Difficulties observed in a reference center in the diagnosis and management of pregnant women with toxoplasmosis

  • Wendy Fernandes Bueno Instituto de Pesquisa Clínica Evandro Chagas, Fundação Oswaldo Cruz
  • Renata Goulart Ferreira Instituto de Pesquisa Clínica Evandro Chagas, Fundação Oswaldo Cruz
  • Laura Berriel da Silva Instituto de Pesquisa Clínica Evandro Chagas, Fundação Oswaldo Cruz
  • Carlos Henrique Klein Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
  • Maria Regina Reis Amendoeira Instituto Oswaldo Cruz, Fundação Oswaldo Cruz
  • Elizabeth de Souza Neves Instituto de Pesquisa Clínica Evandro Chagas, Fundação Oswaldo Cruz

Abstract

OBJECTIVES: To evaluate the difficulties met in the care of pregnant women with toxoplasmosis diagnosis in antenatal care services. METHODS: Longitudinal prospective study with 262 pregnant women referred to the Toxoplasmosis Clinic at Instituto de Pesquisa Clínica Evandro Chagas-Fundação Oswaldo Cruz, between January 2005 and July 2009. RESULTS: Most women (91.2%) were in the second and third trimesters of pregnancy, and 81.3% were referred by public health services. The average delay was 113.4 days in the collection of the first sample for serological tests in antenatal care, 52.1 days for referral and 160.6 days in starting treatment. Younger women and those from the public health system were referred later. Treatment was initiated at the origin for only 16% of the pregnant women, and 5% of these did not receive the recommended dose of spiramycin. At the Reference Center there was a low rate of confirmation of the serological tests performed in the health services of origin. It was found that 12.6% of pregnant women with an initial diagnosis of acute toxoplasmosis were susceptible to infection by Toxoplasma gondii. These tests were considered false positives. CONCLUSIONS: This study highlights the difficulties met in the management of pregnant women with toxoplasmosis in the antenatal care, including the quality of diagnostic tests and the need for greater emphasis on continuing education of health professionals.

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Author Biographies

Wendy Fernandes Bueno, Instituto de Pesquisa Clínica Evandro Chagas, Fundação Oswaldo Cruz
Mestre em Pesquisa Clínica em Doenças Infecciosas, Fundação Oswaldo Cruz, Instituto de Pesquisa Clínica Evandro Chagas, Ambulatório de Toxoplasmose.
Renata Goulart Ferreira, Instituto de Pesquisa Clínica Evandro Chagas, Fundação Oswaldo Cruz
Aluna de graduação em medicina. Bolsista CIEE, Fundação Oswaldo Cruz, Instituto de Pesquisa Clínica Evandro Chagas, Ambulatório de Toxoplasmose.
Laura Berriel da Silva, Instituto de Pesquisa Clínica Evandro Chagas, Fundação Oswaldo Cruz
Aluna de graduação em enfermagem. Bolsista PIBIC, Fundação Oswaldo Cruz, Instituto de Pesquisa Clínica Evandro Chagas, Ambulatório de Toxoplasmose.
Carlos Henrique Klein, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
Mestre em Saúde Pública. Pesquisador Titular da Escola Nacional de Saúde Pública – Fundação Oswaldo Cruz, Rio de Janeiro/RJ
Maria Regina Reis Amendoeira, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz
Doutora em Ciências Biológicas. Pesquisadora Titular do Instituto Oswaldo Cruz – Fundação Oswaldo Cruz, Rio de Janeiro/RJ
Elizabeth de Souza Neves, Instituto de Pesquisa Clínica Evandro Chagas, Fundação Oswaldo Cruz
Mestre em Doenças Infecciosas e Parasitárias. Médica responsável pelo Ambulatório de Toxoplasmose do Instituto de Pesquisa Clínica Evandro Chagas – Fundação Oswaldo Cruz, Rio de Janeiro/RJ

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Published
2010-04-16
How to Cite
Bueno, W. F., Ferreira, R. G., da Silva, L. B., Klein, C. H., Amendoeira, M. R. R., & Neves, E. de S. (2010). Difficulties observed in a reference center in the diagnosis and management of pregnant women with toxoplasmosis. Scientia Medica, 20(1), 40-44. https://doi.org/10.15448/1980-6108.2010.1.5870