Caregiver adherence to outpatient follow-up of children infected with or exposed to syphilis during pregnancy
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View abstract on PubMed
Summary
This summary is machine-generated.Caregiver adherence to congenital syphilis follow-up protocols is very low, with only 16% achieving final adherence. Higher maternal age and sequelae in children were linked to better adherence in this study on congenital syphilis management.
Area Of Science
- Pediatrics
- Infectious Diseases
- Public Health
Background
- Congenital syphilis, caused by Treponema pallidum, requires rigorous follow-up for infected or exposed infants.
- Caregiver adherence to treatment protocols is crucial for preventing long-term complications.
Purpose Of The Study
- To assess caregiver adherence to the Brazilian Ministry of Health's interventions for children with congenital syphilis.
- To identify factors influencing adherence to clinical-laboratory follow-up and specialist consultations.
Main Methods
- A prospective cohort study followed 256 children treated for congenital syphilis.
- Adherence was measured by clinical-laboratory follow-up (basic) and specialist consultations (final).
- Logistic regression analyzed factors associated with adherence.
Main Results
- Only 16% of caregivers achieved final adherence to the congenital syphilis management protocol.
- Loss to follow-up was high at 68%.
- Higher maternal age and the presence of permanent sequelae in children predicted better adherence.
Conclusions
- Caregiver adherence to congenital syphilis management is critically low in Brazil.
- Interventions must address barriers to adherence, especially given the high rate of sequelae and loss to follow-up.
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