Publicar

42 - SÍFILIS NA GESTAÇÃO: DESAFIOS NO DIAGNÓSTICO E IMPACTO NOS DESFECHOS NEONATAIS

Doi: 10.47094/978-65-284-0495-7/425-434

PALAVRAS CHAVE: Infecções Congênitas. Assistência pré-natal. Treponema pallidum.

KEYWORDS: Congenital infections. Prenatal care. Treponema pallidum.

ABSTRACT:
Syphilis is a sexually transmitted infection caused by Treponema pallidum, with a high rate of vertical transmission and the potential to cause severe obstetric and neonatal outcomes. This study aimed to identify the main factors related to diagnostic difficulties in gestational syphilis and their association with adverse neonatal outcomes. This is an integrative literature review with a qualitative, descriptive, and exploratory approach, conducted using the Virtual Health Library, SciELO, and PubMed databases. The PICo strategy was used to formulate the guiding question. Articles published between 2021 and 2025 in Portuguese, English, and Spanish were included, selected through the Rayyan platform and critically analyzed. The results showed an increase in gestational and congenital syphilis cases in Brazil, mainly associated with failures in prenatal care, inadequate serological monitoring, poor treatment adherence, and social vulnerabilities. The main neonatal outcomes included prematurity, low birth weight, jaundice, miscarriage, and neonatal death. It is concluded that strengthening early screening, adequate treatment, and epidemiological surveillance is essential to reduce vertical transmission and improve maternal and child health care.

Autores

  • Ana Carolline Lopes Miléo

  • Cindy da Silva Dias Lima

  • Fernanda Sena de Trolly

  • Gabriella Cláudia Figueiredo Melo

  • Gustavo Inomata Carvalho Rebelo

  • Jessyca Kelly Ferreira de Sousa

  • Juliana Cristina de Oliveira Sampaio

  • Luis Arthur Pereira Junior

  • Mabel Heloísa Corrêa Leite

  • Norma Vitória da Silva Fialho

  • Vanderson Mello Tavares da Silva

Download