Enfermedades Infecciosas y Microbiologia Clinica
Volume 30, Issue 2, 2012, Pages 64-69

Serological profile of immigrant pregnant women against HIV, HBV, HCV, rubella, Toxoplasma gondii, Treponema pallidum, and Trypanosoma cruzi [Perfil serológico en gestantes extranjeras frente a VIH, VHB, VHC, virus de la rubéola, Toxoplasma gondii, Treponema pallidum, y Trypanosoma cruzi] (Article)

Santiago B.* , Blázquez D. , López G. , Sainz T. , Muñoz M. , Alonso T. , Moro M.
  • a Servicio de Pediatría, Hospital Universitario Clínico San Carlos, Madrid, Spain
  • b Servicio de Pediatría, Sección Inmunodeficiencias, Hospital Universitario 12 de Octubre, Madrid, Spain
  • c Servicio de Pediatría, Sección Inmunodeficiencias, Hospital Universitario 12 de Octubre, Madrid, Spain
  • d Servicio de Pediatría, Hospital Universitario Clínico San Carlos, Madrid, Spain
  • e Servicio de Pediatría, Hospital Universitario Clínico San Carlos, Madrid, Spain
  • f Servicio de Neonatología, Hospital Universitario Clínico San Carlos, Madrid, Spain
  • g Servicio de Neonatología, Hospital Universitario Clínico San Carlos, Madrid, Spain

Abstract

Introduction: The increase in immigration is changing the prevalence of mother to child infectious diseases. Our aim is to determine the serological profile of foreign pregnant women against these infections. Methods: A retrospective cross sectional study was performed in a tertiary hospital from Madrid between August 2007 and October 2008. The seroprevalence against HIV, HBV, HCV, rubeola, T. gondii, T. pallidum and T. cruzi was determined in every pregnant immigrant, as well as in a representative group of Spanish pregnant women. Results: A total of 2526 immigrant and 157 Spanish pregnant women were studied. None of the Spanish and 0.5% of the foreigners showed antibodies against HIV; 18.9% of them were Sub-Saharan women. Antigen HBs was detected in 2% of the immigrant women and in 1.1% of the Spanish women. Asian women had the highest rate of type B Hepatitis (10.9%). There was 0.9% of type C Hepatitis among the immigrants and 1% among the Spanish. Within the cases with RPR ≥ 1/8, 1.6% were immigrants, most of whom were Latin American. Thirty-one per cent of the immigrants showed antibodies against T. gondii (37.5% from Central America, 2.5% from the Far East). More than 95% of the Spanish women had antibodies against Rubella, this being lower in the rest of the areas (75.5% in Sub-Saharan Africa). T. cruzi infection was detected in 12.1% of the Bolivian women studied. Conclusion: The prevalence of mother-to-child transmitted infections depends on the origin of pregnant women. Knowledge of these differences may lead to improved control these diseases. © 2011 Elsevier España, S.L. All rights reserved.

Author Keywords

Rubeola Pregnant women HCV Trypanosoma cruzi Immigrant HBV Serology HIV Toxoplasma gondii treponema pallidum

Index Keywords

immigrant Europe, Eastern Toxoplasma gondii Africa south of the Sahara Antibodies, Viral Latin America Rubella virus Antibodies, Protozoan Pregnancy Complications, Infectious Toxoplasma human Hepatitis C virus nonhuman Hepatitis B virus Human immunodeficiency virus Cross-Sectional Studies HIV Antibodies Humans antibody detection Emigrants and Immigrants Spain female pregnancy Article Retrospective Studies adult Infectious Disease Transmission, Vertical serology pregnant woman Treponema pallidum Antibodies, Bacterial rubella Chagas Disease Hepatitis C Antibodies hepatitis B seroprevalence Hepatitis B Antibodies Asia, Southeastern Trypanosoma cruzi Morocco
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84856731293&doi=10.1016%2fj.eimc.2011.07.010&partnerID=40&md5=e4442e6d9ba8a81223ca9d8f7abbec61
DOI: 10.1016/j.eimc.2011.07.010
ISSN: 0213005X
Cited by: 13
Original Language: Spanish