Underreporting of gestational, congenital and acquired syphilis among indigenous peoples in Mato Grosso do Sul State, Brazil, 2011-2014
- PMID: 28977175
- DOI: 10.5123/S1679-49742017000300008
Underreporting of gestational, congenital and acquired syphilis among indigenous peoples in Mato Grosso do Sul State, Brazil, 2011-2014
Abstract
Objective: to describe the distribution, incidence, and underreporting of syphilis among indigenous peoples from Mato Grosso do Sul, Brazil.
Methods: descriptive study performed with secondary data of the Information System for Notifiable Diseases (Sinan) and of the Special Indigenous Sanitary District of Mato Grosso do Sul (DSEI-MS), from 2011 to 2014; the data from both sources were compared to identify underreporting.
Results: the highest incidence rates of syphilis in pregnant women were observed in 2014 (41.1/1,000 live births) and of congenital syphilis, in 2013 (10.7/1,000 live births); the highest numbers of underreporting of cases were for syphilis in pregnant women on Sinan (45/79), of congenital syphilis at DSEI-MS (8/17) in 2014, and of acquired syphilis on Sinan in 2011 and 2013 (5/9 and 10/18, respectively).
Conclusion: syphilis has a high incidence; underreporting hides the extent of the disease in indigenous peoples from Mato Grosso do Sul.
Objetivo: descrever a distribuição, incidência e subnotificação de sífilis entre povos indígenas de Mato Grosso do Sul, Brasil.
Métodos: estudo descritivo, com dados secundários do Sistema de Informação de Agravos de Notificação (Sinan) e do Distrito Sanitário Especial Indígena de Mato Grosso do Sul (DSEI-MS) referentes ao período 2011-2014; os dados das duas fontes foram relacionados manualmente, para identificar subnotificações.
Resultados: as maiores taxas de incidência de sífilis em gestante foram observadas em 2014 (41,1/1000 nascidos vivos) e de sífilis congênita em 2013 (10,7/1000 nascidos vivos); observou-se importante subnotificação, de 45/79 casos de sífilis em gestante no Sinan em 2014, 8/17 casos de sífilis congênita no DSEI-MS em 2014, e 5/9 e 10/18 casos de sífilis adquirida no Sinan em 2011 e 2013, respectivamente.
Conclusão: a sífilis apresenta elevada incidência; a subnotificação de casos nos sistemas de informações oculta a magnitude da doença entre indígenas de Mato Grosso do Sul.
Objetivo: estimar la distribución, incidencia y subregistro de sífilis entre pueblos indígenas de Mato Grosso do Sul, Brasil.
Métodos: estudio descriptivo con datos secundarios del Sistema de Información de Enfermedades de Declaración Obligatoria (Sinan) y del Distrito Sanitario Especial Indígena de Mato Grosso do Sul (DSEI-MS), en el período 2011-2014; se compararon los datos de las dos fuentes para identificar el subregistro.
Resultados: las tasas más altas de incidencia de sífilis en embarazadas se observaron en 2014 (41,1/1.000 nacidos vivos) y de sífilis congénita en 2013 (10,7/1.000 nacidos vivos); los mayores números de subestimaciones fueron de casos de sífilis en mujeres embarazadas en el Sinan (45/79) y de sífilis congénita en DSEI-MS (8/17), en 2014, y de sífilis adquirida en el Sinan en 2011 y 2013 (5/9 y 10/18, respectivamente).
Conclusión: es alta la incidencia de sífilis, cuya magnitud se encuentra oculta debido a las subnotificaciones de los casos en esta población.
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