Keywords
epidemiological monitoring
public health surveillance
congenital abnormalities
microcephaly
How to Cite
Abstract
Objective: To evaluate the application of the Surveillance algorithm for Zika of the National Institute of Health of Colombia, in newborns and pregnant women from October 2015 to June 2017 in Bogotá and Cali, Colombia. Methods: Descriptive study. The data were obtained from files of the National Public Health Surveillance System and the Surveillance and Follow-up Programs for children with Congenital Defects of Bogotá and Cali. Frequency of sex, affiliation to the health system and frequency of congenital defects were calculated. Compliance with the studies proposed by the algorithm and its presumptive diagnosis were analyzed. Results: A total of 597 records were obtained. 49.9% were male and 79% had central nervous system (CNS) abnormalities, with microcephaly (29%) and hydrocephalus (20%). Of the pregnant women with information, Zika was positive in 16%, toxoplasmosis 4%, and CMV and syphilis each in 2%. Of the newborns, abnormalities of CNS were detected with brain ultrasound (39%), magnetic resonance imaging (38%) and computerized axial tomography (35%). Conclusions: The INS generated an algorithm adjusted to international surveillance parameters that allows early identification of possible complications, so its full incorporation should serve to reduce disability and mortality. The evaluation of the application of this protocol due to the multiple sources of information makes it difficult to draw definitive conclusions given the context of the Colombian health system.
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Copyright (c) 2022 Karen Solanyi Sarmiento Acuña, Lina María Ibañez-Correa, Gabriela Botta Méndez, Gloria Milena Gracia Charry, Jorge Alirio Holguín Ruiz, Ignacio Zarante Montoya, Paula Margarita Hurtado-Villa