Sífilis em gestantes e (não) tratamento do parceiro no município do Rio de Janeiro

Abstract

Introduction: Congenital syphilis is a preventable condition, provided that gestational syphilis is diagnosed and treated promptly. Partner adherence to syphilis treatment is an essential factor in controlling the infection, since continuous transmission between partners can lead to reinfection of the pregnant woman, compromising the effectiveness of the treatment. Objective: To analyze the profile of pregnant women with syphilis according to the record of (non) treatment of the partner notified in the health network of the Municipality of Rio de Janeiro (MRJ) in the period from 2013 to 2023. Method: This is an observational, descriptive study, with retrospective data on syphilis cases in pregnant women and information on the treatment of the sexual partner, notified in the Information System for Compulsory Notifiable Diseases (SINAN) in the period from January 2013 to December 2023. Results: It was identified that the treatment rate of partners was 35.7%, with a decrease over the years. Pandemic periods presented the lowest proportions in the registration of treatment of partners and, in those years, the reasons mentioned related to the partner's refusal after summons and non-summons that may be related to the pandemic were frequent. Black women with low levels of education, in addition to being the most frequently diagnosed with syphilis, are also those with the highest rates of non-treatment of their partners, once again revealing the vulnerability of this population segment to ensuring their rights to access and adequate treatment in health care. Conclusion: The findings highlight the need for specific interventions to improve adherence to treatment by partners and, consequently, the management of gestational syphilis, especially in younger, black pregnant women with low levels of education.