Estudo de soroprevalência de toxoplasmose em gestantes atendidas na rede municipal de saúde de Vitória, ES
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2007-05-07
Autores
Areal, Kelly Rose
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Universidade Federal do Espírito Santo
Resumo
Toxoplasmosis is prevalent in Brazil. The infection during pregnancy can affect the fetus and cause sequelae in the child. Objectives: To determine seroprevalence of toxoplasmosis in pregnant women attending primary health cares in Vitória Municipality and evaluate correlate factors for the infection. Methods: A cross-sectional study, performed from January to December 2006, in 1153 pregnant women attending antenatal care in public clinics from the six health areas. A face-to-face interview with sócio-demographic, behaviors and clinics was performed; and serology for IgG, IgM and avidity of IgG by quimiluminescence (Diasorin) and eletroquimioluminescence (Biolab-Merrieux). Results: Prevalence of toxoplasmosis was 73.5% (CI 95% 70.95%-76.05%) and 1.3% (CI 95% 0.65%-1.95%) of acute infection. Considering avidity of IgG, prevalence of acute infection was 1.1% (CI 95% 0.5%-1.7%). A total of 26.5% (CI 95% 23.9%-29.0%) pregnant women were susceptive to toxoplasmosis and 72.2% (CI 95% 69.6%-74.8%) immunes. IgG antibodies were independent associated to buying meat in free markets [1.78 (CI 95% 1.02-3.13), and IgM antibodies during pregnancy were associated to lower education (up to four years) [5.30 (CI95% 1.67-16.83)]. Conclusions: These results corroborate the importance of earlier antenatal care and the inclusion of avidity test in toxoplasmosis diagnosis. It is requested a better sanitary control concerning the commerce of meat without registration.
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Pregnancy , Toxoplasmosis , Laboratory diagnosis , Gravidez , Diagnóstico laboratorial