MESQUITA, F. M.; MESQUITA, Felipe de Melo.
Resumen:
Toxoplasmosis is a pathology resulting from infection by the intracellular protozoan parasite
Toxoplasma gondii. Although it occurs more frequently in regions with a tropical climate, its
distribution is worldwide. About 90% of toxoplasmosis cases are asymptomatic, but
immunosuppressed individuals are susceptible to developing symptoms. Despite not being the
main form of disease infection, congenital transmission is highly relevant and requires greater
care and attention. Given this context, the objective of this work was to know the serological
profile for toxoplasmosis of pregnant women in the municipality of Catolé do Rocha-PB. A
descriptive, cross-sectional retrospective study was carried out, in which 200 medical records
of pregnant women attended at six Basic Health Units in the municipality were analyzed, from
January 2021 to June 2022. The variables evaluated were: anti-T. gondii IgG and IgM serology,
age, origin (rural or urban), pregnancies, gestational period, method of diagnosis and repeat
serology. Simple percentages were calculated to obtain frequency of variables and the chi-
square test (χ2) considering p<0.05 as statistically significant. It was observed that 28.5% of
pregnant women were seropositive for toxoplasmosis while 71.5% were susceptible to
infection. The highest percentage of seropositivity was in the rural area with 40.6%, but no
statistically significant association was found (p=0.097). Among the 143 pregnant women
susceptible to infection, only 9.1% repeated serology for toxoplasmosis in subsequent
trimesters of pregnancy. Pregnant women aged 30 years and over showed an increase in
seropositivity, however without statistically significant association (31.6%, p=0.426). UBS
Angelina Mariz had the highest percentage of seropositive pregnant women (50%), while the
UBS with the highest percentage of pregnant women susceptible to infection was Caic (79.2%).
A total of 04 pregnant women had inconclusive serology, but did not undergo an IgG avidity
test later. In view of the high prevalence of pregnant women susceptible to infection, it is
necessary to implement serological follow-up for all pregnant women, and it is also essential to
intensify health promotion actions in order to prevent and avoid contamination. Training with
health professionals is suggested, seeking updates and implementation of socio-educational
measures on toxoplasmosis, especially during prenatal care.