{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:25:15Z","timestamp":1777857915892,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,7,24]],"date-time":"2017-07-24T00:00:00Z","timestamp":1500854400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Health Serv"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>The study aimed to assess conformity with Brazil\u2019s standard protocol for diagnostic and therapeutic practices in the management of congenital syphilis by pediatricians in public maternity hospitals. A cross-sectional study was conducted in 2015 with 41 pediatricians working in all the public maternity hospitals in Teresina, the capital of Piau\u00ed State, Northeast Brazil, through self-completed questionnaires. The study assessed the conformity of knowledge and practices according to the Brazilian Ministry of Health protocols. The study has made evident low access to training courses (54%) and insufficient knowledge of the case definition of congenital syphilis (42%) and rapid tests for syphilis (39%). Flaws were observed in the diagnostic workup and treatment of newborns. Requesting VDRL (88%) and correct treatment of neurosyphilis (88%) were the practices that showed the highest conformity with standard protocols. Low conformity with protocols leads to missed opportunities for identifying and adequately treating congenital syphilis. Based on the barriers identified in the study, better access to diagnostic and treatment protocols, improved recording on prenatal cards and hospital patient charts, availability of tests and medicines, and educational work with pregnant women should be urgently implemented, aiming to reverse the currently inadequate management of congenital syphilis and to curb its spread.<\/jats:p>","DOI":"10.1177\/0020731417722088","type":"journal-article","created":{"date-parts":[[2017,7,24]],"date-time":"2017-07-24T03:05:23Z","timestamp":1500865523000},"page":"322-342","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Diagnostic and Therapeutic Knowledge and Practices in the Management of Congenital Syphilis by Pediatricians in Public Maternity Hospitals in Brazil"],"prefix":"10.1177","volume":"49","author":[{"given":"Raquel Rodrigues","family":"dos Santos","sequence":"first","affiliation":[{"name":"Hospital Geral do Promorar, Teresina, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberta Pereira","family":"Niquini","sequence":"additional","affiliation":[{"name":"Instituto Federal de Educa\u00e7\u00e3o, Ci\u00eancia e Tecnologia do Rio de Janeiro, Rio de Janeiro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco In\u00e1cio","family":"Bastos","sequence":"additional","affiliation":[{"name":"Instituto de Comunica\u00e7\u00e3o e Informa\u00e7\u00e3o Cient\u00edfica e Tecnol\u00f3gica em S\u00fade, Rio de Janeiro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosa Maria Soares Madeira","family":"Domingues","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Infectologia Evandro Chagas, Fiocruz, Rio de Janeiro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,7,24]]},"reference":[{"key":"bibr1-0020731417722088","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.12.107623"},{"key":"bibr2-0020731417722088","doi-asserted-by":"crossref","unstructured":"Newman L, Kamb M, Hawkes S, Gomez G, Say L, Seuc A. 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