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Review
. 2022 Aug 24;19(17):10513.
doi: 10.3390/ijerph191710513.

Clinical Protocols and Treatment Guidelines for the Management of Maternal and Congenital Syphilis in Brazil and Portugal: Analysis and Comparisons: A Narrative Review

Talita Katiane de Brito Pinto  1   2 , Aliete Cristina Gomes Dias Pedrosa da Cunha-Oliveira  2   3 , Ana Isabela Lopes Sales-Moioli  1 , Jane Francinete Dantas  1   3 , Rosângela Maria Morais da Costa  1   3   4 , José Paulo Silva Moura  5   6 , Sagrario Gómez-Cantarino  7 , Ricardo Alexsandro de Medeiros Valentim  1   8
Affiliations
Review

Clinical Protocols and Treatment Guidelines for the Management of Maternal and Congenital Syphilis in Brazil and Portugal: Analysis and Comparisons: A Narrative Review

Talita Katiane de Brito Pinto et al. Int J Environ Res Public Health. .

Abstract

(1) Background: Maternal syphilis (MS) and congenital syphilis (CS) are serious public health problems worldwide due to their high morbidity and mortality rates. (2) Objective: Evaluating the applicability of Clinical Protocols and Treatment Guidelines on case incidence trends in Brazil and Portugal. (3) Methods: The review was done through bibliographic research in two public databases and government websites from both countries, published between 2007 and 2022. All guidelines that contained CS and MS were selected. (4) Results and discussion: After evaluation, we found that Brazil and Portugal have adequate protocols for screening and treating congenital and maternal syphilis. (5) Conclusion: The results suggest that CS and MS incidence are notably higher in Brazil than in Portugal due to economic, cultural, and social disparities and the differences in territory size. Therefore, these demographic and socioeconomic factors could strongly influence efforts to fight against syphilis and thus control the infection.

Keywords: clinical protocols; congenital syphilis; syphilis.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Sociodemographic data from Brazil and Portugal. The map shows socio-economic indicators for each country—Source: authors’ elaboration.
Figure 2
Figure 2
Flowchart of procedures for diagnosis and treatment of MS in Brazil and Portugal. The figure demonstrates the testing and treatment guidelines adopted in each country. Source: authors’ elaboration (Brazil: DCCI/SVS/MS; Portugal: DGS).
See this image and copyright information in PMC

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