Congenital syphilis: epidemiological analysis and sentinel event of the quality of care for the mother/newborn binomium


  • Mara Rejane Barroso Barcelos UFES/PROFESSOR ADJUNTO II
  • Eliane de Fátima Almeida Lima Departamento de Enfermagem, Universidade Federal do Espírito Santo. Av. Mal. Campos, 1468 - Maruípe, Vitória - ES, 29047-105
  • Arlete Frank Dutra cGerência de Vigilância em Saúde, Secretaria Municipal de Saúde de Vitória.
  • Tatiane Comerio cGerência de Vigilância em Saúde, Secretaria Municipal de Saúde de Vitória.
  • Cândida Caniçali Primo b Departamento de Enfermagem, Universidade Federal do Espírito Santo. Av. Mal. Campos, 1468 - Maruípe, Vitória - ES, 29047-105



congenital syphilis, vertical transmission of infectious disease, epidemiological monitoring, health assessment


Introduction: congenital syphilis remains a serious public health problem in Brazil and worldwide, being fetal and antenatal infections the main causes of global morbidity and mortality.

Objective: to analyze the cases of congenital syphilis and an outcome indicator of the quality of care for the mother/newborn binomial in Vitória (ES), in the 2016-2019 quadrennium.

Methods: study with a quantitative approach, which evaluated the indicator “congenital syphilis follow-up”. Data were collected in the Notifiable Diseases Information System (SINAN), for the period from January 1, 2016 to December 31, 2019. The information regarding the follow-up of NB occurred by searching an electronic medical record, from August 1, 2020 to March 31, 2021.

Results: in the 2016-2019 quadrennium, the municipality of Vitória had 169 cases of congenital syphilis, according to the year of diagnosis criterion. This indicator decreased over the quadrennium: 64 cases in 2016 (37.9%), 43 in 2017 (25.4%), 37 in 2018 (21.9%) and 25 in 2019 (14.8 %). The nontreponemal test was reactive in 62.7% of cases. In 10.7% there were alterations in the laboratory analysis of the CSF; 3%, alteration in the examination of long bones; 5.3%, non-treponemal CSF reagent test, and 11.8% were symptomatic at birth. The congenital syphilis incidence rate, which was 14.65/1000 live births in 2016, reached 5.58/1000 live births in 2019. The follow-up indicator for congenital syphilis cases that were born alive was 69.8 % in 2016, 79.5% in 2017, 84.4% in 2018 and 85.7% in 2019.

Conclusion: there was a significant reduction in the number of cases of congenital syphilis, in the incidence rate of the disease and progressive improvement in the follow-up of congenital syphilis, having, as a guideline, the Plan to Eliminate Syphilis.


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