Incidencia de las malarias gestacional, congénita y placentaria en Urabá (Antioquia, Colombia), 2005-2007
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Introducción: en Colombia se ignora la frecuencia de malarias gestacional (MG), congénita (MC) y placentaria (MP) y la mortalidad asociada a ellas, así como el cuadro clínico de la MG.Objetivos: calcular la prevalencia e incidencia de MG, MP y MC, la mortalidad por MG y MC, y describir y comparar entre mujeres con y sin MG, los síntomas, signos y las características de la MG.Metodología: estudio descriptivo con componente longitudinal (cohorte) y transversal, con gestantes de 15 a 44 años, sus placentas e hijos. Las gestantes se captaron en las consultas prenatales y salas de parto de tres municipios de Urabá (Antioquia, Colombia), entre 2005 y 2007.Resultados: se captaron 2117 gestantes: a) cohorte: n=1927 mujeres con mínimo dos exámenes de gota gruesa; b) grupo transversal: n=190 mujeres con solo un examen de gota gruesa (en consulta prenatal o en parto). Hubo 220 casos de MG. Según la gota gruesa para Plasmodium las frecuencias fueron: prevalencia MG: 10,39%; proporción de incidencia MG: 9,28%; tasa de incidencia de MG: 9,01 por 100 mujeres/semana; proporción MC: 2,7%; prevalencia de MP: 11,7%. P. vivax causó 76% de MG, P. falciparum 22%, ambas especies 2%. Los síntomas y signos hallados en las gestantes con MG concordaron con los referidos para gestantes y no gestantes. No hubo muertes entre las 220 gestantes que presentaron malaria ni entre los cinco niños que presentaron MC.Conclusiones: las frecuencias de MG, MC y MP indican que esas entidades son problemas de salud pública en la población de gestantes y neonatos de Urabá.
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In Colombia, P. vivax represents 60-70% of the total reported malaria cases, and malaria in pregnancy constitutes a public health problem with a high frequency of submicroscopic infections.
“In Colombia, where P. vivax represents 60-70% of the total reported cases, malaria in pregnancy constitutes a public health problem [15,21] with a high frequency of submicroscopic infections [16,15].”
From Submicroscopic infection of placenta by Plasmodium produces Th1/Th2 cytokine imbalance, inflammation and hypoxia in women from north-west Colombia (2014) · cites this paper as [21]
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- Authors
- Carmona-Fonseca, J., & Maestre-B., A.
- Venue
- Revista Colombiana de Obstetricia y Ginecología
- Published
- 2009-03-30
- Volume
- 60
- Issue
- 1
- Pages
- 19-33
- ISSN
- 0034-7434 (ISSN-L)
- 2463-0225
- OpenAlex
- W1549363175
- Cited by
- 43
- References
- 35
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 5 · 2021: 1 · 2020: 4 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 1 · 2015: 4 · 2014: 4 · 2013: 8 · 2012: 3
- FWCI
- 2.68
- Type
- journal article
- Language
- es
- Open access
- diamond
- doi.org
- Licence
- Locations
- Revista Colombiana de Obstetricia y Ginecología (publishedVersion, cc-by-nc-nd)
- Institutional Repository University of Antioquia (University of Antioquia) (publishedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Redalyc (Universidad Autónoma del Estado de México) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
- Life Sciences › Immunology and Microbiology › Parasitology › Bird parasitology and diseases
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- malaria in pregnancy, congenital malaria, placental malaria, Plasmodium vivax, Plasmodium falciparum, malaria incidence, malaria prevalence, malaria mortality, pregnant women, neonatal malaria, Urabá, Antioquia
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