ANÁLISE ESPAÇO-TEMPORAL DA TOXOPLASMOSE EM GESTANTES DO ESTADO DE SERGIPE, BRASIL
DOI:
https://doi.org/10.17564/2316-3798.2021v8n3p539-551Published
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Abstract
This study evaluated epidemiological aspects of toxoplasmosis in women from the state of Sergipe who were attended by the Pregnant Women Protection Program. A cross-sectional study was carried out using secondary data from anti-Toxoplasma tests carried out between 2014 and 2015 at the Central Laboratory of Public Health in Sergipe. Primary data were collected from questionnaires applied to 186 pregnant women attended at the state High Risk Prenatal Service. A total of 17,171 serological tests for detection of anti-Toxoplasma antibodies revealed a prevalence of pregnant women with reactive IgG of 48.09%. The prevalence of IgM antibodies was 1.05%. Of the 8,206 pregnant women with reactive IgG, 14.9% were from the upper Sertão, 6.5% from the middle Sertão, 10.8% from the Agreste Central, 16.9% from the lower São Francisco, 8.4% from the East region, 9% from the Center-South, 20.8% from the South and 12.7% from Grande Aracaju. In proportion to the number of pregnant women by geographic region, East Sergipano had a higher prevalence (79%) of IgG antibodies, while Agreste Central had a higher prevalence of susceptible pregnant women (32%). There was a significant association (p=0.031) and a higher prevalence of reactive IgG was found among women over 40 years old and non-reactive ones in the age group up to 20 years old. There was no statistical significance between the presence of anti-Toxoplasma antibodies and the independent variables; however, there was a tendency to associate the presence of anti-Toxoplasma antibodies with the consumption of raw/undercooked meat. The results show the extent of toxoplasmosis in pregnant women in Sergipe and indicate the need for permanent and effective actions to control this infection.