Molecular Parasitology Group (GEPAMOL), Biomedical Research Center, Faculty of Health Sciences, Universidad del Quindío, Armenia, Colombia.
The College, The University of Chicago, Chicago, IL, USA; Center for Global Health, University of Chicago, Chicago, IL, USA.
J Infect Public Health. 2024 Sep;17(9):102516. doi: 10.1016/j.jiph.2024.102516. Epub 2024 Aug 10.
Toxoplasmosis is potentially avoidable, treatable, and curable by simple and direct preventive measures. Knowledge, attitudes, and practices (KAP) assessments concerning gestational toxoplasmosis were evaluated in a cohort of pregnant women from Armenia-Quindío (Colombia, South America).
This cross-sectional descriptive KAP-type study was performed with informed consent between October 2021 and March 2022. The intervention involved a ten-minute talk administered by prenatal clinic nurses to pregnant women. This took place in the public health clinic RedSalud and the private clinic Happy Maternity with a post-KAP survey after pregnancy.
The findings of the initial KAP survey revealed that approximately 42.8 % of the 250 mothers surveyed had IgG anti-T. gondii antibodies present. A strong correlation was observed between a lower frequency of antibodies and a higher level of education. Following an educational intervention, 73 seronegative women demonstrated a significant improvement in their knowledge and behavior. Among the 111 mothers who received the intervention, 42 (37 %) were followed until delivery. Unfortunately, their level of compliance with prenatal serological follow-up was lower compared to previous historical records of cohort of mothers in the same health center during pre-pandemic periods. No seroconversion occurred, although the small number of cases makes the outcome inconclusive with respect to statistical significance.
Education plays a crucial role in imparting valuable knowledge and fostering effective practices. It holds significant potential to prevent toxoplasmosis in pregnant seronegative mothers. Prenatal check-ups have proven to be a critical determinant in leveraging the benefits of education for seronegative mothers. Reporting and observed behaviors differed, identifying areas for improvement.
弓形虫病可以通过简单直接的预防措施来避免、治疗和治愈。本研究评估了来自亚美尼亚-金迪奥（哥伦比亚，南美洲）的孕妇队列中有关妊娠期弓形虫病的知识、态度和实践（KAP）。
这是一项横断面描述性 KAP 型研究，于 2021 年 10 月至 2022 年 3 月期间在知情同意的情况下进行。干预措施包括由产前诊所护士向孕妇进行十分钟的谈话。该干预措施在 RedSalud 公共卫生诊所和 Happy Maternity 私人诊所进行，在怀孕后进行了 KAP 调查。
初始 KAP 调查结果显示，在接受调查的 250 名母亲中，约有 42.8%的母亲 IgG 抗弓形虫抗体阳性。抗体出现频率与教育程度呈负相关。在接受教育干预后，73 名血清阴性的妇女在知识和行为方面有显著改善。在接受干预的 111 名母亲中，有 42 名（37%）一直随访至分娩。不幸的是，她们进行产前血清学随访的依从性低于大流行前同一卫生中心同一队列母亲的历史记录。尽管由于病例数较少，无法得出统计学意义上的结论，但未发生血清转换。
教育在传授有价值的知识和培养有效的实践方面发挥着关键作用。它在预防血清阴性孕妇的弓形虫病方面具有重要意义。产前检查已被证明是使血清阴性母亲受益于教育的关键决定因素。报告和观察到的行为不同，确定了需要改进的地方。
