{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T23:36:07Z","timestamp":1776468967884,"version":"3.51.2"},"reference-count":33,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:p>RESUMO: Introdu\u00e7\u00e3o: Todo rec\u00e9m-nascido exposto \u00e0 s\u00edfilis na gesta\u00e7\u00e3o deve ter acompanhamento ambulatorial. A interrup\u00e7\u00e3o do seguimento p\u00f5e em risco todos aqueles que n\u00e3o recebem tratamento ao nascer. Objetivo: Descrever as caracter\u00edsticas cl\u00ednicas e epidemiol\u00f3gicas dos rec\u00e9m-nascidos expostos \u00e0 s\u00edfilis, assim como gestacionais e sociodemogr\u00e1ficas de suas m\u00e3es e investigar os fatores associados com a descontinuidade do seguimento. M\u00e9todos: Trata-se de um estudo observacional, descritivo, anal\u00edtico e retrospectivo dos prontu\u00e1rios de 254 crian\u00e7as expostas \u00e0 s\u00edfilis, atendidas no Ambulat\u00f3rio de Infec\u00e7\u00f5es Cong\u00eanitas do Hospital de Cl\u00ednicas da Universidade Federal do Paran\u00e1, entre 2000 e 2010. Os rec\u00e9m-nascidos foram classificados por refer\u00eancia ao seu acompanhamento ou n\u00e3o. Os dados foram ajustados a um modelo de regress\u00e3o log\u00edstica bin\u00e1ria, no sentido de identificar os fatores associados \u00e0 descontinuidade do tratamento. Resultados: As caracter\u00edsticas estatisticamente associadas \u00e0 interrup\u00e7\u00e3o do seguimento na an\u00e1lise multivariada foram: m\u00e3es com idade acima de 30 anos, paridade de tr\u00eas ou mais filhos e a aus\u00eancia de coinfec\u00e7\u00f5es pelo HIV e\/ou hepatites virais. Conclus\u00e3o: Tais achados demonstram a necessidade de identificar essas fam\u00edlias e estabelecer estrat\u00e9gias que incentivem a forma\u00e7\u00e3o de v\u00ednculos. Recomenda-se que os crit\u00e9rios de tratamento dos rec\u00e9m-nascidos tenham maior rigor, visto que a maior parte deles n\u00e3o faz o seguimento adequado.<\/jats:p>","DOI":"10.1590\/1980-5497201600040004","type":"journal-article","created":{"date-parts":[[2017,1,25]],"date-time":"2017-01-25T21:45:09Z","timestamp":1485380709000},"page":"727-739","source":"Crossref","is-referenced-by-count":19,"title":["Ader\u00eancia ao seguimento no cuidado ao rec\u00e9m-nascido exposto \u00e0 s\u00edfilis e caracter\u00edsticas associadas \u00e0 interrup\u00e7\u00e3o do acompanhamento"],"prefix":"10.1590","volume":"19","author":[{"given":"Marjorie Cristiane","family":"Feliz","sequence":"first","affiliation":[{"name":"Universidade Federal do Paran\u00e1, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adeli Regina Prizybicien de","family":"Medeiros","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea Maciel","family":"Rossoni","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tony","family":"Tahnus","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriane Miro Vianna Benke","family":"Pereira","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","series-title":"Avery's neonatology","author":"Macdonald 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