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dc.contributor.authorBlanco, Sonia B.-
dc.contributor.authorSegura, Elsa L.-
dc.contributor.authorCura, Estela-
dc.contributor.authorChuit, Roberto-
dc.contributor.authorTulián, Liliana-
dc.contributor.authorFlores, Isolina-
dc.contributor.authorGarbarino, Gabriela-
dc.contributor.authorVillalonga, Juan F.-
dc.contributor.authorGürtler, Ricardo E.-
dc.date.accessioned2012-11-27T05:36:52Z-
dc.date.available2012-11-27T05:36:52Z-
dc.date.issued2000-
dc.identifier.issn1365-3156-
dc.identifier.urihttp://sgc.anlis.gob.ar/handle/123456789/419-
dc.identifier.urihttp://onlinelibrary.wiley.com/doi/10.1046/j.1365-3156.2000.00548.x/pdf-
dc.descriptionWe designed a set of procedures for first-line local health services to detect and treat the congenital transmission of Trypanosoma cruzi at a province-wide scale, and field-tested the programme in the province of Tucumán, northwestern Argentina, from 1992 to 1994. The programme consists of routine screening of pregnant women for seroreactivity to T. cruzi, serological and parasitological follow-up of the newborn at least twice during the first year of age, treatment of the infected infants, and evaluation of the outcome. 927 (5.5%) of 16 842 pregnant women were seroreactive to T. cruzi by indirect haemagglutination assay and ELISA. Twenty-one (6.7%) of 315 newborns to seroreactive mothers were diagnosed as infected with T. cruzi parasites microhaematocrit concentration before 30 days of age. Five newborns who initially tested negative had a T. cruzi infection detected by microhaematocrit and/or serological techniques at 3 or 6 months of age. Thus, congenital infection was diagnosed in 26 (7.1%) infants born to seroreactive women and residing in houses free of triatomine bugs. Four of 6 infants born to seroreactive mothers died during the first year of age and had some evidence of T. cruzi infection; one of the deaths was attributed to T. cruzi based on clinical evidence. After specific treatment with nifurtimox or benznidazole, 30 of 32 infants remained parasitologically and serologically negative. This study shows the feasibility of controlling the incidence of congenitally acquired T. cruzi infections at a province-wide scale by means of a specific screening programme at first-line health services level.en_US
dc.descriptionFil: Blanco, Sonia B. Servicio Nacional de Chagas; Argentina.en_US
dc.descriptionFil: Segura, Elsa L. ANLIS Dr.C.G.Malbrán; Argentina.en_US
dc.descriptionFil: Cura, Estela. Members of the Research Career of CONICET; Argentina.en_US
dc.descriptionFil: Chuit, Roberto. Dirección de Epidemiología, Secretaría de Salud de la Nación, Buenos Aires; Argentina.en_US
dc.descriptionFil: Tulián, Liliana. Servicio Nacional de Chagas; Argentina.en_US
dc.descriptionFil: Flores, Isolina. Maternidad de Nuestra Señora de la Merced; Argentina.en_US
dc.descriptionFil: Garbarino, Gabriela. Maternidad de Nuestra Señora de la Merced; Argentina.en_US
dc.descriptionFil: Villalonga, Juan F. Hospital Pediátrico del Niño Jesús; Argentina.en_US
dc.descriptionFil: Gürtler, Ricardo E. ANLIS Dr.C.G.Malbrán; Argentina.en_US
dc.formatapplication/pdfES
dc.language.isospaen_US
dc.rightsinfo:eu-repo/semantics/restrictedAccessen_US
dc.sourceTropical Medicine & International Health, 2000, 5(4), 293–301.en_US
dc.subjectEnfermedad de Chagasen_US
dc.subjectTripanosomiasisen_US
dc.subjectPruebas Serológicasen_US
dc.subjectNifurtimoxen_US
dc.titleCongenital transmission of Trypanosoma cruzi: an operational outline for detecting and treating infected infants in northwestern Argentinaen_US
dc.typeArtículoes
dc.coverageARGen_US
anlis.essnrd1es
item.fulltextWith Fulltext-
item.languageiso639-1es-
item.cerifentitytypePublications-
item.grantfulltextopen-
item.openairetypeArtículo-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
crisitem.author.deptAdministración Nacional de Laboratorios e Institutos de Salud “Dr. Carlos G. Malbrán” (ANLIS)-
crisitem.author.deptInstituto Nacional de Parasitología (INP)-
crisitem.author.deptAdministración Nacional de Laboratorios e Institutos de Salud “Dr. Carlos G. Malbrán” (ANLIS)-
crisitem.author.deptCentro Nacional de Control de Calidad de Biológicos (CNCCB)-
crisitem.author.parentorgAdministración Nacional de Laboratorios e Institutos de Salud “Dr. Carlos G. Malbrán” (ANLIS)-
crisitem.author.parentorgAdministración Nacional de Laboratorios e Institutos de Salud “Dr. Carlos G. Malbrán” (ANLIS)-
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