Falhas no tratamento da sífilis em gestantes no Brasil: revisão sistemática

Abstract

Introduction: Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum and can have serious complications, affecting various organs and systems of the body. Aggravating factors for the high incidence of syphilis are mainly associated with unprotected sex, increased number of tests, lack of search for adequate treatment in asymptomatic people and reduction in drug administration. For an effective treatment against gestational syphilis (GS), it is important for the health professional to establish a relationship of trust with the patient, with information passed on in a clear way, avoiding interruption in the treatment. Objective: To analyze, through a systematic review, the main flaws in the treatment of GS in Brazil. Methods: This is a systematic review with a final sample of 26 articles collected from the National Library of Medicine of the United States of America and the Virtual Health Library, selected according to the criteria of the Preferred Reporting items for Systematic Reviews and Meta-Analyses. Articles from 2018 to 2022 published in magazines and health notebooks with epidemiological and temporal analysis were elected. Results:Failures related to the treatment of GS were evidenced, among them the insecurity of health professionals in the administration of medications, inadequate treatment of the sexual partner, delay in diagnosis, error in notification, shortage of penicillin, lack of knowledge of the disease by the population, incorrect transfer of information by professionals, difficult access to the health network, low schooling and precarious sex education. Conclusion: The study showed several flaws in the treatment of GS in Brazil, emphasizing primarily how much the impact that the low educational level has on Brazilian society is still notorious.