Who was affected by the shortage of penicillin for syphilis in Rio de Janeiro, 2013–2017?
Who was affected by the shortage of penicillin for syphilis in Rio de Janeiro, 2013–2017?
Data
2020
Autores
Araujo, Rachel Sarmeiro
Souza, Ana Sara Semeão de
Braga, José Ueleres
Journal Title
Journal ISSN
Volume Title
Publisher
Resvista de Saúde Pública
Resumo
OBJECTIVE: To analyze the shortage of benzathine penicillin G (BPG), characterizing its
temporal evolution and spatial distribution in the city of Rio de Janeiro from 2013 to 2017.
METHODS: This ecological study used gestational and congenital syphilis notifications,
BPG distribution records, and sociodemographic data from the population of Rio de Janeiro.
To quantify the shortage, a BPG supply indicator was estimated per quarter for each
neighborhood between 2013 and 2017. Thematic maps were created to identify areas and periods
with greater BPG shortage, described according to sociodemographic factors, health services
network, and epidemiological features in the incidence of syphilis.
RESULTS: BPG shortage in Rio de Janeiro from 2013 to 2017 was not homogeneous in space
nor in time. The temporal evolution and spatial distribution of BPG scarcity shows that the
shortage affected the inhabitants of the municipality in different ways. Shortage was lower in
2013 and 2016 and more severe in 2014, 2015, and 2017, particularly in neighborhoods within
the programmatic areas PA3 and PA5, poorer and with higher prevalence rates of gestational
and congenital syphilis.
CONCLUSIONS: Analyzing BPG shortage and its temporal evolution and spatial distribution
in Rio de Janeiro allowed us to realize that the inhabitants are affected in different ways.
Understanding this process contributes to the planning of actions to face shortage crises,
minimizing possible impacts on the management of syphilis and reducing inequality in access
to treatment.
Description
Palavras-chave
Penicillin G Benzathine, provision & distribution, Spatiotemporal Analysis, Syphilis, drug therapy, Health Status Disparities, Ecological studies
Citação
Araujo RS, Souza ASS, Braga JU. Who was affected by the shortage of penicillin for syphilis in Rio de Janeiro, 2013-2017? Rev Saude Publica. 2020 Nov 2;54:109. doi: 10.11606/s1518-8787.2020054002196.