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Federación Mexicana de Ginecología y Obstetricia, A.C.

2022, Number 11

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Ginecol Obstet Mex 2022; 90 (11)

Gestational syphilis: Analysis of risk factors in a maternal and child center in Lima, Peru (2015-2020)

Erazo-Medina LL, García-Cajaleón JD, Sotelo-Muñoz SA, Rivera-Beltrán SE, Reyes-Ortiz SC, Campos-Correa KE

Language: Spanish
References: 12
Page: 901-909
PDF size: 206.73 Kb.


ABSTRACT

Objective: To analyze the risk factors associated with syphilis in pregnant women attended at a mother and child center in Lima, Peru.
Materials and Methods: Observational, retrospective, analytical case-control study performed in a population of pregnant women screened for syphilis at the Centro Materno Infantil Villa María del Triunfo, Lima, Peru, from January 2015 to July 2020. A group of cases of pregnant women diagnosed with syphilis, with reactive test PRS-PRD or RPR-VDRL under any title, according to the definition of the Ministry of Health of Peru and a control group of pregnant women without syphilis diagnosis were integrated. For the bivariate analysis between sociodemographic, obstetric and behavioral factors with gestational syphilis, the Fisher's exact and Pearson's 2 exact statistical test was used.
Results: Of 189 pregnant women attended during the study period, 63 had a positive reactive test for syphilis; of these, 34 were adolescents. Of the pregnant women without syphilis, the majority (n = 124) were older than 19 years and only 2 were adolescents. The most significant risk factors for syphilis in pregnant women were being an adolescent (p ‹ 0.01), coming from a marginal urban area (p ‹ 0.01), being single (p ‹ 0.01), low schooling, and being a housewife (p ‹ 0.01).
Conclusions: The factors that significantly increase the probability of having syphilis in pregnant women attended at a maternal and child center in Lima, Peru, were adolescent age, urban-marginal origin, single, prenatal desertion, early onset of sexual intercourse, two or more sexual partners, and not using a condom.


REFERENCES

  1. Organización Panamericana de Salud, Organización Mundialde la Salud. Sífilis. Pan American Health Organization-World Health Organization, 2018. https://www3.paho.org/hq/index.php?option=com_content&view=article&id=14869:sti-syphilis&Itemid=3670&lang=es#gsc.tab=02.

  2. Organización Panamericana de Salud, OrganizaciónMundial de la Salud. Sífilis. https://www.paho.org/es/temas/sifilis

  3. Organización Panamericana de Salud, Organización Mundialde la Salud. Infecciones de transmisión sexual. https://www.paho.org/es/temas/infecciones-transmision-sexual

  4. Dávila JR, Lizarbe L. Factores de riesgo asociados consífilis en embarazadas atendidas en el Instituto NacionalMaterno Perinatal 2012-2015. Ayacucho, Perú: UniversidadNacional de San Cristóbal de Huamanga, 2017. http://repositorio.unsch.edu.pe/handle/UNSCH/2569

  5. Tareke K, Munshea A, Nibret E. Seroprevalence of syphilisand its risk factors among pregnant women attendingantenatal care at Felege Hiwot Referral Hospital, BahirDar, northwest Ethiopia: a cross-sectional study. BMC ResearchNotes 2019; 12 (69): 1-7. https://doi.org/10.1186/s13104-019-4106-6

  6. Lendado TA, Tekle T, Dawit D, Daga WB, et al. Determinantsof syphilis infection among pregnant women attendingantenatal care in hospitals of Wolaita zone, SouthernEthiopia, 2020. PLOS ONE 2022; 17 (6): e0269473. https://doi.org/10.1371/journal.pone.0269473

  7. Enbiale M, Getie A, Haile F, Tekabe B, et al. Magnitude ofsyphilis sero-status and associated factors among pregnantwomen attending antenatal care in Jinka town public healthfacilities, Southern Ethiopia, 2020. PLoS One 2021; 16 (9):e0257290. https://doi.org/10.1371/journal.pone.0257290

  8. Hailu K, Gebretsadik A. Determinants of gonorrhea andsyphilis infections among pregnant women attendingantenatal clinic at Dilla University Referral Hospital,Ethiopia: Unmatched case-control study. WomensHealth (Lond) 2020; 16: 1745506520940095. https://doi.org/10.1177/1745506520940095

  9. Macêdo VC de, Lira PIC de, Frias PG de, Romaguera LMD,et al. Risk factors for syphilis in women: case-control study.Rev Saúde Pública 2017; 51: 78. https://doi.org/10.11606/S1518-8787.2017051007066

  10. Ministerio de Salud del Perú. Boletín Epidemiológico.Volumen 31-SE 07. Semana Epidemiológica (del 13 al 19de febrero del 2022). Centro Nacional de Epidemiología,Preención y Control de Enfermedades, 2022. https://www.dge.gob.pe/epipublic/uploads/boletin/boletin_20227_10_212757.pdf

  11. Infecciones de trasmisión sexual. Pan American HealthOrganization-World Health Organization, 2018. https://www3.paho.org/per/index.php?option=com_content&view=article&id=4072:its&Itemid=0

  12. Ministerio de Salud del Perú. Vigilancia epidemiológicade sífilis congénita. CDC MINSA. https://www.dge.gob.pe/portalnuevo/vigilancia-epidemiologica/vigilanciaepidemiologica-de-sifilis-congenita/




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