Document Detail


Risk factors and consequences of congenital Chagas disease in Yacuiba, south Bolivia.
MedLine Citation:
PMID:  18076558     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the risk factors of congenital Chagas disease and the consequences of the disease in newborns. METHODS: Study of 2712 pregnant women and 2742 newborns in Yacuiba, south Bolivia. Chagas infection was determined serologically in mothers and parasitologically in newborns. Consequences of congenital Chagas disease were assessed clinically. RESULTS: The prevalence of Chagas disease in pregnant women was 42.2%. Congenital transmission was estimated at 6% of infected mothers leading to an incidence rate of 2.6% among newborns. Main risk factors of congenital transmission were mothers' seropositivity and maternal Trypanosoma cruzi parasitaemia. Parity was higher in infected than in non-infected mothers, but it was not associated with the risk of congenital transmission. The rate of congenital infection was significantly higher in newborns from multiple pregnancies than in singletons. However, we did not observe statistically significant consequences of Chagas disease in newborns from single pregnancies or among twins. CONCLUSIONS: The main risk factors for congenital transmission were infection and parasitaemia of mothers. Consequences of the disease seemed mild in newborns from single pregnancies and perhaps more important in multiple births.
Authors:
N A Salas; M Cot; D Schneider; B Mendoza; J A Santalla; J Postigo; J P Chippaux; L Brutus
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Tropical medicine & international health : TM & IH     Volume:  12     ISSN:  1365-3156     ISO Abbreviation:  Trop. Med. Int. Health     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-13     Completed Date:  2008-01-10     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9610576     Medline TA:  Trop Med Int Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  1498-505     Citation Subset:  IM    
Affiliation:
IRD UR010, Team Mother's and Child's Health in Tropical Environments, Institut de Recherche pour le Développement, La Paz, Bolivia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Animals
Bolivia / epidemiology
Chagas Disease / congenital,  epidemiology,  transmission*
Female
Humans
Infant, Newborn
Infectious Disease Transmission, Vertical / statistics & numerical data*
Logistic Models
Male
Parity
Pregnancy
Pregnancy Complications, Parasitic / epidemiology*
Pregnancy, Multiple / statistics & numerical data
Prevalence
Risk Factors
Seroepidemiologic Studies
Trypanosoma cruzi / isolation & purification*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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