Preventing Vertical Transmission of Chagas Disease: An Emerging Public Health Issue in Perinatal Care.

Sarah M Hinton
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Abstract

Chagas [shah-guhs] disease, caused by the Trypanosoma cruzi parasite, presents a growing concern for health care providers overseeing perinatal care in the United States due to existing and expanding vector-borne transmission and population migration. This life-threatening disease can be transmitted vertically during pregnancy, although adequate testing and treatment can effectively reduce morbidity and mortality caused by Chagas disease. This article presents an overview of the disease burden in the United States and its implications for perinatal care providers including recommended testing and treatment practices and the information needed for patient education and shared decision-making regarding the management of care for individuals at risk of Chagas disease. Being informed about Chagas disease and its implications is needed for all individuals providing perinatal care and is especially critical for those overseeing the care of refugee and immigrant populations.

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预防南美锥虫病的垂直传播:围产期护理中新出现的公共卫生问题。
恰加斯[shah-guhs]病是由克鲁斯锥虫寄生虫引起的,由于病媒传播和人口迁移的存在和扩大,美国负责围产期保健的医疗服务提供者越来越关注这种疾病。尽管适当的检测和治疗可以有效降低南美锥虫病的发病率和死亡率,但这种危及生命的疾病在怀孕期间可以垂直传播。本文概述了美国的疾病负担及其对围产期保健提供者的影响,包括推荐的检测和治疗方法,以及患者教育和共同决策所需的信息,这些信息涉及对恰加斯病高危人群的护理管理。所有提供围产期保健服务的人员都需要了解恰加斯病及其影响,这对负责难民和移民群体保健的人员尤为重要。
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