Sífilis congénita en el Hospital Universitario de Santander, Bucaramanga (Colombia), 2006-2007
| dc.contributor.advisor | Perez Vera, Luis Alfonso | |
| dc.contributor.advisor | Diaz Martínez, Luis Alfonso | |
| dc.contributor.author | Matos Mareno, Cecilia Del Carmen | |
| dc.date.accessioned | 2024-03-03T17:08:16Z | |
| dc.date.available | 2008 | |
| dc.date.available | 2024-03-03T17:08:16Z | |
| dc.date.created | 2008 | |
| dc.date.issued | 2008 | |
| dc.description.abstract | Antecedentes. La sífilis congénita (SC) aumenta en nuestro país a pesar de existir un programa diseñado para su control. Se requiere conocer las características de los afectados y sus padres, para implementar medidas de control. Objetivo. Caracterizar los casos de SC atendidos en el Hospital Universitario de Santander, Bucaramanga (Colombia), entre Junio/2006 y Septiembre/2007. Materiales y métodos. Estudio de corte transversal prospectivo. Se analizaron variables socio demográficas y clínicas de los recién nacidos y sus padres. Resultados. Se presentaron 36 recién nacidos (RN) con SC. Nueve sintomáticos (25%), 6 con compromiso del sistema nervioso central (16.7%); 2 murieron (5.6%). En 12 casos (33.3%) las madres no hicieron control prenatal; 16 (44.4%) no aparecen inscritas al sistema de seguridad social en salud. Tres madres (8.3%) infectadas por VIH; 6 (16.7%) con más de 9 compañeros sexuales y 10 (27.8%) con un compañero sexual; 8 (22.2%) usó drogas ilícitas. El diagnóstico de sífilis fue hecho en el tercer trimestre del embarazo en 15 casos (41.7%) y 14 (38.9%) en postparto. El 47.2% de las madres no recibió tratamiento durante el embarazo (17 casos); 25 padres (69.5%) no lo recibieron. Conclusiones. Pese a que la Sífilis Congénita es una enfermedad de carácter prevenible en el Hospital Universitario de Santander se encontraron 36 casos de SC entre junio de 2006 a septiembre 2007. Sobresalen factores inherentes a la madre, a su entorno y al acceso al servicio de salud que hacen que la SC aumente en nuestro medio. Para modificar la incidencia de la SC es mandatorio mejorar la calidad del Control Prenatal, garantizar el acceso y captación de las gestantes de manera oportuna, lograr adherencia a los protocolos de manejo por parte de las IPS para poder mejorar la calidad de vida de la infancia en Santander. | |
| dc.description.abstractenglish | Overview: Congenital syphilis is increasing in Colombia despite of the program specifically designed for its control. Understanding the characteristics of affected individuals and their parents are of the essence for the implementation of control measures. Objective: Characterize the cases of congenital syphilis at Hospital Universitario de Santander in Bucaramanga, Colombia from June 2006 to September 2007. Materials and Methods: Prospective transversal study. Social, demographic, and clinical variables in newborn babies and their parents were analyzed. Results: 36 cases of congenital syphilis were found. Nine newborn babies showed symptoms (25%); 6 of them had a compromise of the Central Nervous System (16.7%) and 2 of them died (5.6%). 12 mothers (33.3%) were not under a prenatal control program. 16 of these mothers (44.4%) were not registered in the Social Security System. 3 mothers (8.3%) were positive for HIV. 6 mothers (16.7%) had a history of more than 9 sexual partners and 10 (27.8%) reported to have only 1 sexual partner. 8 mothers (22.2%) were drug addicts. Syphilis diagnosis was conducted on third trimester of pregnancy in 15 cases (41.7%) while 14 cases were detected after birth. 47.2% of the mothers did not receive any treatment during pregnancy (17 cases). Conversely, 25 fathers (69.5%) did not receive treatment against this condition. Conclusions: Persistence of congenital syphilis cases at Hospital Universitario de Santander is the result of the high percentage of mothers (among those who gave birth to children with congenital syphilis) that are not registered at the Social Security System or are not under any prenatal control. Furthermore, the late treatment of gestational syphilis as well as the lack of treatment of affected. couples contribute also to this persistence of presentation. Correction of these variables would improve the situation. | |
| dc.description.degreelevel | Especialización | |
| dc.description.degreename | Especialista en Pediatría | |
| dc.format.mimetype | application/pdf | |
| dc.identifier.instname | Universidad Industrial de Santander | |
| dc.identifier.reponame | Universidad Industrial de Santander | |
| dc.identifier.repourl | https://noesis.uis.edu.co | |
| dc.identifier.uri | https://noesis.uis.edu.co/handle/20.500.14071/21503 | |
| dc.language.iso | spa | |
| dc.publisher | Universidad Industrial de Santander | |
| dc.publisher.faculty | Facultad de Salud | |
| dc.publisher.program | Especialización en Pediatría | |
| dc.publisher.school | Escuela de Medicina | |
| dc.rights | http://creativecommons.org/licenses/by/4.0/ | |
| dc.rights.accessrights | info:eu-repo/semantics/openAccess | |
| dc.rights.creativecommons | Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0) | |
| dc.rights.license | Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0 | |
| dc.subject | Sífilis materna | |
| dc.subject | Sífilis congénita. | |
| dc.subject.keyword | Maternal Syphilis | |
| dc.subject.keyword | Congenital Syphilis | |
| dc.title | Sífilis congénita en el Hospital Universitario de Santander, Bucaramanga (Colombia), 2006-2007 | |
| dc.title.english | ficongenital syphilis at hospital universitario de santander (santander university hospital) in bucaramanga (colombia). 2006-2007* | |
| dc.type.coar | http://purl.org/coar/version/c_b1a7d7d4d402bcce | |
| dc.type.hasversion | http://purl.org/coar/resource_type/c_7a1f | |
| dc.type.local | Tesis/Trabajo de grado - Monografía - Pregrado |