[Maternal-fetal transmission of Trypanosoma cruzi, a health problem slightly studied in Mexico: case Chiapas]

Salud Publica Mex. 2016 Jun;58(3):378-84.
[Article in Spanish]

Abstract

Objective: To determine the Trypanosoma cruzi infection prevalence in 1125 pregnant women and the transmission frequency to their children from Tapachula and Palenque, Chiapas.

Materials and methods: We determined the prevalence by serology tests and the transmission frequency by polymerase chain reaction (PCR) and T. cruzi reactivity capacity after 12 months.

Results: Total maternal infection prevalence were 23/1 125 (2.04%), 9/600 (1.5%) were from Tapachula and 14/525 (2.6%) from Palenque. The seropositive women were between 20 and 35 years old, 31.8% have Premature Rapture of Membrane and 9.1% have history of perinatal death. The total percentage of positive newborns by PCR was 9/23 (39.13%), out of those 2/9 (22.2%) are from Tapachula and 7/14 (50%) from Palenque. The Maternal Fetal transmission frequency was. 2/9 (22.2%) in Tapachula and 1/14 (7.14%) in Palenque, all positive infants were asynthomatic.

Conclusion: The maternal-fetal transmission rate in Chiapas State is variable; the reason could be the maternal immunological status and T. cruzi strain.

Publication types

  • Comparative Study
  • Multicenter Study

MeSH terms

  • Adult
  • Asymptomatic Diseases
  • Chagas Disease / epidemiology
  • Chagas Disease / transmission*
  • Female
  • Geography, Medical
  • Humans
  • Infant
  • Infant, Newborn
  • Infectious Disease Transmission, Vertical* / statistics & numerical data
  • Male
  • Mexico / epidemiology
  • Pregnancy
  • Pregnancy Complications, Infectious / epidemiology*
  • Pregnancy Outcome
  • Seroepidemiologic Studies
  • Trypanosoma cruzi / immunology
  • Young Adult