Prevalence of Congenital Syphilis in a Hospital in Bogotá in 2014 and 25 Years Before - Abstract
Objectives: The objective of this study is to compare the results of the syphilis screening program in force in 2014 with the results of the screening program at the time of delivery implemented 25 years ago at the Maternal and Child Institute (IMI) of Bogotá.
Methodology: Retrospective descriptive study, where the medical records of pregnant women with reactive VDRL at the time of delivery who were diagnosed with gestational syphilis were identified, with the subsequent review of the medical records of the corresponding newborns to evaluate the concordance of the diagnosis.Mother-child and manifestations in the newborn.
Results: During the first semester of 2014, the IMI received 2,141 births, 27 mothers had gestational syphilis and 18 of the newborns were cases of congenital syphilis: 2 stillborn and 16 alive, 100% of whom had some sign or symptom compatible with congenital syphilis. When compared with the results obtained in 1989, statistically significant differences were found in neonatal mortality due to CS, in the frequency of premature babies and in the evident manifestations in the physical examination showing a less severe disease; there were also differences in the VDRL titers of mothers and newborns when compared with the results obtained in 1989.
Discussion and conclusions: 25 years ago, at the IMI, a study was carried out on the behavior of gestational and congenital syphilis in our country, finding a prevalence of 0.719%