Título:	Perfil epidemiológico e clínico dos pacientes com sorologia e agente para sífilis atendidos no Hospital de Base do Distrito Federal no período de 2012 a 2015
Autor(es):	Freitas, Waleriano Ferreira de
Orientador(es):	Castro, Cleudson Nery de
Assunto:	Sífilis Doenças sexualmente transmissíveis - Distrito Federal (Brasil) Perfil clínico Hospital de Base - Distrito Federal (Brasil) Epidemiologia - Distrito Federal
Data de publicação:	28-Jun-2017
Data de defesa:	17-Fev-2017
Referência:	FREITAS, Waleriano Ferreira de. Perfil epidemiológico e clínico dos pacientes com sorologia e agente para sífilis atendidos no Hospital de Base do Distrito Federal no período de 2012 a 2015. 2017. 112 f., il. Dissertação (Mestrado em Medicina Tropical)—Universidade de Brasília, Brasília, 2017.
Abstract:	Syphilis is an infectious disease sexual and vertical transmission. In recent years, its incidence has been increasing in pregnant women, newborns, men who have sex with men and people with HIV. Syphilis can be classified in stages according to the time of infection and clinical manifestations. Ocular and central nervous system involvement may occur at any stage of the disease. The diagnosis of syphilis is made through the association of clinical, epidemiological and laboratory data. Patients should be cared for in basic care, except for those with severe manifestations. This study proposed to study the clinical and epidemiological profile of the patients attended at the Base Hospital of the Federal District. Objective: To describe the clinical and epidemiological profile of patients with syphilis attended at the Base Hospital of the Federal District from january 1, 2012 to december 31, 2015. Methods: A descriptive study was conducted based on the analysis of the clinical, epidemiological and laboratory data contained in the medical records. Results: A total of 191 patients attended at outpatient clinics, hospitalization room and in the emergency room were evaluated. The majority (79.58%) came from the Federal District. The mean age was 48 years, with a predominance of males (66.49%). Late latent syphilis represented 110 (57, 59%) cases; primary syphilis 8 (4.2%); secondary syphilis 4 (2.1%) and recent latent syphilis 3 (1.57%) cases. HIV infection was associated in 54 (28.27%) patients. Ocular syphilis was diagnosed in 16 (8.37) cases and neurosyphilis in 12 (6.28%). Of the 153 (80.1%) patients with indication of treatment, only 72 (47.05%) were treated. Discussion: The vast majority of patients were diagnosed as having latent late syphilis, mainly due to poor quality of data regarding signs and symptoms of the disease available in the medical records. By the same fact, in 81 (42.40%) patients did not present any records of treatment in medical records and prescriptions. Among the patients with no treatment data, two had neurosyphilis and five ocular syphilis. Conclusion: Limited information on signs, symptoms and treatment of syphilis were determinant for the high number of patients diagnosed with latent late syphilis. The lack of data significantly compromised the evaluation of the patients' clinical profile and showed weaknesses in the care of patients with syphilis.
Unidade Acadêmica:	Faculdade de Medicina (FM)
Informações adicionais:	Dissertação (mestrado)—Universidade de Brasília, Faculdade de Medicina, Pós-graduação em Medicina Tropical, 2017.
Programa de pós-graduação:	Programa de Pós-Graduação em Medicina Tropical
Licença:	A concessão da licença deste item refere-se ao termo de autorização impresso assinado pelo autor com as seguintes condições: Na qualidade de titular dos direitos de autor da publicação, autorizo a Universidade de Brasília e o IBICT a disponibilizar por meio dos sites www.bce.unb.br, www.ibict.br, http://hercules.vtls.com/cgi-bin/ndltd/chameleon?lng=pt&skin=ndltd sem ressarcimento dos direitos autorais, de acordo com a Lei nº 9610/98, o texto integral da obra disponibilizada, conforme permissões assinaladas, para fins de leitura, impressão e/ou download, a título de divulgação da produção científica brasileira, a partir desta data.
DOI:	http://dx.doi.org/10.26512/2017.02.D.23776
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