Prevention of toxoplasmosis during pregnancy – an epidemiologic survey over 22 consecutive years

Breugelmans, Maria; Naessens, Anne; Foulon, Walter

doi:10.1515/jpm.2004.039

Cited by 62 publications

(40 citation statements)

References 10 publications

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“…Belgian prospective study Two published reports summarized the experience at a University obstetrics clinic over the years 1979-2001 (see Table I) [16,17]. Investigators described the evolution of primary prevention services for pregnant women, in three phases, as well as the corresponding seroconversion rates for the same periods, via systematic serological testing on consecutive pregnant women.…”

Section: Resultsmentioning

confidence: 99%

“…In the Polish study [17], similarly, the data generated from the 1246 women over the course of the pregnancy, adds strength to the authors' inference that particular parts of the intervention may have been of especially high value--for example, personal interactions with the clinic personnel (also validated externally to the extent that it has been shown in other intervention studies). But the study designs of these large studies lacked sufficient rigor to test the interventions mounted.…”

Section: Discussionmentioning

confidence: 97%

“…In two of the studies [16,17], the lack of concurrent control group in the study design rendered their interpretation difficult because other effects besides the tested intervention could account for the observed results. Alternative explanations for the findings of the these types of studies includes: (a) a decline in the force of infection over time; b) a change in services for diagnosing or reporting maternal or neonatal infection which causes an apparent difference; and c) increased awareness among women of the risks of toxoplasmosis, unrelated to their prenatal care.…”

Section: Discussionmentioning

confidence: 99%

“…Three of the four studies reviewed uncovered clear associations of knowledge and behaviour with demographic variables such as age, previous pregnancy, place of residence, profession and educational level [17,18,20]. Even with multivariable analysis, these variables can be highly interrelated and difficult to control for, further underscoring the need for randomisation and a controlled trial design.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of health education on Toxoplasma-related knowledge, behaviour, and risk of seroconversion in pregnancy

Gollub

Leroy

Gilbert³

et al. 2008

European Journal of Obstetrics & Gynecology and Reproductiv

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We conducted a bibliographic literature search using MEDLINE to review the effectiveness of health education on toxoplasma-related knowledge, behavior, and risk of seroconversion in pregnant women. We pre-selected studies that used comparative study designs (randomized clinical trial, quasi-experimental design or historical control), were conducted among pregnant women, and which employed specific, Toxoplasma-related outcome measures: knowledge, behaviour, or Toxoplasma infection rate. Four studies met the inclusion criteria. All had serious methodological flaws. A Belgian study reported a significant decrease in the incidence of Toxoplasma seroconversion after the introduction of intensive counseling for pregnant women about toxoplasmosis. In Poland, a significant increase in knowledge was observed after a multi-pronged, public health educational program was launched. In Canada, an increase in knowledge and prevention behaviors was reported in the intervention group receiving counseling by trained facilitators compared with the control group. In France, no significant changes in risk behavior were observed following a physiciandelivered intervention. This review highlights the weakness of the literature in the area and the lack of studies measuring actual seroconversion. There is suggestive evidence that health education approaches may help reduce risk of congenital toxoplasmosis but this problem requires further study using more rigorous research design and methodology.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Effectiveness of health education on Toxoplasma-related knowledge, behaviour, and risk of seroconversion in pregnancy

Gollub

Leroy

Gilbert³

et al. 2008

European Journal of Obstetrics & Gynecology and Reproductiv

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“…A cohort study involving 27,827 pregnant women portrayed the experience in an obstetrics clinic during 1979-2001 in the prevention of Toxoplasma infection 36 . In phase 1 (1979-1982), no specific advice was given, while in phase 2 (1983-1990), women received a list of written instructions on primary prevention plus a full explanation by an attending physician.…”

Section: Summary and Description Of The Body Of Evidencementioning

confidence: 99%

Clinical practice guideline. Integral Care Guidelines for the prevention, early detection and treatment of pregnancy, childbirth and puerperium complications: Section on toxoplasmosis in pregnancy

Cortés

Gómez

Silva

et al. 2017

Infect

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Cómo citar este artículo: Cortes JA, et al. Clinical practice guideline. Integral Care Guidelines for the prevention, early detection and treatment of pregnancy, childbirth and puerperium complications: Section on toxoplasmosis in pregnancy. Infectio 2017. http://dx.doi.org/10.22354/in.v21i2.654 AbstractToxoplasma infection, an aspect included in the Integral Care Guidelines for prevention, early detection and treatment of complications during pregnancy developed and sponsored by the Department of Science, Technology and Innovation, Colciencias and the Ministry of Health and Social Protection; was selected to develop recommendations that may contribute to its prevention diagnostic and treatment. Guidelines were developed through systematic review of literature, two panels of evaluation, gradation of evidence: SIGN (Scottish Intercollegiate Guidelines Network), discussion panel with users and patients, external evaluation and socioeconomical evaluation of the impact of recommendations. The Toxoplasma gondii infection that occurs during pregnancy may cause serious complications for the fetus and important sequelae for the newborn. A clinical guideline based on the best available scientific evidence, with emphasis on Colombian references, was performed. Experts in parasitology, neonatology and infectious diseases (adult and pediatric) developed the recommendations. It is suggested that the recommendations included in this guideline be followed by healthcare professionals in pregnancy care programs nationwide, with the purpose of lowering the morbidity and mortality related to this disease. Specific recommendations for diagnosis during the first trimester of the pregnancy, recommendations for prevention in noninfected women, identification of fetal or newborn infection and recommendations for treatment in those given cases are included. Guia de atencion integral para la prevencion, deteccion temprana y tratamiento de las complicaciones del embarazo: Sección de Toxoplasmosis ResumenComo parte de la Guia de atencion integral para la prevencion, deteccion temprana y tratamiento de las complicaciones del embarazo, desarrollada y financiada por el Departamento de Ciencia, Tecnologia e Innovacion, Colciencias, y el Ministerio de Salud y Proteccion Social de Colombia, se seleccionó a la infeccion por Toxoplasma para el desarrollo de recomendaciones para su prevencion, diagnostic° y tratamiento. La infeccion por Toxoplasma gondii (T. gondii) durante el embarazo puede resultar en graves complicaciones para el feto y dejar importantes secuelas al recien nacido. Se realizo una guia basada en la mejor evidencia disponible en ARTÍCULO ORIGINAL Integral Care Guidelines for the prevention, early detection and treatment of pregnancy, childbirth and puerperium complications. 103la literatura cientifica, con especial pertinencia a la informacion colombiana. Un consenso de expertos en parasitologia, ginecologia, neonatologia e infectologia, tanto de adultos como pediatrica, desarrollo las recomendaciones. Se propone que las recomendac...

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Prenatal education for congenital toxoplasmosis

Mario

Basevi

Gagliotti

et al. 2009

Cochrane Database of Systematic Reviews

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Prevention of toxoplasmosis during pregnancy – an epidemiologic survey over 22 consecutive years

Cited by 62 publications

References 10 publications

Effectiveness of health education on Toxoplasma-related knowledge, behaviour, and risk of seroconversion in pregnancy

Effectiveness of health education on Toxoplasma-related knowledge, behaviour, and risk of seroconversion in pregnancy

Clinical practice guideline. Integral Care Guidelines for the prevention, early detection and treatment of pregnancy, childbirth and puerperium complications: Section on toxoplasmosis in pregnancy

Prenatal education for congenital toxoplasmosis

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