Newborns with Congenital Syphilis and their mothers Attended in the Neonatology Service of the ELOÍSA TORRENT VIDAL Hospital in Corrientes. Years 2015-2016

Abstract

SUMMARY: Congenital syphilis occurs when the mother with syphilis transmits the infection to the fetus during gestation by hematogenous route or during delivery by direct contact of the neonate with maternal genital lesions. It is an increasing social problem, which is why it was necessary to contextualize it in our environment. Objective: To determine the characteristics of newborns with congenital syphilis, assisted in the neonatology service of the Eloísa Torrent de Vidal Hospital in the city of Corrientes from January 1, 2015 to December 31, 2016. Material and method: Descriptive study , retrospective, cross-sectional, data source clinical histories, variables analyzed were gestational age, birth weight, need for hospitalization, time of hospitalization, epidemiological criteria for the diagnosis of syphilis, the mother's age, treatment of syphilis in the mothers and origin of the mother. Results: 65 neonates with congenital syphilis attended between 2015 and 2016 were detected. Of these, 24 were male and 41 female, in relation to gestational age, the minimum was 20 weeks, the maximum 40 weeks, the most frequent 37 weeks (22 %); 43 newborns presented adequate weight for gestational age. The most frequent period of hospitalization was 10 days. Regarding the epidemiological criteria for the diagnosis of syphilis, 28 cases were confirmed. With regard to maternal age, a range of ages between 16 and 40 years was presented, categorized in adolescents from 16 to 19 years old, 41%, young people from 20 to 34 years old, 54% and old people from 35 to 40 years old, 5%. When considering the origin of mothers with syphilis 77% resided in capital and 23% came from the provincial interior. In reference to the maternal treatment of syphilis, 2 cases were observed that completed the treatment, 36 with incomplete treatment and no treatment 27. The cases with confirmed diagnosis were 28, with weights between 900 and 4200 grams, with gestational age between 26 and 40 weeks, 20 mothers without treatment and 8 with incomplete treatment, 22 with domicile in the capital and 6 of the provincial interior. Conclusions: 65 cases were detected that received treatment for congenital syphilis, 28 of them had confirmation of the diagnosis, with gestational age between 26 and 40 weeks. In the origin of the mothers 77% resided in capital and 23% in the interior; 63 mothers had not received treatment or did not complete it during the prenatal period, observing a lack of attendance at the follow-up controls of the pregnancy, being the most remarkable and worrisome in our conclusions.