Descriptive analysis of syphilis cases reported in Mato Grosso do Sul, Brazil identifies failure in treatment

Abstract INTRODUCTION: Syphilis infection remains an alarming public health problem worldwide. METHODS: This study analyzed syphilis cases listed in the Information System on Diseases of Compulsory Declaration (SINAN) of Mato Grosso do Sul state in Brazil between January 2013 and December 2014. RESULTS: Most of the evaluated syphilis cases would have been preventable through public education, particularly congenital syphilis in children of previously diagnosed mothers and infection by untreated sexual partners. CONCLUSIONS: The incidence rate of syphilis could be reduced by improving prevention through counselling on the risk of infection, improving access to condoms, and increasing the frequency of diagnostic tests.

摘要 引言：梅毒感染仍是全球范围内不容忽视的公共卫生问题。
研究方法：本研究分析了2013年1月至2014年12月间，巴西马托格罗索州强制申报疾病信息系统（Information System on Diseases of Compulsory Declaration, SINAN）收录的梅毒病例数据。
研究结果：本次评估的多数梅毒病例本可通过公共教育手段避免发生，其中尤以曾确诊感染的母亲所产下婴儿的先天性梅毒病例，以及与未接受治疗的性伴侣接触引发的感染病例最为典型。
研究结论：通过强化感染风险咨询宣教、提升安全套可及性、增加诊断检测频次等方式优化预防工作，可有效降低梅毒的发病率。