2025-03-132025-03-132024-03-15SANTOS, Francisco Charles Silva dos; SOUZA, Kelly Karoline Marques de. Perfil clínico-epidemiológico de sífilis gestacional e congênita na região metropolitana de belém-pa no período de 2018 a 2022. Orientador: Jorge Oliveira Vaz. 2024. 55 f. Trabalho de Curso (Bacharelado em Medicina) - Faculdade de Medicina, Instituto de Ciências Medicas, Universidade Federal do Pará, Belém, 2024 Disponível em: https://bdm.ufpa.br/jspui/handle/prefix/7864. Acesso em:.https://bdm.ufpa.br/jspui/handle/prefix/7864Introduction: Syphilis is a venereal disease caused by Treponema pallidum bacterium that can be vertically transmitted and has increasing incidence levels annually, generating negative impacts on pregnant women and their unborn children, which has been observed in Brazil and around the world. Objective: Describe the clinical-epidemiological profile of syphilis in pregnancy and congenital syphilis, from 2018 to 2022, in the metropolitan region of Belém, composed of the cities of Belém, Ananindeua, Benevides, Castanhal, Marituba, Santa Bárbara do Pará and Santa Izabel do Pará. Method: This is an observational cross-sectional study with a quantitative approach, using data obtained from the Notifiable Diseases Information System and the Department of HIV/AIDS, Viral Hepatitis, and Sexually Transmitted Infections. Results: An increase in the incidence rates of both forms of syphilis was observed in all cities during the analyzed period. In 2022, the incidence (per thousand live births) of syphilis in pregnancy ranged from 28.4 (Castanhal) to 57.2 (Marituba), while that of congenital syphilis ranged between 6.4 (Castanhal) and 23.8 (Belém). In relation to pregnant women with syphilis, the prevalence was higher in those between 20 and 39 years old, of mixed race, with complete secondary education, with the majority of diagnoses occurring in the third trimester of pregnancy, with the majority classified as primary syphilis. The same maternal social profile was found in cases of congenital syphilis, and prenatal care was provided to 77% of mothers, but most diagnoses were made at the time of delivery/curettage, in addition to the treatment occurring inadequately or not at all. has been performed on most pregnant women and their partners. Among newborns, males, brown, less than 7 days old, were most affected, with a favorable outcome in most cases. Conclusion: Several factors influenced the increase in the incidence of syphilis in pregnant women and newborns in the municipalities evaluated, due to several factors such as the Covid-19 pandemic, increased detection of syphilis through rapid tests and inadequate/non-existent treatment in most of the pregnant women and their partners. Epidemiological data reflect prenatal care that is still lacking, requiring greater input from public health actions aimed at the most vulnerable population, including health education and professional qualification.Acesso AbertoSífilis gestacionalSífilis congênitaEpidemiologiaSyphilis in pregnancyCongenital syphilisEpidemiologyCNPQ::CIENCIAS MEDICAS::MEDICINATrabalho de Curso - Graduação - Monografia