Characterization of congenital and gestational syphilis in Caldas (Colombia)

Caracterización de la sífilis congénita y gestacional en Caldas, Colombia

Objective: To characterize the behavior of gestational and congenital syphilis in the department of Caldas during the 2009-2013 period according to sociodemographic characteristics and health care of mothers and children with syphilis. Materials and Methods: A descriptive study of 71 cases of congenital syphilis and 316 cases of gestational syphilis reported through the surveillance system was conducted SIVIGILA. Results: The behavior of congenital syphilis and gestational during the study, indicating a decline in cases unaffiliated and increase them in the contributory scheme and subsidized. Pregnant women with syphilis diagnosed between the ages of 16-35 years affiliated with the subsidized regime, which reside in the municipalities and were not hospitalized, had a strong correspondence with the final conditional alive. Infants with syphilis who were hospitalized, with a final condition of living showed a strong correspondence to belong to the subsidized regime. Conclusions: The population with the highest number of reported cases of gestational syphilis in the department of Caldas, in the last five years, corresponding to the subsidized pregnant residing in the municipalities with secondary and tertiary health care. The subsidized health regime gestational syphilis diagnosed during prenatal care mainly; however, with a less strong relationship, the tax regime gestational syphilis diagnosed at birth. To this we add, regardless of the health system, which couples of pregnant women with syphilis do not attend health services.