| Autor | Rodrigues, Danielle Carvalho | |
| Autor | Domingues, Rosa Maria Soares Madeira | |
| Data de acesso | 2018-04-09T15:41:02Z | |
| Data de disponibilização | 2018-04-09T15:41:02Z | |
| Data do publicação | 2017 | |
| Citação | RODRIGUES, Danielle Carvalho; DOMINGUES, Rosa Maria Soares Madeira. Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil. International Journal of Health Planning and Management, out. 2017. | pt_BR |
| ISSN | 0749-6753 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/25685 | |
| Idioma | eng | pt_BR |
| Editor | Wiley | pt_BR |
| Direito Autoral | open access | pt_BR |
| Título | Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil | pt_BR |
| Tipo do documento | Article | pt_BR |
| DOI | 10.1002/hpm.2463 | |
| 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. | pt_BR |
| Afiliação | Fundação Municipal de Saúde de Teresina, Teresina, Brazil | pt_BR |
| Afiliação | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Palavras-chave em inglês | Clinical Protocols | pt_BR |
| Palavras-chave em inglês | Family Health Strategy | pt_BR |
| Palavras-chave em inglês | Prenatal Care | pt_BR |
| Palavras-chave em inglês | Syphilis | pt_BR |
| Palavras-chave em inglês | Infectious Disease Transmission, Vertical | pt_BR |
| DeCS | Protocolos Clínicos | pt_BR |
| DeCS | Estratégia Saúde da Família | pt_BR |
| DeCS | Cuidado Pré-Natal | pt_BR |
| DeCS | Sífilis | pt_BR |
| DeCS | Transmissão Vertical de Doença Infecciosa | pt_BR |
| Data de embargo | 2018-10-31 | |
