Evaluation of the Toxoplasmosis Screening Program Among Pregnant Nunavik (Canada) Women Between 1994–2003
Notice bibliographique
Résumé
ISEE-208 Objective: Given the high prevalence of Toxoplasma gondii infection, a screening program among pregnant women currently exists in Nunavik (population ≈ 10,000). The objectives of this study were, to assess, during the period 1994 to 2003, the efficacy of the screening program in identifying seroconversions during pregnancy and the management of proper follow-up for both mothers and infants; and to document the consequences of congenital toxoplasmosis in this population. Material and Methods: Through database analyses (birth files and a toxoplasmosis serology results database), potential cases of seroconversion during pregnancy were identified. Thereafter, medical charts were reviewed with regard to follow-up and treatment. A database of hospital diagnostics (Med-Echo) was also consulted to identify hospitalized cases of congenital toxoplasmosis. Results: The medical charts of 31 women and their 32 children were identified based on serologic data. Of these, 30 and 32 charts respectively were reviewed. After review, 61% (n = 19) of the women were confirmed to have a definite or probable acute infection during pregnancy. In 15 of 19 women (1 had left the community, 1 was probably infected before pregnancy after clinical assessment, and 2 were likely missed cases of seroconversion), information relative to their toxoplasmosis treatment was documented and all received Spiramycin during pregnancy. Accordingly, the infants born to these women had been identified as at risk for congenital toxoplasmosis. Fourteen of these children received appropriate treatment. None of the 15 potentially infected children developed toxoplasmosis based on negative serologic titers and absence of clinical evidence of infection. Review of the Med-Echo database revealed no reported cases of congenital toxoplasmosis hospitalized during the study period. Conclusions: The screening program in Nunavik identified many seroconversions during pregnancy. Both the affected women and their newborns had generally been properly identified and managed. No cases of congenital toxoplasmosis were reported during the period 1994 to 2003.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,016 | 0,014 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».