Limits...
First Colombian multicentric newborn screening for congenital toxoplasmosis.

Gómez-Marin JE, de-la-Torre A, Angel-Muller E, Rubio J, Arenas J, Osorio E, Nuñez L, Pinzon L, Mendez-Cordoba LC, Bustos A, de-la-Hoz I, Silva P, Beltran M, Chacon L, Marrugo M, Manjarres C, Baquero H, Lora F, Torres E, Zuluaga OE, Estrada M, Moscote L, Silva MT, Rivera R, Molina A, Najera S, Sanabria A, Ramirez ML, Alarcon C, Restrepo N, Falla A, Rodriguez T, Castaño G - PLoS Negl Trop Dis (2011)

Bottom Line: All children with positive samples by IgM, IgA, clinical diagnosis or treatment during pregnancy were recalled for confirmatory tests after day 10 of life. 61 positive samples for specific IgM (0.39%) and 9 positives for IgA (0.5%) were found. 143 questionnaires were positive for a clinical diagnosis or treatment for toxoplasmosis during pregnancy. 109 out of the 218 children that had some of the criteria for postnatal confirmatory tests were followed.A significant correlation was found between a high incidence of markers for congenital toxoplasmosis and higher mean annual rainfall for the city.Incidence for congenital toxoplasmosis is significantly different between hospitals or maternal child health services from different cities in Colombia.

View Article: PubMed Central - PubMed

Affiliation: Grupo GEPAMOL, Centro de Investigaciones Biomédicas, Universidad del Quindio, Armenia, Colombia. gepamol2@uniquindio.edu.co

ABSTRACT

Aims: To determine the incidence of congenital toxoplasmosis in Colombian newborns from 19 hospital or maternal child health services from seven different cities of five natural geographic regions (Caribbean, Central, Andean, Amazonia and Eastern).

Materials and methods: We collected 15,333 samples from umbilical cord blood between the period of March 2009 to May 2010 in 19 different hospitals and maternal-child health services from seven different cities. We applied an IgM ELISA assay (Vircell, Spain) to determine the frequency of IgM anti Toxoplasma. The results in blood cord samples were confirmed either by western blot and repeated ELISA IgM assay. In a sub-sample of 1,613 children that were negative by the anti-Toxoplasma IgM assay, the frequency of specific anti-Toxoplasma IgA by the ISAGA assay was determined. All children with positive samples by IgM, IgA, clinical diagnosis or treatment during pregnancy were recalled for confirmatory tests after day 10 of life.

Results: 61 positive samples for specific IgM (0.39%) and 9 positives for IgA (0.5%) were found. 143 questionnaires were positive for a clinical diagnosis or treatment for toxoplasmosis during pregnancy. 109 out of the 218 children that had some of the criteria for postnatal confirmatory tests were followed. Congenital toxoplasmosis infection was confirmed in 15 children: 7 were symptomatic, and three of them died before the first month of life (20% of lethality). A significant correlation was found between a high incidence of markers for congenital toxoplasmosis and higher mean annual rainfall for the city.

Conclusions: Incidence for congenital toxoplasmosis is significantly different between hospitals or maternal child health services from different cities in Colombia. Mean annual rainfall was correlated with incidence of congenital toxoplasmosis.

Show MeSH

Related in: MedlinePlus

Geographical distribution and sample percent of the births.Colombian multicentric newborn screening for congenital toxoplasmosis.
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC3104965&req=5

pntd-0001195-g001: Geographical distribution and sample percent of the births.Colombian multicentric newborn screening for congenital toxoplasmosis.

Mentions: The newborns studied (15,333) accounts for 2.7% of the 553,912 live newborns delivered in 2009 in Colombia and for the 9.1% of births in the seven cities included in this study, N: 167,566 (Figure 1). The size of the sample related to the total of births during 2009, by each hospital or center, and the referral level is depicted in Table 1. Only 300 samples in Barranquilla (Hospital Universidad del Norte) and 400 in Bogota (Hospital Engativa) were collected during the first five months of 2010. The 47% (n: 9) of the participating hospitals were from the third level, 31% (n: 6) from the second level and 21% (n: 4) from the first level of referral. The 96.5% of the newborns were from hospitals and maternal- child services that received patients of the levels 0 to 2, which are the lowest levels of SISBEN (Table S1). Only 3.5% (n: 544) of the sample was from one hospital with a majority of population with levels of SISBEN greater than 3 (Clinica Colombia in Bogota).


First Colombian multicentric newborn screening for congenital toxoplasmosis.

Gómez-Marin JE, de-la-Torre A, Angel-Muller E, Rubio J, Arenas J, Osorio E, Nuñez L, Pinzon L, Mendez-Cordoba LC, Bustos A, de-la-Hoz I, Silva P, Beltran M, Chacon L, Marrugo M, Manjarres C, Baquero H, Lora F, Torres E, Zuluaga OE, Estrada M, Moscote L, Silva MT, Rivera R, Molina A, Najera S, Sanabria A, Ramirez ML, Alarcon C, Restrepo N, Falla A, Rodriguez T, Castaño G - PLoS Negl Trop Dis (2011)

Geographical distribution and sample percent of the births.Colombian multicentric newborn screening for congenital toxoplasmosis.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3104965&req=5

pntd-0001195-g001: Geographical distribution and sample percent of the births.Colombian multicentric newborn screening for congenital toxoplasmosis.
Mentions: The newborns studied (15,333) accounts for 2.7% of the 553,912 live newborns delivered in 2009 in Colombia and for the 9.1% of births in the seven cities included in this study, N: 167,566 (Figure 1). The size of the sample related to the total of births during 2009, by each hospital or center, and the referral level is depicted in Table 1. Only 300 samples in Barranquilla (Hospital Universidad del Norte) and 400 in Bogota (Hospital Engativa) were collected during the first five months of 2010. The 47% (n: 9) of the participating hospitals were from the third level, 31% (n: 6) from the second level and 21% (n: 4) from the first level of referral. The 96.5% of the newborns were from hospitals and maternal- child services that received patients of the levels 0 to 2, which are the lowest levels of SISBEN (Table S1). Only 3.5% (n: 544) of the sample was from one hospital with a majority of population with levels of SISBEN greater than 3 (Clinica Colombia in Bogota).

Bottom Line: All children with positive samples by IgM, IgA, clinical diagnosis or treatment during pregnancy were recalled for confirmatory tests after day 10 of life. 61 positive samples for specific IgM (0.39%) and 9 positives for IgA (0.5%) were found. 143 questionnaires were positive for a clinical diagnosis or treatment for toxoplasmosis during pregnancy. 109 out of the 218 children that had some of the criteria for postnatal confirmatory tests were followed.A significant correlation was found between a high incidence of markers for congenital toxoplasmosis and higher mean annual rainfall for the city.Incidence for congenital toxoplasmosis is significantly different between hospitals or maternal child health services from different cities in Colombia.

View Article: PubMed Central - PubMed

Affiliation: Grupo GEPAMOL, Centro de Investigaciones Biomédicas, Universidad del Quindio, Armenia, Colombia. gepamol2@uniquindio.edu.co

ABSTRACT

Aims: To determine the incidence of congenital toxoplasmosis in Colombian newborns from 19 hospital or maternal child health services from seven different cities of five natural geographic regions (Caribbean, Central, Andean, Amazonia and Eastern).

Materials and methods: We collected 15,333 samples from umbilical cord blood between the period of March 2009 to May 2010 in 19 different hospitals and maternal-child health services from seven different cities. We applied an IgM ELISA assay (Vircell, Spain) to determine the frequency of IgM anti Toxoplasma. The results in blood cord samples were confirmed either by western blot and repeated ELISA IgM assay. In a sub-sample of 1,613 children that were negative by the anti-Toxoplasma IgM assay, the frequency of specific anti-Toxoplasma IgA by the ISAGA assay was determined. All children with positive samples by IgM, IgA, clinical diagnosis or treatment during pregnancy were recalled for confirmatory tests after day 10 of life.

Results: 61 positive samples for specific IgM (0.39%) and 9 positives for IgA (0.5%) were found. 143 questionnaires were positive for a clinical diagnosis or treatment for toxoplasmosis during pregnancy. 109 out of the 218 children that had some of the criteria for postnatal confirmatory tests were followed. Congenital toxoplasmosis infection was confirmed in 15 children: 7 were symptomatic, and three of them died before the first month of life (20% of lethality). A significant correlation was found between a high incidence of markers for congenital toxoplasmosis and higher mean annual rainfall for the city.

Conclusions: Incidence for congenital toxoplasmosis is significantly different between hospitals or maternal child health services from different cities in Colombia. Mean annual rainfall was correlated with incidence of congenital toxoplasmosis.

Show MeSH
Related in: MedlinePlus