Prevalência de infecções de transmissão vertical: toxoplasmose, rubéola, hepatite B, sífilis, infecção pelo citomegalovirus e pelo vírus da imunodeficiência humana em gestantes atendidas em Caxias, Maranhão

Detalhes bibliográficos
Autor(a) principal: Câmara, Joseneide Teixeira
Data de Publicação: 2014
Tipo de documento: Tese
Idioma: por
Título da fonte: Repositório Institucional da UFG
dARK ID: ark:/38995/0013000003k97
Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/4342
Resumo: The vertical transmission of infection from mother to child, and may increase morbidity and mortality of both mother and child, when not diagnosed and by suitably dealest, causing a serious public health problem. This study aimed to estimate the prevalence of antibodies to toxoplasmosis, rubella, cytomegalovirus, hepatitis B, syphilis and HIV among pregnant women in Caxias, Maranhão, Brazil and identify the main factors associated with seropositivity for Toxoplasma gondii infection in pregnant women attending two referral centers Caxias, MA. Descriptive, observational, cross-sectional study of 561 pregnant women who received prenatal care at two clinics reference to prenatal high risk in the period July 2011 to December 2012, the outpatient clinics of Maternity Carmosina Coutinho (MCC) and the Specialized Center for Maternal and Child Care (CEAMI). Serological tests for toxoplasmosis, rubella, cytomegalovirus, hepatitis B were performed by a laboratory conveniado to the municipality by the same trained technician, and for syphilis and HIV were performed in the Counseling and Testing Center (ATC) in the city laboratory. And a small sample of whole blood from five pregnant IGM reagent for Toxoplasma gondii and their respective newborns was processed at the Institute of Tropical Pathology and Public Health in the Department of Parasitology UFG for performing Polymerase Chain Reaction (PCR). Statistical analysis was performed using SPSS version 20.0 Windows, using the chi-square tests of association and Odds Ratio (95%CI), considering a significance level of 5%. It was found to be positive for HIV was 0.4%, 2.0% syphilis, rubella and cytomegalovirus IgG reactivity were 93.6% and 87.8% respectively without reactive IgM, HBsAg was negative for all pregnant women in the sample tested. Regarding toxoplasmosis in 437 (77%), 124 susceptibility (22.1%) and 5 (0.9%) women with active infection. Found no significant association between toxoplasmosis susceptibility and age, location, income, education, sewerage, number of pregnancies and gestational age. Variables with significant association (p≤0.05) were seropositive pregnant women who are multiparous (p=0.036), living with dogs stuck at home (p=0.001), and consumption of raw kibbeh (p=0.036). The frequency of seropositivity of these infectious diseases of vertical transmission in pregnant women seen at antenatal care in the city of Caxias-MA is considered high, but are similar to those described in other regions of Brazil. Pregnant women who are multiparous who perform consumption of raw kibbeh and live with dogs that do not wobble on the street, had more chance of becoming infected with Toxoplasma gondii, thus guidance on primary prevention measures and quarterly serological monitoring should be strengthened these infections of pregnant women, since it is important to identify and/or prevent congenital infection measured.
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spelling Castro, Ana Maria dehttp://lattes.cnpq.br/9232309971000621Castro, Ana Maria deVinaud, Marina ClareAraújo, Telma Maria Evangelista deCampelo, ViriatoPinheiro, Valéria Cristina Soareshttp://lattes.cnpq.br/5718882034193418Câmara, Joseneide Teixeira2015-03-24T17:27:34Z2014-05-30CÂMARA, Joseneide Teixeira. Prevalência de infecções de transmissão vertical: toxoplasmose, rubéola, hepatite B, sífilis, infecção pelo citomegalovirus e pelo vírus da imunodeficiência humana em gestantes atendidas em Caxias, Maranhão. 2014. 168 f. Tese (Doutorado em Medicina Tropical e Saúde Publica) - Universidade Federal de Goiás, Goiânia, 2014.http://repositorio.bc.ufg.br/tede/handle/tede/4342ark:/38995/0013000003k97The vertical transmission of infection from mother to child, and may increase morbidity and mortality of both mother and child, when not diagnosed and by suitably dealest, causing a serious public health problem. This study aimed to estimate the prevalence of antibodies to toxoplasmosis, rubella, cytomegalovirus, hepatitis B, syphilis and HIV among pregnant women in Caxias, Maranhão, Brazil and identify the main factors associated with seropositivity for Toxoplasma gondii infection in pregnant women attending two referral centers Caxias, MA. Descriptive, observational, cross-sectional study of 561 pregnant women who received prenatal care at two clinics reference to prenatal high risk in the period July 2011 to December 2012, the outpatient clinics of Maternity Carmosina Coutinho (MCC) and the Specialized Center for Maternal and Child Care (CEAMI). Serological tests for toxoplasmosis, rubella, cytomegalovirus, hepatitis B were performed by a laboratory conveniado to the municipality by the same trained technician, and for syphilis and HIV were performed in the Counseling and Testing Center (ATC) in the city laboratory. And a small sample of whole blood from five pregnant IGM reagent for Toxoplasma gondii and their respective newborns was processed at the Institute of Tropical Pathology and Public Health in the Department of Parasitology UFG for performing Polymerase Chain Reaction (PCR). Statistical analysis was performed using SPSS version 20.0 Windows, using the chi-square tests of association and Odds Ratio (95%CI), considering a significance level of 5%. It was found to be positive for HIV was 0.4%, 2.0% syphilis, rubella and cytomegalovirus IgG reactivity were 93.6% and 87.8% respectively without reactive IgM, HBsAg was negative for all pregnant women in the sample tested. Regarding toxoplasmosis in 437 (77%), 124 susceptibility (22.1%) and 5 (0.9%) women with active infection. Found no significant association between toxoplasmosis susceptibility and age, location, income, education, sewerage, number of pregnancies and gestational age. Variables with significant association (p≤0.05) were seropositive pregnant women who are multiparous (p=0.036), living with dogs stuck at home (p=0.001), and consumption of raw kibbeh (p=0.036). The frequency of seropositivity of these infectious diseases of vertical transmission in pregnant women seen at antenatal care in the city of Caxias-MA is considered high, but are similar to those described in other regions of Brazil. Pregnant women who are multiparous who perform consumption of raw kibbeh and live with dogs that do not wobble on the street, had more chance of becoming infected with Toxoplasma gondii, thus guidance on primary prevention measures and quarterly serological monitoring should be strengthened these infections of pregnant women, since it is important to identify and/or prevent congenital infection measured.A transmissão vertical das infecções da mãe para o filho e pode aumentar a morbimortalidade do binômio mãe-filho. Quando não diagnosticadas e tratadas adequamente, e ocasionam um sério problema de saúde pública. Este estudo objetivou estimar a soroprevalência de anticorpos para toxoplasmose, rubéola, citomegalovírus, hepatite B, sífilis e HIV entre gestantes em Caxias, Maranhão, Brasil e identificar os principais fatores associados à soropositividade para o Toxoplasma gondii (T. gondii) em gestantes atendidas em dois centros de referência em Caxias–MA. Estudo descritivo, observacional, transversal, com 561 gestantes que realizaram a assistência pré-natal em dois ambulatórios de referência para pré-natal de alto risco, no período de julho de 2011 a dezembro de 2012, nos ambulatórios da Maternidade Carmosina Coutinho (MCC) e no Centro Especializado de Assistência Materno-Infantil (CEAMI). Os testes sorológicos de toxoplasmose, rubéola, citomegalovírus, hepatite B foram realizados por um laboratório conveniado ao município, e para sífilis e HIV foram realizadas no laboratório do Centro de Testagem e Aconselhamento (CTA) do município. Uma amostra de sangue total das cinco gestantes IGM reagente para o T. gondii e de seus respectivos recém-nascidos foi processada no Instituto de Patologia Tropical e Saúde Publica da UFG no Setor de Parasitologia para a realização de Reação em Cadeia da Polimerase (PCR). A análise estatística foi realizada com o programa SPSS versão 20.0 Windows, usando os testes de associação qui-quadrado e Odds Ratio (IC95%), considerando-se o nível de significância de 5%. Constatou-se que a soropositividade para HIV foi de 0,4%, sífilis 2,0%, rubéola e citomegalovírus a reatividade de IgG foram de 93,6% e 87,8% respectivamente sem IgM reativa, HBsAg foi não reagente para todas as gestantes da amostra. Em relação ao T. gondii 437 (77,9%) foram soropositivas, a susceptibilidade em 124 (22,1%) e 5 (0,9%) gestantes com infecção ativa. Não foi observada associação significativa entre soropositividade para toxoplasmose e idade, procedência, renda, escolaridade, rede de esgotos, número de gestações e idade gestacional. As variáveis com associação significativa (p≤0,05) para soropositividade foram gestantes que são multigestas (p=0,036), convívio com cães presos em casa (p=0,001), e consumo de quibe cru (p=0,036). A frequência de soropositividade dessas doenças infecciosas de transmissão vertical em gestantes atendidas no pré-natal, no município de Caxias-MA é considerada alta, mas encontram-se semelhantes aos descritos em outras regiões do Brasil. As gestantes que são multigestas que realizam consumo de quibe cru e convivem com cães presos em casa, apresentaram mais chance de se infectar com o Toxoplasma gondii, assim, deve ser reforçada orientações sobre medidas de prevenção primária e o monitoramento sorológico trimestral dessas infecções às gestantes, uma vez que são medidas importantes para identificar e/ou prevenir as infecções congênitas.Submitted by Erika Demachki (erikademachki@gmail.com) on 2015-03-24T17:25:34Z No. of bitstreams: 2 Tese - Joseneide Teixeira Câmara - 2014.pdf: 2654661 bytes, checksum: 45d6b37146cb1b9be595aa54c97b9a6a (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Approved for entry into archive by Erika Demachki (erikademachki@gmail.com) on 2015-03-24T17:27:34Z (GMT) No. of bitstreams: 2 Tese - Joseneide Teixeira Câmara - 2014.pdf: 2654661 bytes, checksum: 45d6b37146cb1b9be595aa54c97b9a6a (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Made available in DSpace on 2015-03-24T17:27:34Z (GMT). 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dc.title.por.fl_str_mv Prevalência de infecções de transmissão vertical: toxoplasmose, rubéola, hepatite B, sífilis, infecção pelo citomegalovirus e pelo vírus da imunodeficiência humana em gestantes atendidas em Caxias, Maranhão
dc.title.alternative.eng.fl_str_mv Prevalence of infection of vertical transmission: toxoplasmosis, rubella, hepatitis B, syphilis, and cytomegalovirus infection by human immunodeficiency virus in pregnant women in Caxias, Maranhão
title Prevalência de infecções de transmissão vertical: toxoplasmose, rubéola, hepatite B, sífilis, infecção pelo citomegalovirus e pelo vírus da imunodeficiência humana em gestantes atendidas em Caxias, Maranhão
spellingShingle Prevalência de infecções de transmissão vertical: toxoplasmose, rubéola, hepatite B, sífilis, infecção pelo citomegalovirus e pelo vírus da imunodeficiência humana em gestantes atendidas em Caxias, Maranhão
Câmara, Joseneide Teixeira
Estudos soroepidemiológicos
Gravidez
Cuidado pré-natal
Transmissão vertical de doença infecciosa
Toxoplasmose
Toxoplasmosis
Seroepidemiologic studies
Pregnancy
Prenatal care
Infectious disease vertical transmission
CIENCIAS BIOLOGICAS::PARASITOLOGIA
title_short Prevalência de infecções de transmissão vertical: toxoplasmose, rubéola, hepatite B, sífilis, infecção pelo citomegalovirus e pelo vírus da imunodeficiência humana em gestantes atendidas em Caxias, Maranhão
title_full Prevalência de infecções de transmissão vertical: toxoplasmose, rubéola, hepatite B, sífilis, infecção pelo citomegalovirus e pelo vírus da imunodeficiência humana em gestantes atendidas em Caxias, Maranhão
title_fullStr Prevalência de infecções de transmissão vertical: toxoplasmose, rubéola, hepatite B, sífilis, infecção pelo citomegalovirus e pelo vírus da imunodeficiência humana em gestantes atendidas em Caxias, Maranhão
title_full_unstemmed Prevalência de infecções de transmissão vertical: toxoplasmose, rubéola, hepatite B, sífilis, infecção pelo citomegalovirus e pelo vírus da imunodeficiência humana em gestantes atendidas em Caxias, Maranhão
title_sort Prevalência de infecções de transmissão vertical: toxoplasmose, rubéola, hepatite B, sífilis, infecção pelo citomegalovirus e pelo vírus da imunodeficiência humana em gestantes atendidas em Caxias, Maranhão
author Câmara, Joseneide Teixeira
author_facet Câmara, Joseneide Teixeira
author_role author
dc.contributor.advisor1.fl_str_mv Castro, Ana Maria de
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/9232309971000621
dc.contributor.referee1.fl_str_mv Castro, Ana Maria de
dc.contributor.referee2.fl_str_mv Vinaud, Marina Clare
dc.contributor.referee3.fl_str_mv Araújo, Telma Maria Evangelista de
dc.contributor.referee4.fl_str_mv Campelo, Viriato
dc.contributor.referee5.fl_str_mv Pinheiro, Valéria Cristina Soares
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/5718882034193418
dc.contributor.author.fl_str_mv Câmara, Joseneide Teixeira
contributor_str_mv Castro, Ana Maria de
Castro, Ana Maria de
Vinaud, Marina Clare
Araújo, Telma Maria Evangelista de
Campelo, Viriato
Pinheiro, Valéria Cristina Soares
dc.subject.por.fl_str_mv Estudos soroepidemiológicos
Gravidez
Cuidado pré-natal
Transmissão vertical de doença infecciosa
Toxoplasmose
topic Estudos soroepidemiológicos
Gravidez
Cuidado pré-natal
Transmissão vertical de doença infecciosa
Toxoplasmose
Toxoplasmosis
Seroepidemiologic studies
Pregnancy
Prenatal care
Infectious disease vertical transmission
CIENCIAS BIOLOGICAS::PARASITOLOGIA
dc.subject.eng.fl_str_mv Toxoplasmosis
Seroepidemiologic studies
Pregnancy
Prenatal care
Infectious disease vertical transmission
dc.subject.cnpq.fl_str_mv CIENCIAS BIOLOGICAS::PARASITOLOGIA
description The vertical transmission of infection from mother to child, and may increase morbidity and mortality of both mother and child, when not diagnosed and by suitably dealest, causing a serious public health problem. This study aimed to estimate the prevalence of antibodies to toxoplasmosis, rubella, cytomegalovirus, hepatitis B, syphilis and HIV among pregnant women in Caxias, Maranhão, Brazil and identify the main factors associated with seropositivity for Toxoplasma gondii infection in pregnant women attending two referral centers Caxias, MA. Descriptive, observational, cross-sectional study of 561 pregnant women who received prenatal care at two clinics reference to prenatal high risk in the period July 2011 to December 2012, the outpatient clinics of Maternity Carmosina Coutinho (MCC) and the Specialized Center for Maternal and Child Care (CEAMI). Serological tests for toxoplasmosis, rubella, cytomegalovirus, hepatitis B were performed by a laboratory conveniado to the municipality by the same trained technician, and for syphilis and HIV were performed in the Counseling and Testing Center (ATC) in the city laboratory. And a small sample of whole blood from five pregnant IGM reagent for Toxoplasma gondii and their respective newborns was processed at the Institute of Tropical Pathology and Public Health in the Department of Parasitology UFG for performing Polymerase Chain Reaction (PCR). Statistical analysis was performed using SPSS version 20.0 Windows, using the chi-square tests of association and Odds Ratio (95%CI), considering a significance level of 5%. It was found to be positive for HIV was 0.4%, 2.0% syphilis, rubella and cytomegalovirus IgG reactivity were 93.6% and 87.8% respectively without reactive IgM, HBsAg was negative for all pregnant women in the sample tested. Regarding toxoplasmosis in 437 (77%), 124 susceptibility (22.1%) and 5 (0.9%) women with active infection. Found no significant association between toxoplasmosis susceptibility and age, location, income, education, sewerage, number of pregnancies and gestational age. Variables with significant association (p≤0.05) were seropositive pregnant women who are multiparous (p=0.036), living with dogs stuck at home (p=0.001), and consumption of raw kibbeh (p=0.036). The frequency of seropositivity of these infectious diseases of vertical transmission in pregnant women seen at antenatal care in the city of Caxias-MA is considered high, but are similar to those described in other regions of Brazil. Pregnant women who are multiparous who perform consumption of raw kibbeh and live with dogs that do not wobble on the street, had more chance of becoming infected with Toxoplasma gondii, thus guidance on primary prevention measures and quarterly serological monitoring should be strengthened these infections of pregnant women, since it is important to identify and/or prevent congenital infection measured.
publishDate 2014
dc.date.issued.fl_str_mv 2014-05-30
dc.date.accessioned.fl_str_mv 2015-03-24T17:27:34Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.citation.fl_str_mv CÂMARA, Joseneide Teixeira. Prevalência de infecções de transmissão vertical: toxoplasmose, rubéola, hepatite B, sífilis, infecção pelo citomegalovirus e pelo vírus da imunodeficiência humana em gestantes atendidas em Caxias, Maranhão. 2014. 168 f. Tese (Doutorado em Medicina Tropical e Saúde Publica) - Universidade Federal de Goiás, Goiânia, 2014.
dc.identifier.uri.fl_str_mv http://repositorio.bc.ufg.br/tede/handle/tede/4342
dc.identifier.dark.fl_str_mv ark:/38995/0013000003k97
identifier_str_mv CÂMARA, Joseneide Teixeira. Prevalência de infecções de transmissão vertical: toxoplasmose, rubéola, hepatite B, sífilis, infecção pelo citomegalovirus e pelo vírus da imunodeficiência humana em gestantes atendidas em Caxias, Maranhão. 2014. 168 f. Tese (Doutorado em Medicina Tropical e Saúde Publica) - Universidade Federal de Goiás, Goiânia, 2014.
ark:/38995/0013000003k97
url http://repositorio.bc.ufg.br/tede/handle/tede/4342
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language por
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dc.relation.confidence.fl_str_mv 600
600
600
600
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dc.relation.cnpq.fl_str_mv -4544576747271574306
dc.relation.sponsorship.fl_str_mv 2075167498588264571
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Universidade Federal de Goiás
dc.publisher.program.fl_str_mv Programa de Pós-graduação em Medicina Tropical e Saúde Publica (IPTSP)
dc.publisher.initials.fl_str_mv UFG
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Instituto de Patologia Tropical e Saúde Pública - IPTSP (RG)
publisher.none.fl_str_mv Universidade Federal de Goiás
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