Toxoplasmose gestacional e congênita em Minas Gerais, 2019 – 2021: uma análise do perfil das notificações e de sua distribuição espacial

Michely Aparecida de Souza; Fernando Madalena Volpe

Authors

Michely Aparecida de Souza Secretaria Estadual de Saude
Fernando Madalena Volpe Fundação Hospitalar de Minas Gerais https://orcid.org/0000-0002-3252-6715

Keywords:

Toxoplasmosis, Congenital Toxoplasmosis, Epidemiology, Socioeconomic Factors, Health Services

Abstract

Objective: Describing the profile of notifications of gestational and congenital toxoplasmosis from 2019 to 2021 and analyze how socio-economic variables and the availability of healthcare resources influence the distribution of these notifications in the municipalities of Minas Gerais. Methods: The research was conducted in two stages, a descriptive stage, and an ecological stage, using public data from the state health department. Descriptive analyses and multivariate regressions with a negative binomial model were performed. Results: Regarding the profile of notifications of gestational toxoplasmosis, the majority of notifications were composed of women of mixed race, aged between 20 and 29 years, with a fundamental level of education, in the second trimester of pregnancy. As for congenital toxoplasmosis, the profile consisted of children of mixed race with less than one month of age. Cases of gestational and congenital toxoplasmosis were more concentrated in areas with greater healthcare resources. Conclusion: The research emphasizes the importance of approaches aimed at reducing inequalities in the disease's distribution, with an emphasis on health promotion.

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Author Biography

Fernando Madalena Volpe, Fundação Hospitalar de Minas Gerais

Professor titular no curso de Medicina da Faculdade de Minas FAMINAS-BH; médico da Coordenação de Inovação e Pesquisa da Fundação Hospitalar de Minas Gerais e docente permanente do Programa de Pós-Graduação de Promoção da Saúde e Prevenção da Violência na Faculdade de Medicina da UFMG.

References

1. BAHIA-OLIVEIRA, L.; JORGE, E.; GOMEZ-MARIN, K.; SHAPIRO, K. Water and Sanitation for the 21st Century: Health and Microbiological Aspects of Excreta and Wastewater Management (Global Water Pathogen Project). UNESCO, 2017. Part 3: Specific Excreted Pathogens: Environmental and Epidemiology Aspects - Section 3: Protists. Disponível em: https://doi.org/10.14321/waterpathogens.37.

2. ROBERT-GANGNEUX, F.; DARDÉ, M. L. Epidemiology of and Diagnostic Strategies for Toxoplasmosis. Clin Microbiol Rev, 2012; 25, 264–296.

3. MALDONADO, Y. A.; READ, J. S.; COMMITTEE ON INFECTIOUS DISEASES. Diagnosis, Treatment, and Prevention of Congenital Toxoplasmosis in the United States. Pediatrics, 2017; 139, e20163860.

4. MOLAN, A.; NOSAKA, K.; WANG, W. Global status of Toxoplasma gondii infection: systematic review and prevalence snapshots. Tropical Biomedicine, 2019; 36(4), 898-925.

5. BITTENCOURT, L. H. F. de B. et al. Soroepidemiologia da toxoplasmose em gestantes a partir da implantação do Programa de Vigilância da Taxoplasmose Adquirida e Congênita em municípios da região oeste do Paraná. Rev Bras Ginecol Obstet, 2012; 34(2), 63–8. Disponível em: https://doi.org/10.1590/S0100-72032012000200004.

6. TORGERSON, P. R.; MASTROIACOVO, P. The global burden of congenital toxoplasmosis: a systematic review. Bulletin of the World Health Organization, 2013; 91(7), 501-508.

7. CARELLOS, E. V. M. et al. Adverse Socioeconomic Conditions and Oocyst-Related Factors Are Associated with Congenital Toxoplasmosis in a Population-Based Study in Minas Gerais, Brazil. PLoS ONE, 2014; 9, e88588.

8. DATASUS. Brasília: Ministério da Saúde, 2021. Disponível em: < https://portalsinan.saude.gov.br/ >. Acesso em: 10 jul. 2022.

9. EQUIPE DE PROGRAMAS - DEPARTAMENTO DE PROMOÇÃO DA SAÚDE/SAPS/MS. Brasília: Ministério da Saúde. Disponível em: https://bfa.saude.gov.br/public/file/calculo_estimativa_gestantes_PAB.pdf. Acesso em: 20 set. 2022.

10. CENSOS DEMOGRÁFICOS 1991, 2000 E 2010. Brasília: IBGE, 2010. Disponível em: https://www.ibge.gov.br/estatisticas/sociais/trabalho/25089-censo-1991-6.html?edicao=25091. Acesso em: 20 set. 2022.

11. SANTOS, J. H. P. Modelos Para Dados de Contagem com Excesso de Zeros [Dissertação]. Braga: Universidade de Minho, 2013.

12. BUENO, W. F. et al. Difficulties observed in a reference center in the diagnosis and management of pregnant women with toxoplasmosis. Sci Med, 2010; 20, 40 p.

13. MOURA, I. P. S. et al. Conhecimento e comportamento preventivo de gestantes sobre Toxoplasmose no município de Imperatriz, Maranhão, Brasil. Ciênc. saúde coletiva, 2019; 24, 3933–3946.

14. MAREZE, M. et al. Socioeconomic vulnerability associated to Toxoplasma gondii exposure in southern Brazil. PLoS ONE, 2014; 14, e0212375.

15. MILLAR, P. R. et al. TOXOPLASMOSIS-RELATED KNOWLEDGE AMONG PREGNANT AND POSTPARTUM WOMEN ATTENDED IN PUBLIC HEALTH UNITS IN NITERÓI, RIO DE JANEIRO, BRAZIL. Rev. Inst. Med. trop. S. Paulo, 2014; 56, 433–438.

16. SIDRA. Brasília: IBGE, 2010. Disponível em: https://sidra.ibge.gov.br/tabela/2094#/n1/all/n2/all/n3/all/v/1000093/p/last%201/c86/allxt/c133/0/d/v1000093%201/l/v,p+c86,t+c133/resultado. Acesso em: 26 set. 2022.

17. INSTITUTO BRASILEIRO DE GEOGRAFIA E ESTATÍSTICA. Brasília: IBGE, 2021. Disponível em: https://www.ibge.gov.br/estatisticas/sociais/populacao/9103-estimativas-de-populacao.html?edicao=25272&t=resultados. Acesso em: 04 out. 2022.