Clinical Protocols and Treatment Guidelines for the Management of Maternal and Congenital Syphilis in Brazil and Portugal: Analysis and Comparisons: A Narrative Review.
Talita Katiane BritoAliete Cristina Gomes Dias Pedrosa da Cunha-OliveiraAna Isabela Lopes Sales-MoioliJane Francinete DantasRosângela Maria Morais da CostaJosé Paulo Silva MouraMaria Sagrario Gomez CantarinoRicardo Alexsandro de Medeiros ValentimPublished in: International journal of environmental research and public health (2022)
(1) Background: Maternal syphilis (MS) and congenital syphilis (CS) are serious public health problems worldwide due to their high morbidity and mortality rates. (2) Objective: Evaluating the applicability of Clinical Protocols and Treatment Guidelines on case incidence trends in Brazil and Portugal. (3) Methods: The review was done through bibliographic research in two public databases and government websites from both countries, published between 2007 and 2022. All guidelines that contained CS and MS were selected. (4) Results and discussion: After evaluation, we found that Brazil and Portugal have adequate protocols for screening and treating congenital and maternal syphilis. (5) Conclusion: The results suggest that CS and MS incidence are notably higher in Brazil than in Portugal due to economic, cultural, and social disparities and the differences in territory size. Therefore, these demographic and socioeconomic factors could strongly influence efforts to fight against syphilis and thus control the infection.
Keyphrases
- men who have sex with men
- human immunodeficiency virus
- public health
- mass spectrometry
- multiple sclerosis
- ms ms
- mental health
- clinical practice
- healthcare
- birth weight
- risk factors
- hepatitis c virus
- pregnancy outcomes
- emergency department
- antiretroviral therapy
- hiv infected
- pregnant women
- body mass index
- big data
- physical activity
- electronic health record
- replacement therapy
- preterm birth
- meta analyses
- gestational age