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Artículos originales
Published:
2020-10-30

Congenital Syphilis: characteristics and quality of attention in the Complejo Hospitalario Metropolitano Dr. Arnulfo Arias Madrid

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DOI:

https://doi.org/10.37980/im.journal.rspp.20191564

Keywords:

Syphilis, congenital syphilis, Treponema pallidum, neonate, pregnant

Abstract

Syphilis is a systemic disease of sexual transmission caused by the spirochete Treponema pallidum. Despite being a preventable neonatal infection through maternal screening and treatment, rates of congenital syphilis have shown an overall increase in recent years.


Methodology: descriptive, transversal, prospective study. We reviewed the records of neonates born to mothers with positive non - treponemal tests, a scale was designed to evaluate the quality of care received by the child.
Results: a total of 2977 records were reviewed, 20 met the inclusion criteria. A congenital syphilis rate of 2.3 per thousand live births was estimated. The VDRL test was performed after the rst trimester in 40%, 86% of the mothers of the infants with congenital syphilis received inadequate treatment. 71% of the cases of congenital syphilis received the antibiotic of choice, dose and duration of adequate treatment and 42% received an adequate adjustment of the antibiotic administration intervals. No patient with syphilis received the evaluation of laboratories and images according to the standard. The quality of care received a score of 77/100.

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