RESUMOAs infecções do trato urinário são frequentes durante o período gestacional e as complicações se associam a significativos problemas. O estudo objetivou verificar a incidência de infecções do trato urinário durante a gestação e a correlação com a duração do período gestacional identificando complicações com o parto prematuro e o baixo peso ao nascer. Trata-se de um estudo retrospectivo com análise de Declarações de Nascidos Vivos e análise de laudos laboratoriais de exame de urina I de gestantes atendidas pelo Laboratório Municipal de Marmeleiro -PR, durante o período de pré-natal. A incidência de infecção do trato urinário encontrada foi de 10,1% e dentre essas, 18,2% tiveram parto prematuro. Das que tiveram parto prematuro, 63,6% não apresentavam os 3 exames de urina I preconizados pelo Programa Rede Mãe Paranaense; 10,4% dos bebês apresentaram baixo peso ao nascer e 33,3% nasceram de períodos gestacionais com incidência de infecção urinária. A partir dos resultados concluiu-se que existe correlação entre a incidência de infecções do trato urinário na gestação e o aumento das taxas de prematuridade. Palavras-chave:Infecções do trato urinário; Gestação; Parto prematuro; Baixo peso ao nascer. ABSTRACTUrinary tract infections are frequent during the gestational period and complications are associated with significant problems. The study aimed to verify the incidence of urinary tract infections during gestation and the correlation with gestational period duration, identifying premature delivery and low birth weight. This is a retrospective study with analysis of Declarations of Live Births and analysis of laboratory reports of urine examination I of pregnant women attended by the Municipal Laboratory of Marmeleiro -PR, during the prenatal period. The incidence of urinary tract infections was 10.1% and among these, 18.2% had a preterm birth. Of those who had preterm delivery, 63.6% did not present the 3 urine exams recommended by the Rede Mãe Paranaense Program; 10.4% of the infants presented low birth weight and 33.3% were born from gestational periods with an incidence of urinary tract infection. From the results it was concluded that there is a correlation between the incidence of urinary tract infections during pregnancy and the increase in the rates of prematurity.
The high frequency of intestinal parasites is favored by environmental and socio-cultural conditions of indigenous populations, and is still a neglected public health problem. Mass administration of broad-spectrum drugs aims to reduce the prevalence and intensity of the infections. The prevalence of intestinal parasites in school-children in an indigenous Guarani village in southern Brazil, was evaluated before and after the mass treatment of the population with albendazole. In the first phase of collection of stool samples, 81.4% of them were positive for enteroparasites and in the second phase, after two doses of antiparasitic medication, 87.5% were positive. Although the prevalence of infections by some helminths has reduced after treatment, many parasites remained frequent in the studied population, showing a change in the epidemiological profile in the distribution of these diseases in the population. The prevalence of intestinal parasites in indigenous schoolchildren proved to be high even after mass treatment with albendazole.
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Objectives: The objective of this study was to investigate the prevalence of altered spermograms of individuals living in a municipality in the west of Paraná and attended at a private laboratory for clinical analysis, as well as the main alterations found in this study. Methods: We analyzed electronic reports of patients undergoing sperm examination in a private laboratory located in the municipality of Cascavel, Paraná, from January 2014 to December 2016. Results: It was verified that of 888 tests analyzed, only 1% presented all parameters analyzed within normality, while 99% of the cases presented some type of alteration. There was a change in the following parameters with statistical significance between the number of reports analyzed: time of liquefaction, sperm concentration, head anomalies, tail abnormalities, number of spermatocytes and spermatids (p <0.0001), viscosity (p = 0.1098), live forms (p = 0.0524), progressive motility (p = 0.0010) and total motility (p = 0.0013). Conclusions: There was a high prevalence of altered spermograms and a great number of alterations were observed, which requires the need for complementary tests to determine the causes of these alterations.
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