Impact of education on knowledge, attitudes, and practices for gestational toxoplasmosis

IF 4.7 3区 医学 Q1 INFECTIOUS DISEASES
Stefany Velasco-Velásquez , Ana Sofía Orozco , Morgan Ramirez , Liliana Pachón , Maryi Juliana Hurtado-Gomez , Gloria Valois , Daniel Celis-Giraldo , Sara Sofia Cordero-López , Rima McLeod , Jorge Enrique Gómez-Marín
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Abstract

Background

Toxoplasmosis is potentially avoidable, treatable, and curable by simple and direct preventive measures. Knowledge, attitudes, and practices (KAP) assessments concerning gestational toxoplasmosis were evaluated in a cohort of pregnant women from Armenia-Quindío (Colombia, South America).

Methods

This cross-sectional descriptive KAP-type study was performed with informed consent between October 2021 and March 2022. The intervention involved a ten-minute talk administered by prenatal clinic nurses to pregnant women. This took place in the public health clinic RedSalud and the private clinic Happy Maternity with a post-KAP survey after pregnancy.

Results

The findings of the initial KAP survey revealed that approximately 42.8 % of the 250 mothers surveyed had IgG anti-T. gondii antibodies present. A strong correlation was observed between a lower frequency of antibodies and a higher level of education. Following an educational intervention, 73 seronegative women demonstrated a significant improvement in their knowledge and behavior. Among the 111 mothers who received the intervention, 42 (37 %) were followed until delivery. Unfortunately, their level of compliance with prenatal serological follow-up was lower compared to previous historical records of cohort of mothers in the same health center during pre-pandemic periods. No seroconversion occurred, although the small number of cases makes the outcome inconclusive with respect to statistical significance.

Conclusions

Education plays a crucial role in imparting valuable knowledge and fostering effective practices. It holds significant potential to prevent toxoplasmosis in pregnant seronegative mothers. Prenatal check-ups have proven to be a critical determinant in leveraging the benefits of education for seronegative mothers. Reporting and observed behaviors differed, identifying areas for improvement.

教育对妊娠弓形虫病知识、态度和做法的影响
背景弓形虫病通过简单直接的预防措施是可以避免、治疗和治愈的。方法这项横断面描述性 KAP 型研究是在知情同意的情况下于 2021 年 10 月至 2022 年 3 月间进行的。干预措施包括由产前诊所护士对孕妇进行十分钟的谈话。最初的 KAP 调查结果显示,在接受调查的 250 名母亲中,约有 42.8% 的人体内存在 IgG 抗淋巴结核抗体。据观察,抗体出现频率较低与受教育程度较高密切相关。经过教育干预后,73 名血清阴性的妇女在知识和行为方面都有了显著改善。在接受干预的 111 位母亲中,有 42 位(37%)一直被跟踪到分娩。遗憾的是,与疫情流行前同一医疗中心的产妇队列的历史记录相比,她们对产前血清学随访的依从性较低。尽管由于病例较少,结果在统计意义上并不确定,但没有发生血清转换。它在预防血清反应阴性孕妇感染弓形虫病方面具有巨大潜力。事实证明,产前检查是血清反应阴性母亲从教育中获益的关键因素。报告和观察到的行为各不相同,这就确定了需要改进的地方。
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来源期刊
Journal of Infection and Public Health
Journal of Infection and Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -INFECTIOUS DISEASES
CiteScore
13.10
自引率
1.50%
发文量
203
审稿时长
96 days
期刊介绍: The Journal of Infection and Public Health, first official journal of the Saudi Arabian Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences and the Saudi Association for Public Health, aims to be the foremost scientific, peer-reviewed journal encompassing infection prevention and control, microbiology, infectious diseases, public health and the application of healthcare epidemiology to the evaluation of health outcomes. The point of view of the journal is that infection and public health are closely intertwined and that advances in one area will have positive consequences on the other. The journal will be useful to all health professionals who are partners in the management of patients with communicable diseases, keeping them up to date. The journal is proud to have an international and diverse editorial board that will assist and facilitate the publication of articles that reflect a global view on infection control and public health, as well as emphasizing our focus on supporting the needs of public health practitioners. It is our aim to improve healthcare by reducing risk of infection and related adverse outcomes by critical review, selection, and dissemination of new and relevant information in the field of infection control, public health and infectious diseases in all healthcare settings and the community.
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