Freqüência das infecções pelo HIV-1, rubéola, sífilis, toxoplasmose, citomegalovírus, herpes simples, hepatite B, hepatite C, doença de Chagas e HTLV I/II em gestantes, do Estado de Mato Grosso do Sul

Abstract

O período gestacional não é isento de infecções que comprometam a saúde materno-fetal, de forma especial aquelas que se apresentam assintomáticas ou subclínicas. Nessas situações, o tratamento, em geral, não seria necessário. Entretanto, os riscos da transmissão materno-fetal (vertical)

Seropositivity rates for toxoplasmosis, rubella, syphilis, cytomegalovirus, hepatitis and HIV among pregnant women receiving care at a public health service, São Paulo state, Brazil

“…3,20,41 Early diagnosis allows preventive measures and treatment to be implemented in the antenatal and postnatal periods. 3,4,41,42 …”

“…3 In the state of Mato Grosso do Sul, the percentages were 0.4% for IgM-toxo, 0.03% for IgM anti-rubella, 0.8% for syphilis, 0.3% for hepatitis B, 0.1% for hepatitis C and 0.2% for HIV. 4 Recent studies with pregnant women in the northwest region of São Paulo State reported IgG-toxo antibodies in 64.1% 5 and 1.03% of HIV seropositivity, 6 but did not detail the results of other TORSCH infections. The aim of this study was to assess the prevalence of infections of the TORSCH group among pregnant women attending a university hospital.…”

“…3 Knowledge of the prevalence and incidence of these infectious-parasitic diseases in pregnant women is of great importance in the planning of maternal-fetal health programs strategies, screening and treatment of these diseases. 4 Serological tests to diagnose infections of the TORSCH (Toxoplasmosis, Rubella, Syphilis, Cytomegalovirus, Hepatitis B and C, and HIV) are mandatory, as they pose a potential life threatening risk for the pregnant woman and their fetus, in addition to the newborn baby after delivery. 3,4 With the exception of infections by cytomegalovirus, the other diseases are routinely investigated in all pregnant women attending the high-risk pregnancy and fetal medicine unit of Hospital de Base (FUNFARME) in São José do Rio Preto, a reference center for the northwest region of São Paulo State.…”

Prevalence of acute toxoplasmosis infection among 41,112 pregnant women and the mother-to-child transmission rate in a public hospital in South Brazil

“…In Brazil, the Southern region, where this study was conducted, has a low prevalence of toxoplasmosis among pregnant women (Nobrega & Karnikowski 2005, Figueiro-Filho et al 2007. However, there is substantial variability in the reported data, depending on chosen population, diagnostic methods used in screening, or even the different risk factors involved in disease transmission (Buffolano et al 1996, Kapperud et al 1996, Cook et al 2000, Jones et al 2001.…”

“…In Brazil, there is no established epidemiological surveillance program for toxoplasmosis among pregnant women. Despite that, the prevalence of acute toxoplasmosis per 1,000 pregnant women in Mato Grosso do Sul was 4.2 (Figueiro-Filho et al 2007) and 5.7 in Brasilia (Nobrega & Karnikowski 2005).…”