SOCIODEMOGRAPHIC ANALYSIS OF GESTATIONAL AND CONGENITAL SYPHILIS IN THE MUNICIPALITY OF ROLIM DE MOURA-RO BETWEEN THE YEARS 2015 AND 2025

Abstract

Syphilis is a sexually transmitted infection that represents a major public health challenge, especially during pregnancy, due to the risk of vertical transmission and the maternal-infant effects associated with congenital syphilis. The objective of this study was to analyze cases of gestational and congenital syphilis registered in the municipality of Rolim de Moura-RO between 2015 and 2025, describing the sociodemographic profile of pregnant women, the evolution of notifications over time, and aspects related to the treatment and follow-up of their partners. This is a cross-sectional and descriptive study, based on data from the Notifiable Diseases Information System (SINAN). During the analyzed period, 237 cases of gestational syphilis were reported, witha progressive increase from 2020 and peaks in 2023 and 2025. A predominance of cases was noted in pregnant women aged 20 to 29 years, women of mixed race, and with education up to high school. Most pregnant women received adequate treatment with benzathine penicillin G, which may explain the low occurrence of congenital syphilis, with no cases between 2023 and 2025. However, a significant proportion of partners remained untreated or with missing information, increasing the risk of reinfection. In conclusion, despite advances in diagnosis and treatment, gestational syphilis continues to be a challenge in the municipality, requiring strengthening of prenatal care, partner management, and epidemiological surveillance.