Resumo

SAN MIGUEL DE VERA, Cristina; EDEN, Vera Cabral  e  FANEGO, Humberto. Seroprevalence of Syphilis in pregnant women in Alto Parana-2008 . Rev. Inst. Med. Trop. [online]. 2010, vol.5, n.1, pp.6-12. ISSN 1996-3696.

Background: Congenital syphilis is acquired from an infected mother in utero or through the birth canal. With the diagnosis of the disease and the advent of penicillin, it becomes a significant reduction. Nontreponemal serologic evidence as the VDRL (Venereal Disease Research Laboratory) or RPR (Rapid Plasma Reagin) are easy to determined, economic cost, are useful for diagnosis and essential to monitor response to treatment, which needs to the study is quantitative. The aim of this study was to investigate the incidence of syphilis infection in the pregnant population in 6 cities of Alto Paraná, in 2008. Materials and methods: Study retrospective, descriptive cross-sectional. We reviewed the files of maternal and child services private and public, of 7,380 pregnant women who attended the pre-natal control 2,028 serology for syphilis. Results: Of a total of 7,380 chips analyzed, 5,310 were public institutions, where 17% of pregnant women, presented in the medical record VDRL test. In private institutions, of 2,070 pregnant, 54% of them had registered VDRL test. In Ciudad del Este, (capital of Alto Paraná) pregnant women in public institutions were 2,445, of which, only 36% made 4 or more controls during pregnancy, 0.80% tested positive for VDRL test, 7.20% was negative and 92% did not record data, this scenario is repeated in all major cities of the department and the percentage is even lower in public institutions. Conclusion: The situation of pregnant women in Alto Paraná is alarming because it represents a significant and unnecessary risk to the newborn, because they account for many years with appropriate pharmacological and economic weapons to avoid.

Palavras-chave : Ciudad del Este; VDRL; RPR.

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