Prevalence of syphilis in a hospital in the province of Buenos Aires in 8 years
Introduction Syphilis constitutes a global health problem. Objective: to establish the prevalence of syphilis and the distribution according to stage in patients assisted in the Dermatology Service from June 2010 to June 2018, and compare the epidemiological characteristics that could influence the...
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2020
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/27744 |
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I10-R10-article-27744 |
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Universidad Nacional de Córdoba |
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Revistas de la UNC |
| language |
Español |
| format |
Artículo revista |
| topic |
sexually transmitted diseases syphilis syphilis, cutaneous enfermedades de transmisión sexual sífilis sífilis cutánea doenças sexualmente transmissíveis sífilis sífilis cutânea |
| spellingShingle |
sexually transmitted diseases syphilis syphilis, cutaneous enfermedades de transmisión sexual sífilis sífilis cutánea doenças sexualmente transmissíveis sífilis sífilis cutânea Miraglia, Eugenia Dauria, Florencia Gomez, María Amalia Olivares Blanco, Sofía Gerez, Eliana Maribel Bolomo, Gimena Di Giamberardino, Daniela Garritano, María Victoria Loudet, Cecilia Inés Maradeo, María Roxana Prevalence of syphilis in a hospital in the province of Buenos Aires in 8 years |
| topic_facet |
sexually transmitted diseases syphilis syphilis, cutaneous enfermedades de transmisión sexual sífilis sífilis cutánea doenças sexualmente transmissíveis sífilis sífilis cutânea |
| author |
Miraglia, Eugenia Dauria, Florencia Gomez, María Amalia Olivares Blanco, Sofía Gerez, Eliana Maribel Bolomo, Gimena Di Giamberardino, Daniela Garritano, María Victoria Loudet, Cecilia Inés Maradeo, María Roxana |
| author_facet |
Miraglia, Eugenia Dauria, Florencia Gomez, María Amalia Olivares Blanco, Sofía Gerez, Eliana Maribel Bolomo, Gimena Di Giamberardino, Daniela Garritano, María Victoria Loudet, Cecilia Inés Maradeo, María Roxana |
| author_sort |
Miraglia, Eugenia |
| title |
Prevalence of syphilis in a hospital in the province of Buenos Aires in 8 years |
| title_short |
Prevalence of syphilis in a hospital in the province of Buenos Aires in 8 years |
| title_full |
Prevalence of syphilis in a hospital in the province of Buenos Aires in 8 years |
| title_fullStr |
Prevalence of syphilis in a hospital in the province of Buenos Aires in 8 years |
| title_full_unstemmed |
Prevalence of syphilis in a hospital in the province of Buenos Aires in 8 years |
| title_sort |
prevalence of syphilis in a hospital in the province of buenos aires in 8 years |
| description |
Introduction Syphilis constitutes a global health problem. Objective: to establish the prevalence of syphilis and the distribution according to stage in patients assisted in the Dermatology Service from June 2010 to June 2018, and compare the epidemiological characteristics that could influence the increase in prevalence.
Methods Retrospective cohort study of patients ≥ 15 years, with diagnosis of acquired syphilis. For the analysis of the data, two periods were considered: P1: 2010-2015 and P2: 2015-2018, according to the increase in prevalence observed in the monthly surveillance, and the comparison between variables considering early and late syphilis.
Results 1582 patients were included, 51% (805) in P1 and 49% (777) in P2. The prevalence of global syphilis in our service was 7.1%, with a high percentage of pregnant and postpartum patients (54% of all women). The prevalence in P1 was 5.8%, and 9.3% in P2 (p <0.01). In P2, early syphilis amounted to 53% (p <0.01), complete treatments decreased and cases without follow-up increased. Early syphilis was associated with younger age, absence of a stable partner, and more spontaneous consultations and complete treatments.
Conclusion We observed a sustained increase in the prevalence of acquired syphilis, with an increase in early syphilis, which implies a greater risk of transmission. There was also less adherence to treatment and necessary controls. The high rate of gestational syphilis puts the significant deficit in prenatal controls in our health system on alert. |
| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2020 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/27744 |
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I10-R10-article-277442020-11-11T11:49:23Z Prevalence of syphilis in a hospital in the province of Buenos Aires in 8 years Prevalencia de sífilis en un hospital de la provincia de Buenos Aires en 8 años Prevalência de sífilis em um hospital na província de Buenos Aires em 8 anos Miraglia, Eugenia Dauria, Florencia Gomez, María Amalia Olivares Blanco, Sofía Gerez, Eliana Maribel Bolomo, Gimena Di Giamberardino, Daniela Garritano, María Victoria Loudet, Cecilia Inés Maradeo, María Roxana sexually transmitted diseases syphilis syphilis, cutaneous enfermedades de transmisión sexual sífilis sífilis cutánea doenças sexualmente transmissíveis sífilis sífilis cutânea Introduction Syphilis constitutes a global health problem. Objective: to establish the prevalence of syphilis and the distribution according to stage in patients assisted in the Dermatology Service from June 2010 to June 2018, and compare the epidemiological characteristics that could influence the increase in prevalence. Methods Retrospective cohort study of patients ≥ 15 years, with diagnosis of acquired syphilis. For the analysis of the data, two periods were considered: P1: 2010-2015 and P2: 2015-2018, according to the increase in prevalence observed in the monthly surveillance, and the comparison between variables considering early and late syphilis. Results 1582 patients were included, 51% (805) in P1 and 49% (777) in P2. The prevalence of global syphilis in our service was 7.1%, with a high percentage of pregnant and postpartum patients (54% of all women). The prevalence in P1 was 5.8%, and 9.3% in P2 (p <0.01). In P2, early syphilis amounted to 53% (p <0.01), complete treatments decreased and cases without follow-up increased. Early syphilis was associated with younger age, absence of a stable partner, and more spontaneous consultations and complete treatments. Conclusion We observed a sustained increase in the prevalence of acquired syphilis, with an increase in early syphilis, which implies a greater risk of transmission. There was also less adherence to treatment and necessary controls. The high rate of gestational syphilis puts the significant deficit in prenatal controls in our health system on alert. Introducción La sífilis constituye un problema de salud mundial. Objetivo: establecer la prevalencia de sífilis y la distribución según estadio en pacientes asistidos en el Servicio de Dermatología de Junio 2010 a Junio 2018, y comparar las características epidemiológicas que pudieran influir en el aumento de la prevalencia. Métodos Estudio de cohorte retrospectivo de pacientes ≥ 15 años, con diagnóstico de sífilis adquirida. Para el análisis de los datos se consideraron dos periodos: P1: 2010-2015 y P2: 2015-2018, de acuerdo al aumento de prevalencia observado en la vigilancia mensual, y la comparación entre variables considerando sífilis temprana y tardía. Resultados Se incluyeron 1582 pacientes, 51% (805) en P1 y 49% (777) en P2. La prevalencia de sífilis global en nuestro servicio fue de 7,1 %, con un alto porcentaje de pacientes embarazadas y puérperas (54% del total de las mujeres). La prevalencia en P1 fue de 5,8%, y 9,3 % en P2 (p < 0,01). En P2 la sífilis temprana ascendió a un 53% (p< 0,01), disminuyeron los tratamientos completos y aumentaron los casos sin seguimiento. La sífilis temprana se asoció con menor edad, ausencia de pareja estable, y más consultas espontáneas y tratamientos completos. Conclusión Observamos un aumento sostenido de la prevalencia de sífilis adquirida, con un incremento de la sífilis temprana, que implica mayor riesgo de transmisión. También se evidenció menor adherencia al tratamiento y controles necesarios. La alta tasa de sífilis gestacional pone en alerta el déficit importante en los controles prenatales en nuestro sistema de salud. Introdução A sífilis constitui um problema de saúde global. Objetivo: estabelecer a prevalência de sífilis e a distribuição por estágio nos pacientes atendidos no Serviço de Dermatologia de junho de 2010 a junho de 2018, e comparar as características epidemiológicas que podem influenciar no aumento da prevalência. Métodos Estudo de coorte retrospectivo de pacientes ≥ 15 anos, com diagnóstico de sífilis adquirida. Para a análise dos dados, foram considerados dois períodos: P1: 2010-2015 e P2: 2015-2018, de acordo com o aumento da prevalência observado na vigilância mensal e a comparação entre variáveis considerando sífilis precoce e tardia. Resultados Foram incluídos 1582 pacientes, 51% (805) em P1 e 49% (777) em P2. A prevalência de sífilis global em nosso serviço foi de 7,1%, com alta porcentagem de pacientes grávidas e pós-parto (54% de todas as mulheres). A prevalência no P1 foi de 5,8% e 9,3% no P2 (p <0,01). No P2, a sífilis precoce foi de 53% (p <0,01), os tratamentos completos diminuíram e os casos sem acompanhamento aumentaram. A sífilis precoce foi associada a idade mais jovem, ausência de um parceiro estável e consultas mais espontâneas e tratamentos completos. Conclusão Observamos um aumento sustentado na prevalência de sífilis adquirida, com um aumento na sífilis precoce, o que implica maior risco de transmissão. Houve também menor adesão ao tratamento e controles necessários. A alta taxa de sífilis gestacional coloca em alerta o déficit significativo no controle pré-natal em nosso sistema de saúde. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2020-08-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/27744 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 77 No. 3 (2020); 136-142 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 77 Núm. 3 (2020); 136-142 Revista da Faculdade de Ciências Médicas de Córdoba; v. 77 n. 3 (2020); 136-142 1853-0605 0014-6722 10.31053/1853.0605.v77.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/27744/31064 https://revistas.unc.edu.ar/index.php/med/article/view/27744/31069 Derechos de autor 2020 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |