Resultados de la encuesta nacional de REIV-TOXO sobre el cribado gestacional de la toxoplasmosis en España

IF 2.6 4区医学 Q3 INFECTIOUS DISEASES Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-11-01 DOI:10.1016/j.eimc.2023.08.004

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Abstract

Introduction

Currently, the status of serological screening for toxoplasmosis in pregnant women in Spain is unknown, and there is no official recommendation. The objective of this study is to show the current practice of gestational screening for toxoplasmosis in hospitals belonging to the Spanish Network for Research on Congenital Toxoplasmosis (REIV-TOXO).

Methods

An electronic survey was sent between April 2021 and September 2021 to investigators from 118 hospitals of REIV-TOXO, representing all Spanish regions. Nine items related to gestational screening for toxoplasmosis were collected. This information was compared with cases of congenital toxoplasmosis (CT) identified in REIV-TOXO to determine if these were diagnosed in the presence of gestational screening.

Results

During the study period, serological screening was performed in 53.3% (63/118) hospitals, with variations between regions and even among hospitals within the same region. Testing performed in each trimester was the most common practice (57.7%), followed by a single determination (24.4%). 89.4% of CT cases between January 2015 and September 2021 were diagnosed due to gestational screening.

Conclusion

The decision to perform gestational screening for toxoplasmosis in Spain is highly heterogeneous, with significant local and regional differences. Despite this, screening still allows the diagnosis of most CT cases. It is urgent to have current epidemiological data to inform decision-making in public health.

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西班牙 REIV-TOXO 全国妊娠弓形虫病筛查调查结果

导言：目前，西班牙孕妇弓形虫血清学筛查的情况尚不清楚，也没有官方建议。本研究旨在介绍西班牙先天性弓形虫病研究网络（REIV-TOXO）下属医院目前开展的妊娠期弓形虫病筛查工作。方法：在 2021 年 4 月至 2021 年 9 月期间，我们向代表西班牙所有地区的 118 家 REIV-TOXO 医院的调查人员发送了一份电子调查问卷。调查收集了与妊娠弓形虫筛查相关的九个项目。这些信息与 REIV-TOXO 发现的先天性弓形虫病（CT）病例进行了比较，以确定这些病例是否在妊娠筛查中被确诊。结果在研究期间，53.3%（63/118）的医院进行了血清学筛查，不同地区之间甚至同一地区不同医院之间都存在差异。在每个孕期进行检测是最常见的做法（57.7%），其次是一次性检测（24.4%）。2015年1月至2021年9月期间，89.4%的CT病例是通过妊娠筛查确诊的。尽管如此，筛查仍能诊断出大多数 CT 病例。当务之急是掌握最新的流行病学数据，为公共卫生决策提供依据。

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来源期刊

Enfermedades infecciosas y microbiologia clinica 医学-传染病学

CiteScore

2.10

自引率

8.00%

发文量

194

审稿时长

29 days

期刊介绍： Hoy está universalmente reconocida la renovada y creciente importancia de la patología infecciosa: aparición de nuevos agentes patógenos, de cepas resistentes, de procesos con expresión clínica hasta ahora desconocida, de cuadros de una gran complejidad. Paralelamente, la Microbiología y la Infectología Clínicas han experimentado un gran desarrollo como respuesta al reto planteado por la actual patología infecciosa. Enfermedades Infecciosas y Microbiología Clínica es la Publicación Oficial de la Sociedad Española SEIMC. Cumple con la garantía científica de esta Sociedad, la doble función de difundir trabajos de investigación, tanto clínicos como microbiológicos, referidos a la patología infecciosa, y contribuye a la formación continuada de los interesados en aquella patología mediante artículos orientados a ese fin y elaborados por autores de la mayor calificación invitados por la revista.