Gestational syphilis prevalence and congenital syphilis incidence in Cali, Colombia, 2010

Authors

  • Claudia Lucena Galeano-Cardona
  • William Darío García-Gutiérrez
  • Lina María Congote-Arango
  • María Adelaida Vélez-García
  • Diana Milena Martínez-Buitrago

DOI:

https://doi.org/10.18597/rcog.136

Keywords:

Congenital syphilis, gestational syphilis, prevalence

Abstract

Objective: Obtaining gestational syphilis prevalence and congenital syphilis incidence data in the city of Cali, Colombia during 2010.

Materials and methods: This was a descriptive, cross-sectional study. The study population consisted of pregnant women who had attended prenatal control sessions and given birth in Cali and whose maternal and perinatal results were known. Patients whose epidemiological data had not been properly recorded were excluded. The clinical sociodemographic characteristics of pregnant women suffering from gestational syphilis were determined. Gestational syphilis prevalence and congenital syphilis incidence in Cali during 2010 were estimated.

Results: Gestational syphilis prevalence for Cali was 1.4% and congenital syphilis incidence was 2.5 per 1,000 live births during 2010; 35% of women having positive serology had not received suitable treatment.

Conclusions: Gestational syphilis prevalence was greater than expected, in view of available PAHO data.

Author Biographies

Claudia Lucena Galeano-Cardona

Residente Cuarto año de Ginecología y Obstetricia, Universidad Libre, Seccional Cali. Cali, Colombia.

William Darío García-Gutiérrez

Residente Cuarto año de Ginecología y Obstetricia, Universidad Libre, Seccional Cali. Cali, Colombia.

Lina María Congote-Arango

Residente Cuarto año de Ginecología y Obstetricia, Universidad Libre, Seccional Cali. Cali, Colombia.

María Adelaida Vélez-García

Residente Cuarto año de Ginecología y Obstetricia, Universidad Libre, Seccional Cali. Cali, Colombia.

Diana Milena Martínez-Buitrago

Especialización de Ginecología y Obstetricia, Mg. Epidemiología, Docente de la Universidad Libre. Secretaría de Salud Pública Municipal de Cali. Oficina de Vigilancia Epidemiológica. Seguimiento a Sífilis. GIGyO Grupo Institucional Ginecología y Obstetricia, Universidad Libre. Cali, Colombia.

References

Lomotey CJ, Lewis J, Gebrian B, Bourdeau R, Dieckhaus K, Salazar JC. Maternal and congenital syphilis in rural Haiti. Pan Am J Public Health 2009;26:197-202.

Singh AE, Romanowski B. Syphilis review with emphasis on clinical, epidemiologic, and some biologic features. Clin Microbiol Rev 1999;12:187-209.

Sánchez PJ, Wendel GD. Syphilis in pregnancy. Clin Perinatol 1997;24:71-9.

Garnett GP, Aral SO, Hoyle DV, Cates W, Anderson RM. The natural history of syphilis.Implications for the transmission dynamics and control of infection. Sex Transm Dis 1997;24:185-200.

Pox HD: Genius, madness, and the mysteries of syphilis. 1st ed. New York: Perseus Books Group; 2003. Control de las enfermedades de transmisión sexual: un manual para el diseño y la administración de programas. Proyecto para la Prevención y el Control del SIDA (AIDS-CAP). Ciudad de Guatemala.

OPS, Unidad VIH/SIDA. Hoja informativa sobre sífilis congénita. Washington D.C.; 2004.

Southwick KL, Guidry HM, Weldon MM, Mert KJ, Berman SM, Levine WC. An epidemic of congenital syphilis in Jefferson County, Texas, 1994-1995: Inadequate prenatal syphilis testing after an outbreak in adults. Am J Public Health 1999;89:557-60.

Ronald A, Plourde P. Why are syphilis control programs failing? Int J Infect Dis 1998;2:121-2.

Bermejo A, Leiro V. Sífilis. El desafío permanente. Dermatología Argentina 2011;17:156-9.

Hurtig AK, Nicoll A, Carne C, Lissauer T, Connor N, Webster JP, et al. Syphilis in pregnant women and their children in the United Kingdom: Results of national clinician reporting surveys. BMJ 1998;317:1617-9.

Fitzgerald DW, Behets FM, Lucet C, Roberfroid D. Prevalence, burden and control of syphilis in Haiti’s rural Artibonite region. Int J Infect Dis 1998;2: 127-31.

Comportamiento de la sífilis congénita en Colombia. Boletín Epidemiológico. Sistema nacional de vigilancia epidemiológica; 2001.

Fiumara N, Fleming W, Dowing JG, Good FL. The incidence of prenatal syphilis at the Boston City Hospital. N Engl J Med1952;247:48-52.

Ingraham NR Jr. The value of penicillin alone in the prevention and treatment of congenital syphilis. Acta Derm Venereol Suppl 1950;31:60-87.

Evans HE, Frenkel LD. Congenital syphilis. Clin Perinatol 1994;21:149-62.

Walker DG, Walker GJ. Forgotten but not gone: The continuing scourge of congenital syphilis. Lancet Infect Dis 2002;2:432-6.

Zenker PN, Rolfs RT. Treatment of syphilis, 1989. Rev Infect Dis 1990;12:S590-S609.

Ingall D, Dobson SRM, Musher D. En: Remington JS, Klein J, editors. Infectious Diseases of the Fetus and Newborn Infant. Philadelphia: WB Saunders Co;1990.

Schulz KF, Scholte JM, Berman SM. En: Germain A, Holmes KK, Piot P, Wasserheit JN, editors. Reproductive Tract Infections.Global Impact and Priorities for Women’s Health. New York and London: Plenum Press;1992.

Hutchinson CM, Hook III EW. Syphilis in adults. Med Clin North Am 1990;74:1389-416.

Watts TE, Larsen SA, Brown ST. A case-control study of stillbirth at a teaching hospital in Zambia 1979-80: serological investigations for selected infectious agents. Bull World Health Organ 1984;62;803-8.

Temmerman M, Hira S, Laga M. Las ETS y el embarazo. Family Health International; 1997. p 181-99.

Lewis DA, Young H. Syphilis. Sex Transm Infect 2006;82:13-15.

Carles G, Lochet S, Youssef M, Guindi EL, Helou G, Alassas N, et al. Syphilis and pregnancy study of 85 cases in French Guyana. J Gynecol Obstet Biol Reprod 2008;37:353-7.

Protocolo INS 2010, Sífilis Congénita y Gestacional.

Ratnam AV, Din SN, Hira SK, Bhat GJ, Wacha DS, Rukmini A, et al. Syphilis in pregnant woman in Zambia. Br J Vener Dis 1982;58;355-8.

Lindstrand A, Bergstrom S, Bugalho A, Zanconato G, Helgesson AM, Hederstedt B. Prevalence of syphilis infection in Mozambican women with second trimester miscarriage and women attending antenatal care in second trimester. Genitourin Med 1993;69:431-3.

Estadísticas – Cali Saludable, 2008. Disponible en: http://calisaludable.cali.gov.co/estadisticas/inicio.php

Hernández J, Pintado J, Fernández C, Hernández D, Suárez R. Comportamiento de la serología reactiva en gestantes durante 1997. Rev Cubana Obstet Ginecol 1999;25:118-23.

Southwick KL, Blanco S, Santander A, Estenssoro M, Torrico F, Seoane G, et al. Maternal and congenital syphilis in Bolivia, 1996: prevalence and risk factors. Bull World Health Organ 2001;79:33-42.

Cálculo de necesidades - Cálculo de la población por vacunar. Disponible en: http://www.paho.org/english/ad/fch/im/isis/epi_mod/spanish/5/calc_poblacion.asp

How to Cite

1.
Galeano-Cardona CL, García-Gutiérrez WD, Congote-Arango LM, Vélez-García MA, Martínez-Buitrago DM. Gestational syphilis prevalence and congenital syphilis incidence in Cali, Colombia, 2010. Rev. colomb. obstet. ginecol. [Internet]. 2012 Dec. 20 [cited 2024 May 16];63(4):321-6. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/136

Downloads

Download data is not yet available.

Published

2012-12-20

Issue

Section

Original Research
QR Code

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views

Some similar items: