Navegando por Assunto "Toxoplasmose"

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Acesso aberto (Open Access)
Conhecimento sobre a toxoplasmose e associação com os fatores de risco pelas parturientes de um hospital de referência materno infantil
(Universidade Federal do Pará, 2011) COSTA, Alfredo Cardoso; BICHARA, Cléa Nazaré Carneiro; http://lattes.cnpq.br/2161704040280760
BACKGROUND: Toxoplasmosis is a parasitic infection usually asymptomatic, but with important consequences when it affects the fetus and immunocompromised. However, even in areas of high prevalence little is known about the problem among pregnant women who receive little or no information on prevention and risk factors for transmission in prenatal consultations. OBJECTIVE: To evaluate the knowledge of pregnant women on toxoplasmosis in association with exposure to risk factors, socio-demographic and prenatal care. METHODOLOGY: We conducted a cross-sectional study analytic, from January to May 2011, the Santa Casa de Misericórdia do Pará, regional reference in maternal and child health, with 307 mothers of a total of 2,000 hospitalized in the period . Data were collected through interviews with plug consent protocol, three times a week, between 6-48 hours after delivery, stored in a database. RESULTS: According to the responses to each item in the form of protocol, the sociodemographic data showed the predominance of (p<0.0001), aged 19-24 years (n = 118/296, 39.9%), Pará (n = 290/305, 95.1%), residents in the metropolitan region of Belém (n = 191/307, 62.2%) of mixed ethnicity (n = 156/307, 50.8%), an education incomplete elementary (n = 106/307, 34.5%), Catholic (n = 148/307, 48.2%), in a consensual union (n = 174/307, 56.7%) who identified themselves as housewives (n = 171/299, 57.2%) and income from 1 to 3 minimum wages (234/281, 83.3%), data regarding prenatal care was higher (p <0, 0001): those who received prenatal care (n = 281/295, 95.3%), with the first quarter (n = 97/157, 61.8%), performing 1-3 consultations with a doctor (n = 134/256, 52.3%) in the same way with nurses (n = 152/249, 61%) who presented to the Determine HIV- negative (n = 253/259, 97.7%), VDRL non-reactive (n = 231/237, 97.5%), HIV negative (n = 226/262, 86.3%) underwent obstetric ultrasonography (n = 280/298, 94%) and serological tests, predominantly toxoplasmosis serology (n = 122/307, 39.7%) in relation to risk factors were significant (p <0.0001) information regarding the consumption of meat (n = 305/307, 99.3%) and cooked (n = 289/305, 94.5%), contact with animals, especially dogs (n = 158/307, 51.5%) and cats (n = 121/307, 39.4%), the use piped water (n = 169/297, 56.9%) and filtered (n = 55/129, 42.6%) and does not reside in wetlands (n = 231/292, 79.1%). In relation to knowledge about toxoplasmosis and their associations, it was observed that: 76.9% do not know (n = 210/273, p <0.0001), this knowledge is independent of the implementation of prenatal care (p = 0.0421 ), since only 25% of those who received prenatal care know, and 100% of those who did not know, independent of education (p = 0.0004), with a chance of not knowing (OR) 3.9 times higher in patients with less education, not knowing toxoplasmosis is related to family income (p = 0.0089) and have an income below Minico salary increases (OR) 10.7 on the chance it unknown; guidelines on infectious diseases in pre-natal non- improved knowledge about toxoplasmosis (p = 0.4586) and there was no correlation between knowledge of toxoplasmosis and risk factors, such as cooking meat (p = 0.8743), contact with animals (p = 0.9344) and treatment Water consumption (p = 0.1990). CONCLUSIONS: It is actually the lack of knowledge about toxoplasmosis among pregnant women of the country's largest public maternidde in an area of high prevalence of this disease. No approach to prenatal care on knowledge and attitudes of pregnant women about toxoplasmosis. The cautionary statements should be part of prenatal care, and this information should include a set of actions undertaken by public education and global health, coupled with professional training.
Acesso aberto (Open Access)
Pesquisa de anticorpos anti-Toxoplasma gondii (Nicolle & Manceaux, 1909) em felídeos selvagens nos municípios de Capitão Poço e Belém, Pará
(Universidade Federal do Pará, 2008-02-29) SILVA, Carolina Costa; SOUZA, Nazaré Fonseca de; http://lattes.cnpq.br/1616332835810182
Toxoplasmosis is one of the most widespread zoonosis in the world caused by Toxoplasma gondii, a protozoan that has in felids its unique and definitive host. Twenty one animals of four species were avaluated, Jaguarundi (Herpailurus yaguarondi), Ocelot (Leopardus pardalis), Margay (Leopardus wiedii), Jaguars (Panthera onca) to investigate the occurrence of toxoplasmosis in two municipalities of Pará State, using two serological assays, indirect hemagglutination, (IHA), direct modified agglutination (MAT) and coproparasitologic examination. From the tested animals, 18 were positive (85,72%). Twelve (57,14%) animals by the IHA and 14 (66,66%) by the MAT, were seropositive. In both utilized techniques there were no statistical differences between seropositivity and the genus. In the Herpailurus genus 4,6% of seropositivity was found in both tests; in the Leopardus 19,05% by IHA and 28,57% by MAT; and in the Panthera 33,33% in both techniques. Similar results were verified in 11 animals. Comparing both techniques, there were no statistical differences. Higher titers were obtained from a margay (1024) by MAT. No oocysts of T. gondii were found in the studied animals. It was verified high occurrence of toxoplasmosis in the studied areas and both techniques are efficient for serologic diagnoses of this disease.