TORCH Serology and Group B Streptococcus Screening Analysis in the Population of a Maternity

Detalhes bibliográficos
Autor(a) principal: Lito, David
Data de Publicação: 2013
Outros Autores: Francisco, Telma, Salva, Inês, Tavares, Maria das Neves, Oliveira, Rosa, Neto, Maria Teresa
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/564
Resumo: Introduction: Systematic screening for TORCH infections and group B Streptococcus (GBS) during pregnancy has been an important factor in the improvement of perinatal care.Aim: To evaluate TORCH serology and GBS carriers state in the population of a maternity, to assess variability with age and nationality and to search for congenital infections.Material and Methods: Non-probabilistic prevalence study.Results: 9508 TORCH and 2639 GBS results were registered. Immunity rate for rubella was 93.3%, higher for Portuguese women; for toxoplasmosis it was 25.7%, higher among the oldest and foreign women; IgG for CMV was positive in 62.4%, no influence of age was found. VDRL was reactive in 0.5%; HBsAg was found to be positive in 2.3%, higher in foreign women. Antibodies for hepatitis C virus and HIV were found respectively in 1.4% and 0.7%. No congenital infections were diagnosed. GBS carrier state was found in 13.9%.Discussion: A high rate of positive IgG was found for rubella reflecting vaccines policy. For toxoplasmosis the low rate of positives means that a high number of pregnant women have to repeat serology during pregnancy with inherent costs. Like in the general population, a high rate of CMV positive mothers was found. For some infections we found that foreign women had different conditions.Conclusion: Knowledge on TORCH and GBS state helps to better draw guidelines concerning screening policies during pregnancy.
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spelling TORCH Serology and Group B Streptococcus Screening Analysis in the Population of a MaternityAnálise das Serologias para Infeções do Grupo TORCH e do Rastreio para Streptococcus do Grupo B na População de Grávidas de uma MaternidadeIntroduction: Systematic screening for TORCH infections and group B Streptococcus (GBS) during pregnancy has been an important factor in the improvement of perinatal care.Aim: To evaluate TORCH serology and GBS carriers state in the population of a maternity, to assess variability with age and nationality and to search for congenital infections.Material and Methods: Non-probabilistic prevalence study.Results: 9508 TORCH and 2639 GBS results were registered. Immunity rate for rubella was 93.3%, higher for Portuguese women; for toxoplasmosis it was 25.7%, higher among the oldest and foreign women; IgG for CMV was positive in 62.4%, no influence of age was found. VDRL was reactive in 0.5%; HBsAg was found to be positive in 2.3%, higher in foreign women. Antibodies for hepatitis C virus and HIV were found respectively in 1.4% and 0.7%. No congenital infections were diagnosed. GBS carrier state was found in 13.9%.Discussion: A high rate of positive IgG was found for rubella reflecting vaccines policy. For toxoplasmosis the low rate of positives means that a high number of pregnant women have to repeat serology during pregnancy with inherent costs. Like in the general population, a high rate of CMV positive mothers was found. For some infections we found that foreign women had different conditions.Conclusion: Knowledge on TORCH and GBS state helps to better draw guidelines concerning screening policies during pregnancy.Objectivo: Avaliar o resultado de serologias para infeções do grupo TORCH e do rastreio para Streptococcus do grupo B (SGB) numa amostra de grávidas de uma maternidade, estudar a influência da idade e da nacionalidade, e identificar casos de infecção congénita.Material e Métodos: Estudo não probabilístico de prevalência de imunidade e infecção durante a gravidez.Resultados: Registámos 9508 serologias TORCH e 2639 resultados de rastreio para SGB. A taxa de imunidade para rubéola foi 93,3%, significativamente mais elevada em portuguesas; 25,7% das mulheres tinham IgG positiva para Toxoplasma goondii; a taxa foi mais elevada nas mulheres mais velhas e entre estrangeiras; encontrámos IgG positiva para vírus citomegálico humano (CMV) em 62,4%; não houve variação com a idade. O VDRL foi reactivo em 0,5%; 2,3% das mães tinham AgHBs positivo, mais frequente nas estrangeiras; 1,4% tinha anticorpos para o vírus da hepatite C e 0,7% tinha VIH positivo. Não houve casos declarados de infeção congénita; 13,9% das mulheres eram portadoras de SGB.Discussão: A elevada taxa de imunidade para a rubéola é resultado da política nacional de vacinação. A baixa taxa de imunidade para a toxoplasmose torna mais dispendioso o acompanhamento das grávidas. A elevada prevalência do CMV está de acordo com o encontrado na comunidade. Para algumas infeções foram encontradas diferenças de acordo com a nacionalidade.Conclusão: O conhecimento da imunidade e infecção na população é um instrumento importante para o planeamento dos rastreios durante a gravidez.Ordem dos Médicos2013-10-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/564oai:ojs.www.actamedicaportuguesa.com:article/564Acta Médica Portuguesa; Vol. 26 No. 5 (2013): September-October; 549-554Acta Médica Portuguesa; Vol. 26 N.º 5 (2013): Setembro-Outubro; 549-5541646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/564https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/564/3789Lito, DavidFrancisco, TelmaSalva, InêsTavares, Maria das NevesOliveira, RosaNeto, Maria Teresainfo:eu-repo/semantics/openAccess2022-12-20T10:56:30Zoai:ojs.www.actamedicaportuguesa.com:article/564Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:16:35.277439Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv TORCH Serology and Group B Streptococcus Screening Analysis in the Population of a Maternity
Análise das Serologias para Infeções do Grupo TORCH e do Rastreio para Streptococcus do Grupo B na População de Grávidas de uma Maternidade
title TORCH Serology and Group B Streptococcus Screening Analysis in the Population of a Maternity
spellingShingle TORCH Serology and Group B Streptococcus Screening Analysis in the Population of a Maternity
Lito, David
title_short TORCH Serology and Group B Streptococcus Screening Analysis in the Population of a Maternity
title_full TORCH Serology and Group B Streptococcus Screening Analysis in the Population of a Maternity
title_fullStr TORCH Serology and Group B Streptococcus Screening Analysis in the Population of a Maternity
title_full_unstemmed TORCH Serology and Group B Streptococcus Screening Analysis in the Population of a Maternity
title_sort TORCH Serology and Group B Streptococcus Screening Analysis in the Population of a Maternity
author Lito, David
author_facet Lito, David
Francisco, Telma
Salva, Inês
Tavares, Maria das Neves
Oliveira, Rosa
Neto, Maria Teresa
author_role author
author2 Francisco, Telma
Salva, Inês
Tavares, Maria das Neves
Oliveira, Rosa
Neto, Maria Teresa
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Lito, David
Francisco, Telma
Salva, Inês
Tavares, Maria das Neves
Oliveira, Rosa
Neto, Maria Teresa
description Introduction: Systematic screening for TORCH infections and group B Streptococcus (GBS) during pregnancy has been an important factor in the improvement of perinatal care.Aim: To evaluate TORCH serology and GBS carriers state in the population of a maternity, to assess variability with age and nationality and to search for congenital infections.Material and Methods: Non-probabilistic prevalence study.Results: 9508 TORCH and 2639 GBS results were registered. Immunity rate for rubella was 93.3%, higher for Portuguese women; for toxoplasmosis it was 25.7%, higher among the oldest and foreign women; IgG for CMV was positive in 62.4%, no influence of age was found. VDRL was reactive in 0.5%; HBsAg was found to be positive in 2.3%, higher in foreign women. Antibodies for hepatitis C virus and HIV were found respectively in 1.4% and 0.7%. No congenital infections were diagnosed. GBS carrier state was found in 13.9%.Discussion: A high rate of positive IgG was found for rubella reflecting vaccines policy. For toxoplasmosis the low rate of positives means that a high number of pregnant women have to repeat serology during pregnancy with inherent costs. Like in the general population, a high rate of CMV positive mothers was found. For some infections we found that foreign women had different conditions.Conclusion: Knowledge on TORCH and GBS state helps to better draw guidelines concerning screening policies during pregnancy.
publishDate 2013
dc.date.none.fl_str_mv 2013-10-31
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/564/3789
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 26 No. 5 (2013): September-October; 549-554
Acta Médica Portuguesa; Vol. 26 N.º 5 (2013): Setembro-Outubro; 549-554
1646-0758
0870-399X
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