Congenital Syphilis: characteristics and quality of attention in the Complejo Hospitalario Metropolitano Dr. Arnulfo Arias Madrid

Abstract

Syphilis is a systemic disease of sexual transmission caused by the spirochete Treponema pallidum. Despite being a preventable neonatal infection through maternal screening and treatment, rates of congenital syphilis have shown an overall increase in recent years.

Methodology: descriptive, transversal, prospective study. We reviewed the records of neonates born to mothers with positive non - treponemal tests, a scale was designed to evaluate the quality of care received by the child.
Results: a total of 2977 records were reviewed, 20 met the inclusion criteria. A congenital syphilis rate of 2.3 per thousand live births was estimated. The VDRL test was performed after the rst trimester in 40%, 86% of the mothers of the infants with congenital syphilis received inadequate treatment. 71% of the cases of congenital syphilis received the antibiotic of choice, dose and duration of adequate treatment and 42% received an adequate adjustment of the antibiotic administration intervals. No patient with syphilis received the evaluation of laboratories and images according to the standard. The quality of care received a score of 77/100.