Perfil epidemiológico da sífilis adquirida em usuários de um laboratório clínico universitário em Goiânia-Go no período de 2017 a 2019

Abstract

Syphilis is an infectious disease, transmitted sexually and vertically during pregnancy. When not properly treated, the disease can remain in the organism for long periods without clinical symptoms, it can evolve reaching multiple systems, producing skin, mucous, cardiovascular and nervous injuries. This study aimed to determine the epidemiological profile of users of the Clinical Laboratory of PUC Goiás, with confirmed cases of acquired syphilis, in the period from 2017 to 2019, through a retrospective survey, from the analysis of the results of the VDRL exams and FTA-Abs in the laboratory database. A total of 8,884 screening tests for acquired syphilis were ordered during this period. Of this total, 11.1%, 17.2% and 10.9% had positive results in the VDRL, respectively, in the years 2017, 2018 and 2019. A percentage of 78.7% of the positive tests for syphilis (VDRL) were confirmed by the treponemic FTA-Abs test (IgG). In 2017, 32.45% of the tests were reactive for FTA-abs; 7.95% in 2018, and 9.3% in 2019. The results of this research show a higher prevalence of cases of acquired syphilis in young male adults (47.9% / 2017; 72.9% / 2018; 63.0% / 2019) with low education. In recent years, syphilis has become a major public health problem, as it increases every year, even with simple treatment and rapid diagnosis. Control measures, mainly aimed at the proper treatment of the patient and partner, use of condoms, information to the population must be strengthened by health programs to control syphilis in the studied population.