Fetal and infant mortality of congenital syphilis reported to the Health Information System.

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  • Additional Information
    • Author-Supplied Keywords:
      Age groups
      Bacterial diseases
      Biology and life sciences
      Birth
      Brazil
      Children
      Congenital syphilis
      Death rates
      Developmental biology
      Families
      Fetal death
      Genitourinary infections
      Geographical locations
      Infants
      Infectious diseases
      Maternal health
      Medicine and health sciences
      Neglected tropical diseases
      Neonates
      Obstetrics and gynecology
      People and places
      Population biology
      Population groupings
      Population metrics
      Pregnancy
      Pregnancy complications
      Research Article
      Sexually transmitted diseases
      South America
      Syphilis
      Treponematoses
      Tropical diseases
      Urology
      Women's health
    • Abstract:
      Background: Congenital syphilis (CS) is a major cause of mortality in several countries, especially in Latin America and the Caribbean. This study aimed to analyze fetal and infant mortality of CS reported to the Health Information System in a State in Northeastern Brazil. Methods and results: This was a cross-sectional study that analyzed the deaths of CS from 2010 to 2014 through the linkage of the Mortality Information System (SIM) and the Notifiable Diseases Information System (Sinan). The Statistical Package for the Social Sciences (SPSS) version 23.0 was used to calculate the rates of Fetal, Perinatal, Neonatal (early and late), and Postneonatal Mortality. Simple linear regression was performed. Fisher's exact test or Pearson's chi-square test were used for comparison of proportions and Student's t-test was used for comparison of means. Of the 414 cases reported to the SIM as deaths possibly caused by CS, 44 (10.6%) presented CS as the underlying cause. From 2010 to 2014 the Infant Mortality Rate of CS was 16.3 per 100,000 live births (y = 0.65x + 14.33, R2 = 0.2338, p = 0.003). There was an 89.4% underreporting of deaths. Perinatal deaths and fetal deaths of CS accounted for 87.7% and 73.9% of total deaths, respectively. Conclusions: The results of the study revealed a significant Fetal and Infant Mortality rate of CS and demonstrated the importance of using the linkage method in studies that involve the analysis of secondary data obtained from mortality and disease reporting systems. The underreporting of CS as a cause of fetal and infant mortality leads to unawareness of the reality of deaths from this disease, hindering the development of public policies aimed at its prevention. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Department of Health Surveillance, Ceará State Secretary of Health, Fortaleza, Ceará, Brazil
      2Collective Health Post Graduation Program, University of Fortaleza, Fortaleza, Ceará, Brazil
      3Department of Social Medicine, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil
    • Full Text Word Count:
      5329
    • ISSN:
      1932-6203
    • Accession Number:
      10.1371/journal.pone.0209906
    • Accession Number:
      133941015
  • Citations
    • ABNT:
      ELARRAT CANTO, S. V. et al. Fetal and infant mortality of congenital syphilis reported to the Health Information System. PLoS ONE, [s. l.], v. 14, n. 01, p. 1–11, 2019. DOI 10.1371/journal.pone.0209906. Disponível em: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=133941015&authtype=sso&custid=s5834912. Acesso em: 24 jan. 2020.
    • AMA:
      Elarrat Canto SV, Leite Araújo MA, Espinosa Miranda A, Paulo Cardoso AR, Freitas de Almeida RL. Fetal and infant mortality of congenital syphilis reported to the Health Information System. PLoS ONE. 2019;14(01):1-11. doi:10.1371/journal.pone.0209906.
    • APA:
      Elarrat Canto, S. V., Leite Araújo, M. A., Espinosa Miranda, A., Paulo Cardoso, A. R., & Freitas de Almeida, R. L. (2019). Fetal and infant mortality of congenital syphilis reported to the Health Information System. PLoS ONE, 14(01), 1–11. https://doi.org/10.1371/journal.pone.0209906
    • Chicago/Turabian: Author-Date:
      Elarrat Canto, Surama Valena, Maria Alix Leite Araújo, Angélica Espinosa Miranda, Ana Rita Paulo Cardoso, and Rosa Lívia Freitas de Almeida. 2019. “Fetal and Infant Mortality of Congenital Syphilis Reported to the Health Information System.” PLoS ONE 14 (01): 1–11. doi:10.1371/journal.pone.0209906.
    • Harvard:
      Elarrat Canto, S. V. et al. (2019) ‘Fetal and infant mortality of congenital syphilis reported to the Health Information System’, PLoS ONE, 14(01), pp. 1–11. doi: 10.1371/journal.pone.0209906.
    • Harvard: Australian:
      Elarrat Canto, SV, Leite Araújo, MA, Espinosa Miranda, A, Paulo Cardoso, AR & Freitas de Almeida, RL 2019, ‘Fetal and infant mortality of congenital syphilis reported to the Health Information System’, PLoS ONE, vol. 14, no. 01, pp. 1–11, viewed 24 January 2020, .
    • MLA:
      Elarrat Canto, Surama Valena, et al. “Fetal and Infant Mortality of Congenital Syphilis Reported to the Health Information System.” PLoS ONE, vol. 14, no. 01, Jan. 2019, pp. 1–11. EBSCOhost, doi:10.1371/journal.pone.0209906.
    • Chicago/Turabian: Humanities:
      Elarrat Canto, Surama Valena, Maria Alix Leite Araújo, Angélica Espinosa Miranda, Ana Rita Paulo Cardoso, and Rosa Lívia Freitas de Almeida. “Fetal and Infant Mortality of Congenital Syphilis Reported to the Health Information System.” PLoS ONE 14, no. 01 (January 4, 2019): 1–11. doi:10.1371/journal.pone.0209906.
    • Vancouver/ICMJE:
      Elarrat Canto SV, Leite Araújo MA, Espinosa Miranda A, Paulo Cardoso AR, Freitas de Almeida RL. Fetal and infant mortality of congenital syphilis reported to the Health Information System. PLoS ONE [Internet]. 2019 Jan 4 [cited 2020 Jan 24];14(01):1–11. Available from: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=133941015&authtype=sso&custid=s5834912