Use este identificador para citar ou linkar para este item:
https://www.arca.fiocruz.br/handle/icict/25685
Tipo de documento
ArtigoDireito Autoral
Acesso aberto
Data de embargo
2018-10-31
Coleções
- INI - Artigos de Periódicos [3253]
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MANAGEMENT OF SYPHILIS IN PREGNANCY: KNOWLEDGE AND PRACTICES OF HEALTH CARE PROVIDERS AND BARRIERS TO THE CONTROL OF DISEASE IN TERESINA, BRAZIL
Family Health Strategy
Prenatal Care
Syphilis
Infectious Disease Transmission, Vertical
Estratégia Saúde da Família
Cuidado Pré-Natal
Sífilis
Transmissão Vertical de Doença Infecciosa
Afiliação
Fundação Municipal de Saúde de Teresina, Teresina, Brazil
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Resumo em Inglês
Aims: The aim of the study is to verify the knowledge and practices of health professionals working in prenatal care (PNC) relatedwith syphilis during pregnancy and to identify the main barriers to the implementation of protocols for the control of this disease. Methods: A cross‐sectional study in Teresina, Brazil, from January to May 2015, was conducted with 366 physicians and nurses working in PNC, corresponding to 70% of eligible professionals. We evaluated 20 knowledge and practice criteria related to the diagnosis and treatment of syphilis during pregnancy with a 95% compliance standard. We performed descriptive analysis of the data and used χ2 statistical test to verify differences according to professional category. Results: Only 2 criteria, “knowledge about mother to child transmission according to gestational age” and “counselling on infection,” reached 95% compliance. Knowledge of the epidemiological profile of congenital syphilis and the goal of elimination of congenital syphilis and knowledge about serological tests had scores below 50%, while practices related with posttest counselling, cure control, and treatment of partners reached 60%. We identified organisational barriers related to the late initiation of PNC, to the delayed return of syphilis test results, to the application of benzathine penicillin in primary care units and to the treatment of partners. Conclusions: Strategies for early initiation of PNC, implementation of rapid tests for syphilis, ensuring treatment of pregnant women with penicillin, adequate partner treatment, and continued education of health professionals on clinical management and counselling in sexually transmitted diseases are necessary to eliminate congenital syphilis.
Palavras-chave em inglês
Clinical ProtocolsFamily Health Strategy
Prenatal Care
Syphilis
Infectious Disease Transmission, Vertical
DeCS
Protocolos ClínicosEstratégia Saúde da Família
Cuidado Pré-Natal
Sífilis
Transmissão Vertical de Doença Infecciosa
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