ASSIST�NCIA DE ENFERMAGEM NA PREVENÇO DE SÀFILIS CONG�NITA

Abstract

SYPHILIS IS A SEXUALLY TRANSMITTED INFECTIOUS DISEASE OF SYSTEMIC CHARACTER, THROUGH THE BACTERIUM TREPONEMA PALLIDUM (T. PALLIDUM), GRAM-NEGATIVE OF THE SPIROCHETE GROUP, FACULTATIVE ANAEROBIC AND NEGATIVE CATALASE, SPIRALLY. WHEN LEFT UNTREATED IT CAN EVOLVE TO A CHRONIC FORM WITH IRREVERSIBLE LONG-TERM SEQUELAE. THE STUDY AIMS TO REVIEW THE LITERATURE ON THE PRODUCTION OF KNOWLEDGE ABOUT NURSING CARE IN THE PREVENTION OF CONGENITAL SYPHILIS AND TO FACE THIS PROBLEM. THIS RESEARCH IS CHARACTERIZED AS AN INTEGRATIVE REVIEW OF THE LITERATURE. THE SAMPLE WAS COMPOSED OF ARTICLES PUBLISHED IN ELECTRONIC MEDIA ARRANGED IN THE VIRTUAL HEALTH LIBRARY (VHL) AND AVAILABLE IN FULL TEXT IN THE DATABASES: LILACS, MEDLINE AND BDENF, IN THE PERIOD BETWEEN 2011 AND 2021. STUDIES A1, A2, A3 AND A4 DEMONSTRATE THAT THE CARE PROVIDED TO WOMEN DURING PRENATAL FOLLOW-UP CAN PREVENT AND PREVENT CONTAMINATION OF CONGENITAL SYPHILIS. STUDIES A1, A2, A3 AND A4 REPORT THAT THE BEST FORM OF PREVENTION IS EARLY DETECTION OF THE DISEASE, AND WOMEN'S TREATMENT, CARE AND FOLLOW-UP UNTIL THE END OF PREGNANCY. STUDIES A5, A6, A7, A8 AND A9 REPORTED FAILURES IN CARE AND WERE CONSIDERED SEVERE NOT TO PERFORM THE SEROLOGICAL TEST UNTIL THE THIRD WEEK OF PREGNANCY, AND IN THE CASES DETECTED BY THE NURSING, THERE IS NO PARTICIPATION OF THE SEXUAL PARTNER IN CONSULTATIONS AND IN THE TREATMENT OF SYPHILIS, COMPETING FOR REINFECTION OF THE PREGNANT WOMAN AND VERTICAL CONTAMINATION OF THE FETUS. NURSING PERFORMANCE HAS BEEN LARGELY DEMONSTRATED AS EFFECTIVE, BUT SOME STUDIES HAVE POINTED OUT FLAWS THAT NEED TO BE REMEDYED WITH EFFECTIVE MEASURES TO MINIMIZE CASES OF CONGENITAL SYPHILIS. THE NURSE'S JOB IS TO SENSITIZE THESE INFECTED MEN AND WOMEN TO ADHERE TO THE TREATMENT, BECAUSE AS DEMONSTRATED IN THE STUDIES, WHERE THERE WAS A HIGHER RATE OF THE DISEASE WERE PLACES WHERE THE DISEASE FAILED. THEREFORE, IT IS ESSENTIAL TO CREATE MEASURES IN THIS SENSE TO IMPROVE THE QUALITY OF CARE AND DEVELOP SOCIAL PROJECTS THAT INVOLVE FAMILIES FOR GREATER KNOWLEDGE OF THE DISEASE AND ITS CONSEQUENCES FOR PREGNANT WOMEN AND THEIR CHILD.