scholarly journals Toxoplasmosis seroepidemiology in pregnant women in a city in the Northwest region of the Paraná State, Brazil

2017 ◽  
Vol 11 (2) ◽  
pp. 102 ◽  
Author(s):  
Isabel Cristina Da Silva Caetano ◽  
Graziela Vendrame Rodrigues ◽  
Daniela Dib Gonçalves ◽  
Fabiana Maria Ruíz Lopes-Mori ◽  
Regina Mitsuka-Breganó ◽  
...  

Toxoplasmosis is a zoonosis caused by the Toxoplasma gondii protozoa. The congenital form happens when the parasite reaches the fetus through the placenta and causes damages of different intensities, which can be consequence of the strain virulence, of the immune response capability of the pregnant woman or even of the pregnancy stage, and can result in fetal death or severe clinical symptomatology. The aim of this paper was to determine the prevalence of antibodies to Toxoplasma gondii antibodies in pregnant woman seen at the Basic Health Units (BHU) in the city of Umuarama (PR) and check for possible toxoplasmosis associations with social-demographic characteristics, behavior and environmental variables. In this study, a total of 813 pregnant women who had their prenatal exams at the BHU in the city of Umuarama (PR) were included. Blood samples collected from these subjects were submitted to IgG and IgM anti-T. gondii antibody survey. Each pregnant woman answered an epidemiological questionnaire for the detection of variables, which were later analyzed by the EpiInfo program. The prevalence detected for IgG and IgM anti-T. gondii antibodies were 56.8% and 1.0%, respectively. The variables age group, education level, per capita income, number of pregnancies, ingestion of fresh sausage, presence of peridomiciliary cats in the backyard and the habit of ingesting farm milk showed association to the infection by T. gondii.

Author(s):  
Yusmahenry Galindra ◽  
Nanang Rudi Utantyo

Background : Toxoplasmosis is an infection caused by Toxoplasma gondii. Toxoplasmosis occurs in eating raw or undercooked food, raw or undercooked meat (such as satay, steak), or touching soil or cat feces that contain parasites. Toxoplasmosis is one of the most dangerous infectious diseases in the mother that results in infant disability and fetal death. The purpose of this study was to determine the knowledge of pregnant women about toxoplasmosis. Method : The research method used is descriptive, carried out at the Lubuk Baja Health Center, Batam City, the study was conducted for 6 months, the population in this study were all pregnant women who were in the Lubuk Baja Batam City Health Center with a total sample of 98 people, the sampling technique was carried out by using positive techniques Sampling with research instruments using a questionnaire. Result : The results of the study of 98 respondents, there were 54 respondents (55%) with less knowledge, 32 respondents (32.6%) had sufficient knowledge and 12 respondents (12.2%) had good knowledge. Conclusion : Conclusion more than half of the respondents had less knowledge. It is hoped that pregnant women should seek more information related to toxoplasmosis in order to prevent infection


Author(s):  
Adail Orrith Liborio-Neto

The Jarisch-Herxheimer reaction is a feverish inflammatory reaction witch may occur after the treatment of patients for syphilis at all stages. Commonly begin between in the first 12 hours after treatment. In pregnant women the reaction may end up in prematurity and fetal death, especially when the fetus is infected. It’s necessary to be aware of all the patient’s complaints and take a look at to group them in a single medical diagnosis whenever possible. And it’s principal that obstetricians always have Jarisch-Herxheimer reaction as a medical diagnosis for febrile syndromes in pregnant women with syphilis.


2008 ◽  
Vol 16 (2) ◽  
pp. 266-271 ◽  
Author(s):  
Sayuri Tanaka Maeda ◽  
Sílvia Regina Secoli

The objective of the present study is to assess the use of medication by pregnant women; classify them regarding therapy group and its risk category; and identify the cost of these drugs. The sample is formed by 47 pregnant women, in the 20 to 29 year-old age group, from July 2001 to June 2003, in the city of São Paulo. A specific instrument was used for data collection in family charts and others from the Sistema de Informação da Atenção Básica (Primary Care System Information). Average of medications used by pregnant woman was 3.63. Iron sulfate was the most commonly used, followed by antibiotics (78.7%). Regarding risk category, 34.1% of medications belonged to category B and 16.5% to category C. In the calculation of total costs of care, expenses with medication accounted for 11.13%. We have seen the need for assessing further the criteria for use, especially of medications of category C. The higher costs were related to antimicrobials for the treatment of infections.


2016 ◽  
Vol 1 (61) ◽  
pp. 96-101
Author(s):  
Вилимовская ◽  
Natalya Vilimovskaya ◽  
Анненкова ◽  
Elena Annenkova ◽  
Белова ◽  
...  

A special attention is paid to thyroid gland functioning during pregnancy. It is explained by the fact that pregnancy is a powerful factor which can lead to a manifestation of diseases of the thyroid gland. Cells of the thyroid gland are capable to acquire iodine from food and to synthesize the thyroid hormones participating in all exchange processes both of a pregnant woman and the fetus. For the purpose of studying the features of functioning of the thyroid gland and a number of metabolic processes from ecological positions (in the conditions of city and rural areas) and terms of gestation, 945 pregnant women of the Amur region were examined. Insufficiency of iodine in blood at 95.3% of inhabitants of the city area and at 98.7% of women of rural areas was revealed. It was mainly very severely expressed (47.9 and 55.5%, respectively). Taking into account these data, the assessment of a functional state of the thyroid status was done. Some indicators of lipid profile and carbohydrate ranges were defined. Disturbance of functional activity of mitochondrial dehydrogenases of immunocompetent cells (lymphocytes) in pregnant women of the Amur region in the form of oxidation-reduction reactions imbalance were revealed, which as a whole can badly influence the course of pregnancy and its outcome.


1998 ◽  
Vol 116 (6) ◽  
pp. 1852-1857 ◽  
Author(s):  
Márcia Maria Auxiliadora de Aquino ◽  
José Guilherme Cecatti ◽  
Coríntio Mariani Neto

OBJECTIVE: The purpose of this study was to investigate risk factors associated to fetal death in a Brazilian population. DESIGN: A case control study. SETTING: The Hospital Maternidade Leonor Mendes de Barros in São Paulo. PARTICIPANTS:122 pregnant women with diagnosis of fetal death and gestation age of 20 or more weeks and 244 controls of pregnant women who delivered liveborns. VARIABLES STUDIED: The fetal death (dependent variable), independent variable (the social demographic factors, clinical and obstetrical history, prenatal care indicators and pathological conditions). RESULTS: The risk factors associated to fetal death were abruptio placentae, syphilis, few prenatal care visits, one or more previous stillbirths, hospitalization during pregnancy, diabetes, age above or equal to 25 years, hypertension during pregnancy, anemia and age below 20 years. CONCLUSIONS: Results of the current study might be useful to orientate a primary prevention health program, specially those concerning antenatal care.


2011 ◽  
Vol 53 (4) ◽  
pp. 185-191 ◽  
Author(s):  
Renata Cristina Ferreira Dias ◽  
Fabiana Maria Ruiz Lopes-Mori ◽  
Regina Mitsuka-Breganó ◽  
Rafael André Ferreira Dias ◽  
Deise Vieira Tokano ◽  
...  

The aim of the present work was to determine the prevalence of IgG and IgM anti-Toxoplasma gondii antibodies and the factors associated to the infection in pregnant women attended in Basic Health Units in Rolândia, Paraná, Brazil. The sample was divided in two groups: group I (320 pregnant women who were analyzed from July 2007 to February 2008) and group II (287 pregnant women who were analyzed from March to October 2008). In group I, it was found 53.1% of pregnant women with IgG reactive and IgM non-reactive, 1.9% with IgG and IgM reactive, 0.3% with IgG non-reactive and IgM reactive and 44.7% with IgG and IgM non-reactive. In group II, it was found 55.1% with IgG reactive and IgM non-reactive and 44.9% with IgG and IgM non-reactive. The variables associated to the presence of IgG antibodies were: residence in rural areas, pregnant women between 35-40 years old, low educational level, low family income, more than one pregnancy, drinking water which does not originate from the public water supply system and the habit of handling soil or sand. Guidance on primary prevention measures and the quarterly serological monitoring of the pregnant women in the risk group are important measures to prevent congenital toxoplasmosis.


2018 ◽  
Vol 3 (2) ◽  
pp. 38
Author(s):  
Ana Marina Meneses Napoleão ◽  
Andressa Aires Alencar ◽  
Cosmo Helder Ferreira da Silva ◽  
Luiz Filipe Barbosa Martins ◽  
Sofia Vasconcelos Carneiro

No período gestacional, a mulher deve ser incentivada a ter mais conhecimento sobre a saúde do bebê, pois os hábitos de higiene adquiridos na infância podem permanecer durante toda a vida. O objetivo deste estudo foi avaliar o conhecimento das gestantes acompanhadas em Unidades Básicas de Saúde no município de Quixadá-CE sobre a saúde bucal do bebê. Esta pesquisa respeita as normas da resolução 466/12 do CNS e foi submetido e aprovado pelo Comitê de Ética e Pesquisa da Unicatólica. O estudo foi realizado no período de agosto a setembro de 2017, em três unidades Básicas de Saúde pertencentes à zona urbana do município de Quixadá-CE. A coleta de dados se deu através de um questionário estruturado elaborado, composto de perguntas objetivas relacionadas com a transmissibilidade da cárie dentária, os cuidados básicos com a saúde bucal e a Odontologia na 1° Infância que foi preenchido por cada gestante. A amostra englobou 43 gestantes do 1° ao 3° trimestre de gestação. Entre as participantes, 74,4% (n=32) nunca receberam orientações sobre cuidados com a higiene oral do bebê. No entanto, 52% (n=26) souberam responder corretamente sobre a época em que deve se iniciar os cuidados com a higiene oral do bebê (quando o bebê nasce). Quanto aos métodos que podem ser utilizados para a realização dessa higiene, 58,1% (n= 25) responderam com gaze ou fralda embebida com água, e quanto à frequência que se deve ser realizada, 58,1% (n=25) disseram após toda mamada, como também, em relação à quantidade ideal de pasta para a escovação da boca do bebê com dentes, 46,5% (n=2) responderam que deve ser do tamanho de um grão de arroz seco. Pôde-se observar que apesar da maioria delas ter apresentado um razoável conhecimento sobre a importância da higiene bucal e os efeitos nocivos do uso de chupetas, poucas delas receberam algum tipo de assistência e orientação sobre saúde bucal do bebê durante o período pré-natal. Ressalta-se a importância da inclusão do profissional de odontologia nesse período de modo a repassar informações e esclarecer eventuais dúvidas que surgirem sobre a saúde bucal do bebê. KNOWLEDGE OF PREGNANT WOMEN ON ORAL HEALTH. ABSTRACT In the gestational period, the woman should be encouraged to seek more knowledge about the health of the baby, as the hygiene habits acquired in childhood can remain throughout life. The objective of this study was to evaluate the knowledge of the pregnant women monitored at the Basic Health Units in the city of Quixadá-CE on the oral health of the baby. This research complies with the norms of CNS resolution 466/12 and was submitted and approved by the Unicatólica Ethics and Research Committee. The study was conducted in the period from August to September 2017, in three Basic Health Units belonging to the urban area of the municipality of Quixadá-CE. Data were collected through an elaborate structured questionnaire, composed of objective questions related to the transmissibility of dental caries, the basic care with oral health and Dentistry in the 1st Childhood that was filled by each pregnant woman. The sample included 43 pregnant women from the 1st to the 3rd trimester of gestation. Among the participants, 74.4% (n = 32) never received guidance on caring for the baby's oral hygiene. However, 52% (n = 26) were able to answer correctly about the time when the baby's oral hygiene care should begin (when the baby is born). Regarding the methods that can be used to perform this hygiene, 58.1% (n = 25) responded with gauze or diaper soaked with water, and as to the frequency to be performed, 58.1% (n = 25) ) reported that after feeding, as well as the ideal amount of toothpaste for toothbrushing, 46.5% (n = 2) answered that it should be the size of a dry rice grain. It was observed that although most of them had a reasonable knowledge about the importance of oral hygiene and the harmful effects of pacifiers, few of them received any kind of assistance and guidance on the baby's oral health during the prenatal period. It is important to include the dental professional in this period in order to pass on information and clarify any doubts that may arise regarding the oral health of the baby.


2021 ◽  
pp. 50-52
Author(s):  
Ranjana Dhar

BACKGROUND: - Pre-eclampsia is a serious complication of pregnancy and contributes signicantly maternal as well as perinatal morbidity and mortality. So an attempt was made to study the platelet count and bleeding time in cases of preeclampsia. AIM:-(1) To nd out the platelet count and bleeding time in pre-eclamptic woman. rd (2) To compare the values of platelet count and bleeding time in pre-eclamptics and normal pregnant woman in 3 trimester of pregnancy. METHODOLOGY:- 120 pregnant women in age group 18-42 years were included in the study of which 40 women were mild pre-eclamptic, 40 severe pre-eclamptic and 40 normal pregnant women in third trimester of pregnancy. RESULT:- Signicant decrease in platelet count and signicant increase in bleeding time was found between pre-eclamptic in comparison with the normal pregnant women. DISCUSSION:- Platelet count was found to decrease & Bleeding Time increase in pre-eclampsia CONCLUSION:- From this study,it was concluded that platelet count decrease and bleeding time incease with increase in severity of preeclampsia


2016 ◽  
Author(s):  
Flávio Codeço Coelho ◽  
Betina Durovni ◽  
Valeria Saraceni ◽  
Cristina Lemos ◽  
Claudia Torres Codeço ◽  
...  

AbstractThe recent emergence of Zika in Brazil and its association with increased congenital malformation rates has raised concerns over its impact on the birth rates in the country. Using data on the incidence of Zika in 2015-2016 and dengue in 2013 and 2015-16 for the city of Rio de Janeiro (pop: 6.4 million), we document a massive increase of Zika in women compared to men. Even after correcting for the bias due to the systematic testing of pregnant women for Zika, there are 90% more registered cases per 100,000 women in the sexually active age group (15-65 years) than for men but not before 15 or after 65. Assuming that infected men transmit the disease to women in their semen but that the converse is not true, some extra incidence in women is to be expected. An alternate hypothesis would be that women visit doctors more often than men. To test this, we compared the incidence of dengue fever in men and women in 2015 and in 2013 (before Zika reached Rio de Janeiro): in both years, women are 30% more likely to be reported with dengue.Summing up, women in the sexually active age bracket are far more likely to get Zika than men (+90% increase); sexual transmission is the most probable cause. Women in the 15-65 age group are also 30% more likely to be reported with dengue than men, which is probably due to women being more careful with their health.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Evelyn O Onosakponome ◽  
Austin E Abah ◽  
Michael Wogu

Background: Toxoplasmosis is caused by Toxoplasma gondii, a protozoan parasite, and is among the diseases generally referred to as neglected tropical disease (NTD). It can be a reason for impulsive abortion in pregnant women or hereditary chorioretinitis in neonates. Objectives: The present study examined seroprevalence and related risk issues of toxoplasmosis in pregnant women (PTW) and non-pregnant females (NPF) of two health facilities in Port Harcourt. Methods: Venous blood was collected from 380 women and analyzed by immunodiagnostic techniques using ELISA (Enzyme-Linked Immunosorbent assay) IgG and IgM tests and real-time polymerase chain reaction (PCR). Data were collected using a well-structured questionnaire on the socio-demographic risk issues linked with toxoplasmosis. Results: Among the study population, PTW and NPF had seroprevalence of 33.0% and 19.4%, respectively (P < 0.05). PTW recorded a higher overall seroprevalence than NPF with 16.1%, 1.3%, and 8.4%, 0.8% for Toxoplasma gondii ELISA IgG, and IgM tests, respectively. IgM-positive cases were all authenticated by the real-time PCR technique and were all negative. Age group 35-39 years had the highest IgG seroprevalence of 24.3% for PTW, while the age group > 40 years had the highest IgG seroprevalence of 18.2% for NPF. Traders recorded the uppermost seroprevalence of 20.9% and 2.6% for IgG and IgM among PTW, respectively, while teachers and traders recorded the maximum seroprevalence of 15.6% and 1.7% for IgG and IgM among NPF, respectively. Statistical analysis showed that there was no association between the age group, occupation, trimester, and toxoplasmosis. Conclusions: The toxoplasmosis was significantly high in pregnant women. It is recommended that Toxoplasma gondii tests should be included as a routine test during antenatal.


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