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    Global training in ORL-HNS - Training of otolaryngologists in South America
    (Headley Brothers Ltd, 2000-11-01) Pontes, Paulo; Universidade Federal de São Paulo (UNIFESP)
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    Implantação de observatório para sífilis gestacional e congênita
    (Universidade Federal de São Paulo (UNIFESP), 2016-04-29) Lazarini, Flaviane Mello [UNIFESP]; Barbosa, Dulce Aparecida Barbosa [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: The emergence of syphilis in the Brazilian population and their aspects who include maternal and child health as well as the difficulties encountered by epidemiological surveillance in using health policies instituted by the Ministry of Health-Brazil, was necessary establish an Observatory for syphilis who originated from the partnership between the Municipal Health of Londrina, Paraná and the State University of Londrina. This study was based on the importance of educational and interventional role of epidemiological surveillance with introduce of measures needed to prevent and / or control the occurrence of syphilis epidemic. Purpose: the aim of this study was to describe the effectiveness of the implanted Observatory and monitoring the pregnancy and congenital syphilis and possible changes in the epidemiological profile of this disease. Methods: The epidemiological design used was quasi-experimental, before and after, conducted during the period from October 2013 to December 2015, approved by ethic committee of UNIFESP with the need of written consent signed from health professionals participating. The study material were all reported forms of individuals with gestational syphilis and congenital syphilis between 2007 and 2013 (before the intervention) and period 2014-2015, after the intervention. The population were 102 health professionals from Primary Health Care Unit, responsible for compulsory notification of infectious diseases. We performed situational diagnosis in the pre-intervention, intervention (professional training) with self-applied questionnaire to measure knowledge before and after the intervention. Data were tabulated and categorized by Excel for Windows and SPSS (Statistical Package for Social Sciences) ® 2.1. The analysis was descriptive and inferential (McNemar test). Results: about 92.6% of the professionals take part to local intervention workshops and have been improved their knowledge of antenatal on diagnosis and management of syphilis after the intervention, which reached a pre success rate of 53% and 74.3%, post-intervention (p<0.01). Syphilis detection rate in pregnant women increased by 7.3/1000 from 2013 to 2015. The incidence of congenital syphilis decreased from 7.1/1000 in 2013 to 4.8/1000 in 2014 but began to grow again in 2015 (6.7 /1000). After the intervention, there was no registration of infant deaths from syphilis, however, there was an increased detection fetal deaths investigated and confirmed. Conclusion: the educational intervention and the establishment of the Observatory for Syphilis expanded the development of epidemiological monitoring actions and brought positive impact with proper use of tool. We managed expand early case detection in pregnancy and we achieved the vertical transmission reduction of syphilis besides detection of fetal deaths who increased. There was elimination of specific infant mortality by this grievance in 2014 and 2015.