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Toxoplasmosis: an examination of knowledge among health professionals and pregnant women in a municipality of the State of Paraná.
[congenital toxoplasmosis]
The
aim
of
this
study
was
to
investigate
the
knowledge
of
toxoplasmosis
among
professionals
and
pregnant
women
in
the
public
health
services
in
Paraná
,
Brazil
.
A
cross-sectional
observational
and
transversal
study
of
80
health
professionals
(
44
nurses
and
36
physicians
)
and
330
pregnant
women
[
111
immunoglobulin
M
(
IgM
)
-
and
IgG-non-reactive
and
219
IgG-reactive
]
was
conducted
in
2010
.
An
epidemiological
data
questionnaire
was
administered
to
the
professionals
and
to
the
pregnant
women
,
and
a
questionnaire
about
the
clinical
aspects
and
laboratory
diagnosis
of
toxoplasmosis
was
administered
to
the
professionals
.
The
participants
frequently
provided
correct
responses
about
prophylactic
measures
.
Regarding
the
clinical
and
laboratory
aspects
,
the
physicians
provided
more
correct
responses
and
discussed
toxoplasmosis
with
the
pregnant
women
.
The
professionals
had
difficulty
interpreting
the
avidity
test
results
,
and
the
physicians
stated
that
they
referred
pregnant
women
with
high
-risk
pregnancies
to
a
county
reference
center
.
Of
the
professionals
,
53
(
91
.
4
%
)
reported
that
they
instructed
women
during
prenatal
care
,
but
only
54
(
48
.
6
%
)
at
-risk
pregnant
women
and
99
(
45
.
2
%
)
women
who
were
not
at
risk
reported
receiving
information
about
preventive
measures
.
The
physicians
provided
verbal
instructions
to
120
(
78
.
4
%
)
women
,
although
instructional
materials
were
available
in
the
county
.
The
pregnant
women
generally
lacked
knowledge
about
preventive
measures
for
congenital
toxoplasmosis
,
but
the
at
-risk
pregnant
women
tended
to
respond
correctly
.
This
study
provides
data
to
direct
public
health
policies
regarding
the
importance
of
updating
the
knowledge
of
primary
care
professionals
.
Mechanisms
should
be
developed
to
increase
public
knowledge
because
prophylactic
strategies
are
important
for
preventing
congenital
toxoplasmosis
.