{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T06:33:01Z","timestamp":1782369181028,"version":"3.54.5"},"reference-count":19,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"4","license":[{"start":{"date-parts":[[2023,12,30]],"date-time":"2023-12-30T00:00:00Z","timestamp":1703894400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2023,12,30]],"date-time":"2023-12-30T00:00:00Z","timestamp":1703894400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["revista.fecolsog.org"],"crossmark-restriction":false},"short-container-title":["Rev. colomb. obstet. ginecol."],"abstract":"<jats:p>Objetivos: describir los conocimientos, la idoneidad y las pr\u00e1cticas respecto a la \u201cGu\u00eda de pr\u00e1ctica cl\u00ednica (GPC) basada en la evidencia para la atenci\u00f3n integral de la s\u00edfilis gestacional (SG) y cong\u00e9nita (SC)\u201d.\nMateriales y m\u00e9todos: estudio descriptivo de corte transversal. Incluy\u00f3 m\u00e9dicos generales, especialistas y enfermeras que laboraban en 52 instituciones de salud en el departamento de Bol\u00edvar (Colombia) y realizan el control prenatal o la atenci\u00f3n al neonato en el 2020. Muestreo por conveniencia. Se aplic\u00f3 cuestionario digital que recolect\u00f3 informaci\u00f3n sociodemogr\u00e1fica; evalu\u00f3 conocimientos, idoneidad y pr\u00e1cticas sobre la \"Gu\u00eda de pr\u00e1ctica cl\u00ednica (GPC)\" mencionada en los objetivos. Se hace an\u00e1lisis descriptivo.\nResultados: se incluyeron 101 trabajadores. Hay deficiencias relacionadas con la aplicaci\u00f3n correcta del algoritmo inverso de diagn\u00f3stico (48 %) y seguimiento de SG (77 %), manejo de la paciente con antecedentes de alergias de manifestaciones sist\u00e9micas (31 %) y tratamiento de la SG (61 %) y SC (10 %). La recomendaci\u00f3n de no aplicar prueba de penicilina en pacientes sin antecedentes de alergias sist\u00e9micas se considera poco \u00fatil (60 %). El 23 % de los trabajadores no emplea las pruebas r\u00e1pidas y el 44 % de los especialistas da tratamiento para s\u00edfilis al compa\u00f1ero sexual.\nConclusiones: es importante intensificar las estrategias de capacitaci\u00f3n en el personal de salud con \u00e9nfasis en el personal de enfermer\u00eda y, de manera urgente, empoderar a este personal en las actividades relacionadas con el control de la s\u00edfilis. Se requiere hacer nuevas y contin\u00faas evaluaciones a nivel nacional y regional de la implementaci\u00f3n de esta gu\u00eda que permitan evaluar los indicadores que contiene la estrategia de eliminaci\u00f3n de esta enfermedad.<\/jats:p>","DOI":"10.18597\/rcog.4012","type":"journal-article","created":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T16:07:55Z","timestamp":1707408475000},"page":"297-309","update-policy":"https:\/\/doi.org\/10.18597\/crossmark","source":"Crossref","is-referenced-by-count":2,"title":["Gu\u00eda de S\u00edfilis Gestacional y Cong\u00e9nita: perspectivas de profesionales de la salud en Bol\u00edvar (Colombia)","Guidelines on Gestational and Congenital Syphilis: insights of health professionals in Bol\u00edvar (Colombia)"],"prefix":"10.18597","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1758-7365","authenticated-orcid":false,"given":"Soraya Patricia","family":"Salas-Romero","sequence":"first","affiliation":[{"name":"Corporaci\u00f3n Universitaria Rafael N\u00fa\u00f1ez, Cartagena de Indias (Colombia)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8532-4511","authenticated-orcid":false,"given":"Zorayda","family":"Barrios-Puerta","sequence":"additional","affiliation":[{"name":"Corporaci\u00f3n Universitaria Rafael N\u00fa\u00f1ez, Cartagena de Indias (Colombia)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5581-7841","authenticated-orcid":false,"given":"Kendy Paola","family":"Madero-Zambrano","sequence":"additional","affiliation":[{"name":"Corporaci\u00f3n Universitaria Rafael N\u00fa\u00f1ez, Cartagena de Indias (Colombia)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3718-745X","authenticated-orcid":false,"given":"Ana Mar\u00eda","family":"Bello-Trujillo","sequence":"additional","affiliation":[{"name":"Corporaci\u00f3n Universitaria Rafael N\u00fa\u00f1ez, Cartagena de Indias (Colombia)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7913","published-online":{"date-parts":[[2023,12,30]]},"reference":[{"key":"97383","unstructured":"Mercuri S, Moliterni E, Cerullo A, Di Nicola M, Rizzo N, Bianchi V et al. Syphilis: A mini review of the history, epidemiology and focus on microbiota. New Microbiol. 2022;45(1):28-34. Disponible en : https:\/\/newmicrobiologica.org\/wpcontent\/ uploads\/2022\/07\/MICRO_1_2022_1.3_REVIEW_ Mercuri_496N273_028-034.pdf2."},{"key":"97384","doi-asserted-by":"crossref","unstructured":"Galvis A, Arrieta A. Congenital Syphilis: A U.S. Perspective. Children (Basel). 2020;29;7(11):203. https:\/\/doi.org\/10.3390\/children7110203","DOI":"10.3390\/children7110203"},{"key":"97385","unstructured":"World Health Organization. Data on Syphilis. The Global Health Observatory. 2024. Disponible en: https:\/\/www.who.int\/data\/gho\/data\/themes\/topics\/dataon-syphilis"},{"key":"97386","unstructured":"World Health Organization. Antenatal care attendees who were positive for syphilis (%), reported. Syphilis in pregnancy. The Global Health Observatory. 2024. Disponible en: https:\/\/www.who.int\/data\/gho\/data\/indicators\/indicator-details\/GHO\/antenatal-careattendees- who-were-positive-for-syphilis-(-)"},{"key":"97387","unstructured":"Instituto Nacional de Salud. Informe de evento S\u00edfilis Gestacional [Internet]. Bogot\u00e1: Instituto Nacional de Salud; 2022. Disponible en: https:\/\/www.ins.gov.co\/buscador-eventos\/Informesdeevento\/S%C3%8DFILIS%20GESTACIONAL%20PE%20XIII%202022.pdf"},{"key":"97388","unstructured":"Instituto Nacional de Salud. Protocolo de Vigilancia de S\u00edfilis Gestacional y Cong\u00e9nita [Internet]. Bogot\u00e1: Instituto Nacional de Salud; 2022. Disponible en: https:\/\/www.ins.gov.co\/buscador-eventos\/Lineamientos\/Pro_Sifilis%20Gestacional_Congenita%202022.pdf"},{"key":"97389","doi-asserted-by":"crossref","unstructured":"Gait\u00e1n H, Cruz A. El plan de eliminaci\u00f3n de la transmisi\u00f3n materna-infantil de la s\u00edfilis, una oportunidad para iniciar la implementaci\u00f3n de la reglamentaci\u00f3n de la ley estatutaria de la salud. Rev. Colomb. Obstet. Ginecol. 2016;67(1):7-9. https:\/\/doi.org\/10.18597\/rcog.370","DOI":"10.18597\/rcog.370"},{"key":"97390","unstructured":"Gait\u00e1n H, P\u00e1ez C, Rivera D, \u00c1ngel E, Estrada S, Cifuentes M, et al. Gu\u00eda de pr\u00e1ctica cl\u00ednica (GPC) basada en la evidencia para la atenci\u00f3n integral de la s\u00edfilis gestacional y cong\u00e9nita. Bogot\u00e1: Ministerio de Salud y Protecci\u00f3n Social, Fondo de Poblaci\u00f3n de las Naciones Unidas; 2014. p. 1-57. Disponible en: https:\/\/www.minsalud.gov.co\/sites\/rid\/Lists\/BibliotecaDigital\/RIDE\/INEC\/IETS\/gpc-guia-corta-sifilis.pdf"},{"key":"97391","doi-asserted-by":"crossref","unstructured":"Dos Santos R, Niquini R, Domingues R, Bastos F. Conhecimento e conformidade quanto \u00e0s pr\u00e1ticas de diagn\u00f3stico e tratamento da s\u00edfilis em maternidades de Teresina - PI, Brasil. Rev Bras Ginecol Obstet. 2017;39(9):453-63. https:\/\/doi.org\/10.1055\/s-0037-1606245","DOI":"10.1055\/s-0037-1606245"},{"key":"97392","doi-asserted-by":"crossref","unstructured":"Proctor E, Silmere H, Raghavan R, Hovmand P, Aarons G, Bunger A et al. Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Adm Policy Ment Health. 2011;38(2):65-76. https:\/\/doi.org\/10.1007\/s10488-010-0319-7","DOI":"10.1007\/s10488-010-0319-7"},{"key":"97393","doi-asserted-by":"crossref","unstructured":"Garc\u00e9s J, Rubiano L, Orobio Y, Casta\u00f1o M, Benavides E, Cruz A. La educaci\u00f3n del personal de salud: clave para la eliminaci\u00f3n de la s\u00edfilis cong\u00e9nita en Colombia. Biomedica. 2017;37(3):416-24. https:\/\/doi.org\/10.7705\/biomedica.v37i3.3397","DOI":"10.7705\/biomedica.v37i3.3397"},{"key":"97394","doi-asserted-by":"crossref","unstructured":"Bonnewell J, Magaziner S, Fava J, Montgomery M, Almonte A, Carey M, et al. A survey of syphilis knowledge among medical providers and students in Rhode Island. SAGE Open Med. 2020;8:205031212090259. https:\/\/doi.org\/10.1177\/2050312120902591","DOI":"10.1177\/2050312120902591"},{"key":"97395","doi-asserted-by":"crossref","unstructured":"Rodrigues D, Domingues R. Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil. Int J Health Plan Manag. 2018;33(2):329-44. https:\/\/doi.org\/10.1002\/hpm.2463","DOI":"10.1002\/hpm.2463"},{"key":"97396","doi-asserted-by":"crossref","unstructured":"Khandwalla H, Luby S, Rahman S. 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