Sífilis em gestantes: uma análise espacial no território Vale do Rio Guaribas/PI

Abstract

Syphilis is a Sexually Transmitted Infection (STI) that is easy to diagnose. Its treatment is carried out in a simple and freeway, guaranteed by the Unified Health System (SUS), however, it still presents itself as a public health problem, due to its high incidence, associated comorbidities and, above all, due to its magnitude, mainly when presented in pregnant women, gestational syphilis (SG). Therefore, conducting a spatial analysis of this condition becomes relevant because it allows the exact determination of the geographic space where SG has a smaller and greater distribution within the studied territory, for this the compulsory notification acts as a thermometer indicating where there is a need for disease control, since the pregnant woman with syphilis not treated properly and in a timely manner can transmit the disease vertically to the fetus: Congenital Syphilis (SC), which can cause spontaneous abortion, premature birth, fetal and neonatal death, fetal malformation, deafness , blindness and mental disability. This research aims to analyze the distribution of cases of SG in the territory of Vale do Rio Guaribas/PI, from 2008 to 2018. It is an epidemiological survey with a spatial approach to the cases notified in the Information System for Notifiable Diseases ( SINAN). The data found were tabulated in the Excel program and presented in tables, graphs and a map was designed to view the SG scenario in the Vale do Rio Guaribas / PI Territory. The survey included all SG notifications. In the graphs, tables and map presented, it is feasible to observe the current scenario of SG distribution in the various municipalities that make up the Vale do Rio Guaribas/PI territory and to score a larger cluster of SG cases in the municipality of Picos, with high rates of detection proving efficient in the notification of the disease. However, many municipalities did not present any notification of the disease, suggesting, therefore, underreporting of cases. In several municipalities, there is a lower number of SG notifications than that of congenital syphilis (SC), evidencing the underreporting of SG. The study showed that municipalities have priority in their work, as they are at risk for the occurrence of the disease, making it necessary to raise the awareness of managers, training and health education of this population and health professionals