Prevalence of seropositivity for toxoplasmosis in pregnant women in the Brazilian Federal District from 2014 to 2018

Authors

  • Fernando Saab Fernando Pessoa University, Portugal
  • Benigno da Rocha Faculdade União de Goyazes
  • Cristina Abreu Fernando Pessoa University, Portugal

DOI:

https://doi.org/10.31686/ijier.vol8.iss10.2686

Keywords:

Toxoplasmosis, Prevalence, Seropositivity, Pregnant women

Abstract

Toxoplasma gondii is found worldwide and infects up to one third of the world population, an infection that can be fatal to the fetus during pregnancy and in immunocompromised individuals. The prevalence of infection is variable in different countries, depending on its social and economic determinants. Considering the worldwide relevance of toxoplasmosis and its devastating effects in children infected during pregnancy, this study aims to estimate the prevalence of seropositivity for toxoplasmosis in pregnant women from the Federal District of Brazil, from January 2014 to December 2018. This is a retrospective study that included a historical series of 170,678 pregnant women screened by the Pregnant Women Protection Program (PWPP). The coverage of the Program was around 70%, being considered very good, since people seek assistance in the private service or face other types of barriers to access. The global prevalence of toxoplasmosis in pregnant women was 90,566 (53.21%; 95% CI 52.97-53.44). In the time course of the sample, the prevalence of toxoplasmosis infection dropped from 81.84% in 2014 to 38.65% in 2018. The prevalence of toxoplasmosis was higher in pregnant women aged 20 to 30 years. Another important factor was that the number of pregnancies and abortions also influenced, proportionally, the prevalence. This data indicates that the number of identified cases was similar to those observed in other countries and other regions in Brazil. However, over time, it showed a significant drop that may be due to the implementation of the PWPP in the current molds, based on public policies to protect pregnant women and newborns.

Downloads

Download data is not yet available.

Author Biographies

  • Fernando Saab, Fernando Pessoa University, Portugal

    Graduate Program in Ecology and Environmental Health, 

  • Benigno da Rocha, Faculdade União de Goyazes

    Rodovia GO-060, 3184 – Laguna Park – Vila Emanoel, Trindade – GO, 75380-000 Goiás, Brasil

  • Cristina Abreu, Fernando Pessoa University, Portugal

    Graduate Program in Ecology and Environmental Health, and Health Sciences Faculty

References

Boothroyd JC, Grigg ME. Population biology of Toxoplasma gondii and its relevance to human infection. Curr Opin Microbiol. 2002, 5:438–442. DOI: https://doi.org/10.1016/S1369-5274(02)00349-1

Dubey JP. Toxoplasmosis of animals and humans. 2. Maryland: CRC Press; 2010.

Fekadu A, Shibre T, Cleare AJ. Toxoplasmosis as a cause for behavior disorders - overview of evidence and mechanisms. Folia Parasitol (Praha) 2010, 57:105–13. DOI: https://doi.org/10.14411/fp.2010.013

Montoya JG, Liesenfeld O. Toxoplasmosis. Lancet. 2004, 363:1965–1976. DOI: https://doi.org/10.1016/S0140-6736(04)16412-X

Torgerson PR, Macpherson CNL. The socioeconomic burden of parasitic zoonoses: global trends. Vet Parasitol. 2011, 182:79–95. DOI: https://doi.org/10.1016/j.vetpar.2011.07.017

Opsteegh M, Teunis P, Mensink M, Zuchner L, Titilincu A, Langelaar M, Van der Giessen J. Evaluation of ELISA test characteristics and estimation of Toxoplasma gondii sero-prevalence in Dutch sheep using mixture models. Prev Vet Med. 2010, 96:232–240. DOI: https://doi.org/10.1016/j.prevetmed.2010.06.009

Weese S. Pets and immune-compromised people. Worms & Germs Blog, Ontario Veterinary College’s Centre for Public Health and Zoonoses. http://www.wormsandgermsblog.com. 2008.

Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Atenção à Saúde do Recém-Nascido: Guia para os Profissionais de Saúde. 2a ed. Brasília, DF: Ministério da Saúde; 2014.

Lehmann LM, Santos PC, Scaini CJ. Evaluation of pregnant and postpartum women's knowledge about toxoplasmosis in Rio Grande – RS, Brazil. Rev Bras Ginecol Obstet. 2016, 38 (11): 538-544. DOI: https://doi.org/10.1055/s-0036-1593970

Mozzatto L, Procianoy RS. Incidence of congenital toxoplasmosis in southern Brazil: a prospective study. Rev Inst Med Trop São Paulo. 2003, 45 (03): 147-151. DOI: https://doi.org/10.1590/S0036-46652003000300006

Furtado JM, Smith JR, Belfort Jr R, Gattey D, Winthrop KL. Toxoplasmosis: a global threat. J Glob Infect Dis. 2011, 3 (03): 281-284. DOI: https://doi.org/10.4103/0974-777X.83536

Fochi MML, Baring S, Spegiorin LCJF. , et al. Prematurity and low birth weight did not correlate with anti-toxoplasma gondii maternal serum profiles - a Brazilian report. PLoS One. 2015, 10 (07): e0132719 . DOI: https://doi.org/10.1371/journal.pone.0132719

Soares JA, Carvalho SF, Caldeira AP. Profile of pregnant women and children treated at a reference center for congenital toxoplasmosis in the northern state of Minas Gerais, Brazil. Rev Soc Bras Med Trop. 2012, 45 (01): 55-59. DOI: https://doi.org/10.1590/S0037-86822012000100011

Lopes-Mori FMR, Mitsuka-Breganó R, Bittencourt LHFB. , et al. Gestational toxoplasmosis in Paraná State, Brazil: prevalence of IgG antibodies and associated risk factors. Braz J Infect Dis. 2013, 17 (04): 405-409. DOI: https://doi.org/10.1016/j.bjid.2012.12.003

Wilking H, Thamm M, Stark K, Aebischer T, Seeber F. Prevalence, incidence estimations, and risk factors of Toxoplasma gondii infection in Germany: a representative, cross-sectional, serological study. Sci Rep. 2016, 6: 22551. DOI: https://doi.org/10.1038/srep22551

Di Mario S, Basevi V, Gagliotti C. , et al. Prenatal education for congenital toxoplasmosis. Cochrane Database Syst Rev. 2015, (10) CD006171. DOI: https://doi.org/10.1002/14651858.CD006171.pub4

Biblioteca Virtual em Saúde do Ministério da Saúde. Dicas em Saúde: Toxoplasmose. BVS, ano 2007, p. 1, set. 2007. Disponível em: http://bvsms.saude.gov.br/bvs/dicas/125toxoplasmose.html.

Secretaria de Vigilância em Saúde. Boletim eletrônico Epidemiológico: Surto Intra-Familiar de Toxoplasmose, Santa Vitória do Palmar-RS, Julho de 2005. Toxoplasmose, Boletim eletrônico Epidemiológico, ed. 03, p. 1-7, 15 out. 2006. In: http://bvsms.saude.gov.br/bvs/periodicos/boletim_eletronico_epi_ano06_n03.pdf.

Inagaki, Ana Dorcas de Melo, et al. Análise espacial da prevalência de toxoplasmose em gestantes de Aracaju, Sergipe, Brasil. Rev Bras Ginecol Obstet. 2014, 8:1-6. DOI: https://doi.org/10.1590/So100-720320140005086

Engroff, Paula, et al. Soroepidemiologia de Toxoplasma gondii em idosos atendidos pela Estratégia Saúde da Família, Porto Alegre, Rio Grande do Sul, Brasil. Revista Ciência & Saúde Coletiva. 2014, 7:1-10. DOI: https://doi.org/10.1590/1413-81232014198.12402013

EVANGELISTA, Maria José de Oliveira. Programa de Proteção à Gestante do Estado de Sergipe : impacto sobre a saúde materno infantil. p. 1-105, 7 jun. 2011. In: https://repositorio.unb.br/handle/10482/8290.

SARTORI, Ana Lucia, et al. Triagem pré-natal para toxoplasmose e fatores associados à soropositividade de gestantes em Goiânia, Goiás. Rev Bras Ginecol Obstet. 2011, 12:1-6. DOI: https://doi.org/10.1590/S0100-72032011000200007

GÓMEZ, JFB, APOLINÁRIO, MAO, CASTRO AJW, et al. Comparação da coleta das amostras de sangue na triagem pré-natal, utilizando o papel de filtro e punção venosa na técnica de elisa para detecção de sífilis. DST - J Bras Doenças Sex Transm. 2010, 22(3): 123-128. DOI: https://doi.org/10.5533/2177-8264-201022303

IV SIMPÓSIO BRASILEIRO DE TOXOPLASMOSE. Resumos dos trabalhos apresentados. Anais Congresso, Rede Brasileira de Pesquisa em Toxoplasmose, p. 1-67, 2018. In: https://bvsms.saude.gov.br/bvs/publicacoes/simposio_toxoplasmose_resumos.pdf.

COSTA, Marillia Lima et al. Levantamento do Perfil Epidemiológico da Toxoplasmose na Cidade de Jataí-GO. Universidade Federal de Goiás, p. 1-12. In: http://www.sbpcnet.org.br/livro/63ra/conpeex/pibic/trabalhos/MARILLIA.PDF.

SECRETARIA DE SAÚDE DO ESTADO. CADERNO DE ATENÇÃO AO PRÉ-NATAL TOXOPLASMOSE. Secretaria de Saúde Parana, [S. l.], p. 1-24. In: http://www.saude.pr.gov.br/arquivos/File/pdf7.pdf.

CARVALHO, Anna Gabryela Medeiros Afonso et al. DIAGNÓSTICO LABORATORIAL DA TOXOPLASMOSE CONGÊNITA. Rev. Ciênc. Saúde Nova Esperança. 2014, 1:1-8. In: http://www.facene.com.br/wp-content/uploads/2010/11/Diagn%C3%B3stico-Laboratorial-da-toxoplasmose-cong%C3%AAnita.pdf.

VIELLAS, Elaine Fernandes et al. Assistência pré-natal no Brasil. Cad. Saúde Pública. 2014, 30 (supl.1): 1-16. DOI: https://doi.org/10.1590/0102-311X00126013

Downloads

Published

2020-10-01

How to Cite

Saab, F., da Rocha, B., & Abreu, C. (2020). Prevalence of seropositivity for toxoplasmosis in pregnant women in the Brazilian Federal District from 2014 to 2018. International Journal for Innovation Education and Research, 8(10), 346-355. https://doi.org/10.31686/ijier.vol8.iss10.2686
Received 2020-09-08
Accepted 2020-09-21
Published 2020-10-01