Evaluation of implementation of the primary, secondary and tertiary
prevention measures of the Surveillance Program of Gestational and
Congenital Toxoplasmosis in the city of Londrina-PR
Abstract
Objectives: evaluate the Surveillance Program of Gestational and
Congenital Toxoplasmosis. Methods: 424 pregnant women were interviewed
regarding their knowledge of prevention measures in 2019. Secondary
prevention measures were assessed on the results of anti-Toxoplasma
gondii serological tests were collected from pregnant women, from 2015
to 2018. the tertiary prevention measures, we screened the babies of
mothers who had recent suspected infections of T. gondii to verify the
referrals to the reference service. Results: 45.5% (192/424) reported
that they had received guidance from health professionals; 35.4%
(68/192) changed their risk habits. The variables of schooling and age,
having received prior guidance from health professionals and feline
possession, proved to be significant when associated with the notions of
preventive measures. 90.2% (17,423 / 19,319) of pregnant women had
undergone serological tests to detect anti-T. gondii antibodies but
there was an excess in requests for tests and medication and only 40.6%
(26/64) of the children were referred to the referral hospital.
Conclusions: the Program presents positive results regarding the
performance of serological screening in prenatal care; however, the
dissemination of knowledge about the prevention of toxoplasmosis and the
request for tests need to be improved.