%0 Journal Article
%T TRATAMIENTO DE LA S¨ªFILIS GESTACIONAL Y PREVENCI¨®N DE LA S¨ªFILIS CONG¨¦NITA EN UN HOSPITAL P¨²BLICO EN BOGOT¨¢, 2010 Treatment of gestational syphilis and prevention of congenital syphilis in a public hospital in Bogot¨¢, 2010
%A Nayibe Vanegas-Castillo
%A Yenny Nataly C¨¢ceres-Buitrago
%A Carlos Augusto Jaimes-Gonz¨¢lez
%A Edith ¨¢ngel-Muller
%J Revista Facultad de Medicina de la Universidad Nacional de Colombia
%D 2011
%I Universidad Nacional de Colombia
%X Antecedentes. La s¨ªfilis afecta a la mujer gestante y es transmitida al feto. Hay incremento de su incidencia en pa¨ªses no desarrollados y poblaciones vulnerables. Objetivo. Evaluar el cumplimiento de las recomendaciones del Centro de Control de Enfermedades(CDC) para el tratamiento de casos intrahospitalarios de s¨ªfilis gestacional y cong¨¦nita. Material y m¨¦todos. Estudio retrospectivo basado en registros de notificaci¨®n e historias cl¨ªnicas de gestantes y neonatos de un hospital p¨²blico de Bogot¨¢ entre enero 1 y octubre 31 de 2010. Resultados Se identificaron 40 casos de s¨ªfilis gestacional: 12,5% con diagn¨®stico de aborto sin control prenatal, 12,5% en gestaciones en curso (una t¨¦rmino en aborto), 72,5% durante el parto y 2,5% en puerperio. S¨®lo 45% estaban afiliadas a la seguridad social, la tasa de analfabetismo fue 12%. El 100% de los casos encontrados latentes y 58% de los compa eros no recibi¨® tratamiento. Se identificaron 25 casos de s¨ªfilis cong¨¦nita. Hubo 2 (8,3%) casos confirmados de neuros¨ªfilis cong¨¦nita. Todos los neonatos recibieron tratamiento para s¨ªfilis cong¨¦nita como escenarios 1 y 2 del CDC independiente del tratamiento materno recibidido. Conclusi¨®n. La s¨ªfilis gestacional y cong¨¦nita afecta grupos vulnerables. Se debe tratar integralmente a la gestante y su hijo, ubicar el escenario terap¨¦utico del neonato y realizar el manejo cl¨ªnico adecuado para curar la enfermedad. Background. Syphilis affects pregnant women and becomes transmitted to their foetuses. Incidence has risen in underdeveloped countries and vulnerable populations. Objective. Assessing compliance with Center for Disease Control (CDC) recommendations for treating intra-hospital cases of gestational and congenital syphilis. Materials and methods. This was a retrospective study based on registries and medical records of pregnant women and their babies in a public hospital in Bogot¨¢ from 1st January to 31st October 2010. Results. Forty cases of gestational syphilis were identified; 12.5% were admitted for abortions without prior prenatal care, 12.5% during prenatal care (one case ending in abortion), 72.5% during labour and 2.5% during postnatal care (puerperium). Only 45% of the women had social security and 12% were illiterate. 100% of the cases were found during latent stage and 58% of their sexual partners remained untreated. Twenty-five cases of congenital syphilis were identified between 36 and 40 weeks pregnancy. 20% of the women had low birth weight and clinical examination was abnormal in only 4 (16%) of them. There were 2 cases (8.3%) of confirmed neurosyphili
%K s¨ªfilis cong¨¦nita
%K neuros¨ªfilis
%K s¨ªfilis latente
%K penicilina
%K sifilis (DeCS)
%K congenital syphilis
%K neurosyphilis
%K syphilis
%K latent
%K penicillin
%K syphilis (MeSH)
%U http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-00112011000300002