Follow-up of infants with congenital syphilis during the penicillin shortage period

• Published in: Jornal de pediatria 2023-05, Vol.99 (3), p.302-308
• Main Authors: Rocha, Ana Fátima Braga, Araújo, Maria Alix Leite, de Oliveira, Ana Karinne Dantas, de Oliveira, Lucas Fernandes, Pimentel, Lea Dias Gomes Vasconcelos, Melo, Adriana Lopes Lima
• Format: Article
• Language: English
• Subjects: Congenital; Cross-Sectional Studies; Female; Follow-Up Studies; Humans; Infant; Lost to follow-up; Original; PEDIATRICS; Penicillins - therapeutic use; Pregnancy; Pregnancy Complications, Infectious; Signs and symptoms; Syphilis; Syphilis, Congenital
• ISSN: 0021-7557; 1678-4782; 1678-4782
• DOI: 10.1016/j.jped.2022.11.011

To analyze the follow-up, in specialized outpatient clinics, of infants reported with congenital syphilis during the penicillin shortage. A cross-sectional study was carried out in ten public maternity hospitals affiliated with the Brazilian Unified Health System in the city of Fortaleza, state of Ceará. Clinical records of infants reported with congenital syphilis who were born alive in 2015 were used to describe correlates of attendance at recommended clinical follow-up appointments. A total of 469 infants reported with CS from January 1/2015 to December 31/2015 were included in the analysis. The results show that most infants did not attend the follow-up visits (368/469, 78.5%) and the main associated factors are that the follow-up clinic is located in a different hospital from that where the infant was born (OR: 3.7; CI: 2.20–6.22; p