Antibodies Archives - Revista Brasileira de Ginecologia e Obstetrícia

  • Artigos Originais

    Spatial distribution of anti-toxoplasma antibodies in pregnant women from Aracaju, Sergipe, Brazil

    Revista Brasileira de Ginecologia e Obstetrícia. 2014;36(12):535-540

    Summary

    Artigos Originais

    Spatial distribution of anti-toxoplasma antibodies in pregnant women from Aracaju, Sergipe, Brazil

    Revista Brasileira de Ginecologia e Obstetrícia. 2014;36(12):535-540

    DOI 10.1590/So100-720320140005086

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    PURPOSE:

    To analyze the spatial distribution of the prevalence of anti-toxoplasma gondii antibodies in pregnant women from a Brazilian Northeast city, and to correlate such prevalence with average maternal age and place of residence.

    METHODS:

    A descriptive, analytical and ecological study was conducted from January 1st to December 31st 2012. Data were obtained retrospectively from the Medical Specialties Center database and processed with the Epi info statistical package (Epi 7, Centers for Disease Control and Prevention, Atlanta, USA) and with Microsoft Excel 2010. The X2 test was applied to assess the association between the prevalence of antibodies to toxoplasma gondii and the average age. Spatial analysis of infection prevalence was performed using the TerraView software, version 4.2.2, with Kerneldensity estimation, which estimates the quantity of events through maps in order to identify areas with the highest concentration of cases in the city.

    RESULTS:

    The seroprevalence of IgG was 68.5% (95%CI 67.2-69.8) and the prevalence of IgM was 0.36% (95%CI 0.23-0.6). A higher IgG prevalence was associated with increased age in the oldest neighborhoods of the state capital, whereas a higher IgG prevalence among younger women was detected in suburban neighborhoods. The spatial concentration of IgM antibodies was higher in suburban neighborhoods, with no significant correlation between seroprevalence and age.

    CONCLUSION:

    Geoprocessing allowed the identification of areas with the highest prevalence, as well as the most susceptible average age and it was also useful as an instrument for the evaluation and implementation of appropriate preventive measures for this municipality and for other regions of Brazil.

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    Spatial distribution of anti-toxoplasma antibodies in pregnant women from Aracaju, Sergipe, Brazil
  • Artigos Originais

    Quantification of antithyroperoxidase and antithyroglobulin antibodies, and thyrotrophin and free thyroxine in normal pregnant women

    Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(9):478-483

    Summary

    Artigos Originais

    Quantification of antithyroperoxidase and antithyroglobulin antibodies, and thyrotrophin and free thyroxine in normal pregnant women

    Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(9):478-483

    DOI 10.1590/S0100-72032007000900007

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    PURPOSE: to quantify the presence of antithyroperoxidase (anti-TPO) and antithyroglobulin (anti-TG) antibodies, and the plasmatic concentrations of thyrotropin (TSH) and free thyroxine (FT4) in normal pregnant women. METHODS: a hundred twenty-seven pregnant women, residing in São Paulo, aged from 14 to 44 years old and gestational age > 16 weeks, determined by ultrasound performed before the 20th week of pregnancy were included in a transversal study performed in the prenatal clinic of Santa Casa de Misericórdia de São Paulo, from January 2003 to September 2004. Pregnant women using medicines or with thyroidopathy history were excluded. Antithyroperoxidase and antithyroglobulin antibodies were quantified by chemiluminescence immunoassay. The immunofluorimetry technique by time-resolved was used for determining the thyrotrophin and free thyroxine. The Student's t test, with significance of 5%, was used for analyzing the results. RESULTS: the frequency of antithyroid antibodies was 12.6% (8.6% of anti-TPO antibodies, and 4.6% of anti-TG antibodies). The average of TSH concentrations was 2.13±1.0 µU/ml, and the average of T4L was 0.9±0.5 ng/dl. It was observed alteration of the thyroid function in ten pregnant women (8%). Three of them had diagnosis of hypothyroidism: one in the clinical form of the disease, with increased TSH and decreased FT4; two in the subclinical form with increased TSH and normal FT4. Five presented decreased TSH and increased FT4, consistent with clinical hyperthyroidism and two were diagnosed with subclinical hyperthyroidism, with decreased TSH concentrations only. CONCLUSIONS: the frequency of antithyroid antibodies was 12.6% in pregnant women, the antithyroperoxidase antibodies being predominant over the antithyroglobulin antibodies. It was observed some thyroid dysfunction in 8% of the cases with alterations of TSH and/or T4L.

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