Acquired Syphilis: epidemiological profile of cases in state of Pará from 2017 to 2019

Main Article Content

Bianca Sousa de Almeida Neves
https://orcid.org/0000-0002-2921-6281
Mariana Bastos Amanajás
Carla Andréa Avelar Pires

Abstract

Objective: To quantify patients diagnosed with acquired syphilis and the prevalence of the disease in the state of Pará, Brazil, from January 2017 to June 2019, in addition to characterizing the demographic aspects of patients included in the sample. Methods: observational, descriptive and cross-sectional study, conducted by reviewing the database of the Notifiable Diseases Information System made available by the State Health Department of Pará, of reported cases of acquired syphilis, in the defined period. This study included patients of both sexes, aged 18 years or older, who had acquired syphilis and were notified. Results: 5,620 cases of acquired syphilis were reported, of which the majority were male (n = 3,229; 57.45%), mixed race (n = 4,058; 72.2%), low education (n = 2,250; 40%) and in the young adult range (18–30 years; n = 2,514; 44.74%). The highest concentration of cases was observed in the metropolitan mesoregion of Belém and the Lower Amazon. Conclusions: Acquired syphilis is still prevalent and is characterized as a public health problem. Epidemiological surveillance needs to be constant, and more efficient public policies need to be employed in primary care to reduce the number of cases and make early diagnoses with appropriate treatment.



Article Details

How to Cite
1.
Neves BS de A, Amanajás MB, Pires CAA. Acquired Syphilis: epidemiological profile of cases in state of Pará from 2017 to 2019 . HSJ [Internet]. 2021 Mar. 11 [cited 2024 Nov. 22];11(1):44-50. Available from: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1037
Section
ORIGINAL ARTICLE
Author Biographies

Bianca Sousa de Almeida Neves, Pará State University (UEPA)

6th year medical student at the State University of Pará. Belém, Pará, Brazil.

Mariana Bastos Amanajás, Pará State University (UEPA)

6th year medical student at the State University of Pará. Belém, Pará, Brazil.

Carla Andréa Avelar Pires, Pará State University (UEPA)

Dermatologist, Master and Doctor in tropical diseases, Adjunct Professor IV at UEPA and UFPA.

References

Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Boletim epidemiológico de sífilis [Internet]. Brasília, DF: Ministério da Saúde; [published 2019 Oct 24; cited 2021 Feb 03]. 44 p. Avaiable from: http://www.aids.gov.br/pt-br/pub/2019/boletim-epidemiologico-sifilis-2019

Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Sífilis: Estratégias para diagnóstico no Brasil [Internet]. Brasília, DF: Ministério da Saúde; 2010 [cited 2021 Feb 03]. 100 p. Avaiable from: http://bvsms.saude.gov.br/bvs/publicacoes/sifilis_estrategia_diagnostico_brasil.pdf

Matias MDP, Jesus AO, Resende RG, Caldeira PC, Aguiar MCF. Diagnosing acquired syphilis through oral lesions: the 12-year experience of an oral medicine center. Braz J Otorhinolaryngol. 2020;86(3):358-63. https://doi.org/10.1016/j.bjorl.2018.12.010 PMid:30956150 DOI: https://doi.org/10.1016/j.bjorl.2018.12.010

Lasagabaster MA, Guerra LO. Sífilis. Enferm Infecc Microbiol Clin. 2019;37(6):398-404. https://doi.org/10.1016/j.eimc.2018.12.009 PMid:30738716 DOI: https://doi.org/10.1016/j.eimc.2018.12.009

Reinehr CPH, Kalil CLPV, Reinehr VPH. Secondary Syphilis: The great imitator can't be forgotten. Rev Assoc Med Bras. 2017;63(6):481-3. https://doi.org/10.1590/1806-9282.63.06.481 PMid:28876421 DOI: https://doi.org/10.1590/1806-9282.63.06.481

Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Manual técnico para diagnóstico da sífilis. Brasília, DF: Ministério da Saúde; [published 2016 Oct 20; cited 2021 Feb 03]. 54 p. Avaiable from: http://www.aids.gov.br/pt-br/pub/2016/manual-tecnico-para-diagnostico-da-sifilis

Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Protocolo clínico e diretrizes terapêuticas para atenção integral às pessoas com infecções sexualmente transmissíveis [Internet]. Brasília, DF: Ministério da Saúde; [published 2015 Nov 13; cited 2021 Feb 03]; 120 p. Avaiable from: https://bit.ly/3oHFcwF

Brasil. Fundação Instituto Brasileiro de Geografia e Estatística (IBGE). Divisão regional do Brasil em mesorregiões e microrregiões geográficas (vol.1). Rio de Janeiro, RJ: IBGE; 1990 [cited 2021 Feb 03]. 135 p. Avaiable from: https://biblioteca.ibge.gov.br/visualizacao/livros/liv2269_1.pdf

Ayres M, Ayres Jr M, Ayres DL, dos Santos AAS. BioEstat 5.4 - Aplicações estatísticas nas áreas das ciências biológicas e medicas [Internet]. Belém, PA: Sociedade Civil Mamirauá - IDSM/ MCT/ CNPq; 2007 [cited 2021 Feb 03]. Avaiable from: https://bit.ly/3pF29Sm

Garbin AJI, Martins RJ, Belila NM, Exaltação SM, Garbin CAS. Reemerging diseases in Brazil: sociodemographic and epidemiological characteristics of syphilis and its under-reporting. Rev Soc Bras Med Trop. 2019;52:e20180226. https://doi.org/10.1590/0037-8682-0226-2018 PMid:30810654 DOI: https://doi.org/10.1590/0037-8682-0226-2018

Jain A, Mendiratta V, Chander R. Current status of acquired syphilis: A hospital-based 5-year study. Indian J Sex Transm Dis AIDS. 2012;33(1):32-4. https://doi.org/10.4103/0253-7184.93814 PMid:22529451 PMCid:PMC3326846 DOI: https://doi.org/10.4103/0253-7184.93814

Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Protocolo clínico e diretrizes terapêuticas para atenção integral às pessoas com infecções sexualmente transmissíveis. 2019; p 55-90.

Brasil. Instituto Brasileiro de Geografia e Estatística (IBGE). Características gerais dos domicílios e dos moradores: 2019 [Internet]. Rio de Janeiro: IBGE; 2020 [cited 2021 Feb 03; updated 2020 May 26]. Avaiable from: https://biblioteca.ibge.gov.br/index.php/biblioteca-catalogo?view=detalhes&id=2101707

Chile. Ministerio de Salud de Chile. Departamento de Epidemiologia. Situación epidemiológica de sífilis. Rev Chilena Infectol. 2018;35(3):284-96. https://doi.org/10.4067/s0716-10182018000300284 PMid:30534908 DOI: https://doi.org/10.4067/s0716-10182018000300284

Wong NS, Huang S, Zheng H, Chen L, Zhao P, Tucker JD, Yang LG, Goh BT, Yang B. Stages of syphilis in South China - a multilevel analysis of early diagnosis. BMC Public Health. 2017;17(1):135. https://doi.org/10.1186/s12889-016-4004-y PMid:28143448 PMCid:PMC5282730 DOI: https://doi.org/10.1186/s12889-016-4004-y

Sousa RAC, Marques ED, Frade PCR, Cordeiro ACC, Martins LC, Resque RL, et al. Syphilis among illicit drugs users in the State of Pará, Brazilian Amazon [Internet]. Chapter 1. Avid Science [Internet]. 2017 Jul 21. 27 p. Avaiable from: https://bit.ly/39HOuo3

Silva EC, Tupinambá MR, Silva FASD, Vieira JR, Borges SCR, Nascimento LS. Resultados de sorologia para casos de sífilis em campanha de município no norte do Brasil. Rev Pan-Amaz Saúde. 2016;7(1):39-43. https://doi.org/10.5123/S2176-62232016000100005 DOI: https://doi.org/10.5123/S2176-62232016000100005