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Epidemiologia e Serviços de Saúde

versión impresa ISSN 1679-4974versión On-line ISSN 2237-9622

Resumen

OLIVEIRA, Giovana Gomes de et al. Detection of gestational and congenital syphilis in Paraná state, Brazil, 2007-. Epidemiol. Serv. Saúde [online]. 2024, vol.33, e2024188.  Epub 22-Mayo-2024. ISSN 1679-4974.  http://dx.doi.org/10.1590/s2237-96222024v33e2024188.en.

Objective:

To describe temporal trends in the detection rates of gestational and congenital syphilis, by maternal age and health macro-region of the state of Paraná, Brazil, 2007-2021.

Methods:

This was a time-series study using surveillance data; the trend analysis was performed by means of joinpoint regression, and average annual percent change (AAPC) and 95% confidence intervals (95%CI) were estimated.

Results:

An increase in statewide detection of gestational syphilis (AAPC = 21.7; 95%CI 17.7; 32.8) and congenital syphilis (AAPC = 14.8; 95%CI 13.0; 19.7) was found; an increase was also found in the health macro-regions, with the Northwest (gestational, AAPC = 26.1; 95%CI 23.4; 31.6) and North (congenital, AAPC = 23.8; 95%CI 18.8; 48.9) macro-regions standing out; statewide rising trends were observed for young women [gestational, AAPC = 26.2 (95%CI 22.4; 40.6); congenital, AAPC = 19.4 (95%CI 17.6; 21.8)] and adult women [gestational, AAPC = 21.3 (95%CI 16.9; 31.9); congenital, AAPC = 13.7 (95%CI 11.9; 19.3)].

Conclusion:

Maternal and child syphilis detection rates increased in the state, regardless of maternal age and health macro-region.

Palabras clave : Syphilis; Pregnancy; Mother-to-Child Transmission of Infectious Diseases; Syphilis, Congenital; Time Series Studies; Public Health Surveillance.

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