveries and 59.2% had full-term deliveries. Most women received prenatal care (95.9%). In 49.5% of cases, the diagnosis of maternal syphilis occurred during prenatal care. Only 67 (27%) of the pregnant women were treated properly and only 52 (29%) had their partners treated. The study shows aflaw in prenatal care with low effectiveness of the prevention actions, determining factors in the control of congenital syphilis.

Mobilizando estudantes em defesa do Sistema Único de Saúde (SUS): experiências interprofissionais do VER-SUS - Sobral, CE, Brasil / Movilizando estudiantes en defensa del Sistema Brasileño de Salud (SUS): experiencias interprofesionales del VER-SUS - Sobral, CE, Brasil / Mobilizing students in the Brazilian National Health System (SUS) defense: interprofessional experiences of VER-SUS - Sobral, CE, Brasil

Resumo Trata-se de um relato das experiências do projeto VER-SUS no período de 2012 a 2016 no processo de formação interprofissional dos acadêmicos da área da Saúde e afins, no município de Sobral (CE). Os eixos analíticos abrangeram: construção histórica e social do VER-SUS e a experiência interprofissional no VER-SUS. Ao longo desse percurso temporal, aconteceram seis edições do projeto, que, por meio de rodas de conversas, oficinas de desenvolvimento interprofissional e devolutivas das imersões nos territórios e serviços de saúde, possibilitaram uma formação dialógica e horizontal acerca da realidade do SUS. Assim, o VER-SUS/Sobral mostrou-se uma estratégia potente por estimular a interprofissionalidade e o desenvolvimento de expertises do trabalho em saúde entre graduandos e o serviço. Para tanto, essas experiências proporcionaram espaços dialógicos para a (re)construção do saber.(AU)

Resumen Se trata de un relato de las experiencias del proyecto VER-SUS en el período de 2012 a 2016 en el proceso de formación interprofesional de los académicos del área de la Salud y similares en el municipio de Sobral / Estado de Ceará. Los ejes analíticos incluyeron: Construcción Histórico y Social del VER-SUS y la Experiencia Interprofesional en el VER-SUS. Durante este trayecto temporal se realizaron seis ediciones del proyecto que, por medio de ruedas de conversaciones, talleres de desarrollo interprofesional y devolutivas de las inmersiones en los territorios y servicios de salud, posibilitaron una formación dialógica y horizontal sobre la realidad del SUS. Así, el VER-SUS / Sobral se mostró una estrategia robusta, por incentivar la interprofesionalidad y el desarrollo de experiencias del trabajo de salud entre los alumnos de graduación y el servicio. Para ello, esas experiencias proporcionaron espacios dialógicos para la (re)construcción del saber.(AU)

Abstract This is an account of the experiences of VER-SUS project from 2012 to 2016 in the interprofessional education process of health academics and others in the city of Sobral, CE, Brazil. The analytical axes included: social and historical construction of VER-SUS, and interprofessional experience at VER-SUS. Six editions of the project were held during this period. Through conversation circles, interprofessional development workshops and feedback from immersions into the territories and health services, they enabled a dialogical and horizontal education in SUS' reality. Therefore, VER-SUS/Sobral proved to be a powerful strategy, since it encourages interprofessionalism and development of health work expertise between undergraduate students and the service. In order to do so, these experiences provided dialogic spaces for knowledge (re)construction.(AU)

Perfil de gestantes diagnosticadas com sífilis / Profile of pregnant women diagnosed with syphilis

A sífilis é uma doença que acomete a humanidade desde o século XV, porém continua sendo um problema de saúde pública, principalmente nos países em desenvolvimento como o Brasil. Objetivo: Traçar o perfil sociodemográfico e gineco-obstétrico de gestantes diagnosticadas com sífilis nas maternidades de um município do estado do Ceará. Método: Tratou-se de um estudo descritivo com abordagem quantitativa. Foi realizado durante o ano de 2013 e a população correspondeu a 50 gestantes com diagnóstico de sífilis admitidas nas maternidades. A coleta de dados deu-se pelo preenchimento de formulário elaborado com base no instrumento de Siqueira (2004), preenchido a partir dos cartões ou cadernetas de pré-natal. Os dados foram analisados por meio da estatística descritiva e discutidos com base em literatura pertinente. Resultados: Das gestantes 46,3% possuíam união estável, 36% ensino fundamental incompleto, 30% eram diaristas e 86% tinham renda mensal de um salário mínimo ou menos. Em relação aos dados obstétricos 36% apresentaram 2 gestações anteriores, 18% tiveram aborto e 44% diagnóstico de Infecção Sexualmente Transmissível em algum momento da vida. Sobre o pré-natal, 88% fizeram seis ou mais consultas e apenas 32% realizaram o tratamento adequado. Conclusão: A população mais prevalente com sífilis é jovem, com pouco poder aquisitivo e baixa escolaridade. Os dados gineco-obstétricos caracterizaram histórico de gestações anteriores e de alguma intercorrência.

Syphilis is a disease that has troubled mankind since the 15th century, and it continues to be a public health problem, especially in developing countries like Brazil. Objective: To outline the sociodemographic and gynecological-obstetric profiles of pregnant women diagnosed with syphilis at maternity hospitals in a municipality in the State of Ceará. Method: This is a descriptive study with a quantitative approach. The study was carried out in 2013, and the population consisted of 50 pregnant women with a syphilis diagnosis admitted to maternity hospitals. Data collection was obtained from prenatal care cards or booklets that were based on the instrument mentioned in Siqueira (2004). Data were analyzed through descriptive statistics, and were discussed using relevant literature as a basis. Results: 46.3% of pregnant women had a common-law marriage, 36% revealed having an incomplete elementary education, 30% were day workers and 86% had a monthly income of a minimum wage or less. With regard to obstetrical data, 36% had had two previous pregnancies, 18% had had an abortion, and 44% had had a diagnosis of a sexually transmitted infection some time in their lifetime. Concerning prenatal care, 88% had six or more appointments with a doctor, and only 32% completed the appropriate treatment. Conclusion: The young adult population has the most prevalence of syphilis, because they have little purchasing power and low levels of education. Gineco-obstetrical data revealed previous pregnancies and a history of intercurrence.