08Sep 2018

ASSESSMENT OF PREGNANT WOMENS KNOWLEDGE AND PRACTICE TO PREVENT TOXOPLASMOSIS INFECTION IN MALLAWY CITY MINIA GOVERNORATE.

  • Assistant Professor of community medicine. Faculty of medicine-Minia University.
  • Assistant Professor of Tropical medicine. Faculty of medicine-Minia University.
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Background:- Toxoplasma gondii is a congenital infectious agent which causes severe clinical outcomes in fetus and newborns. The life-threatening parasitic disease is preventable by measures related to lifestyle during pregnancy. The aim of the study: is to assess the knowledge about toxoplasmosis and practices that can prevent it among the pregnant women. Methods: Total of 200 pregnant women from Mallawy city Minia governorate were included in the study to determine their knowledge and practices on Toxoplasma infection. A questionnaire to evaluate general information and knowledge on risks factors, time of infection, symptoms, prevention knowledge and behavior regarding Toxoplasmosis. Results:- Mainstream of these pregnant women were in their age group of 20?29 years (50.9%), completed secondary level of education (51.7%), in their second trimester of pregnancies (38.1%), non-parous (36.6%), and had no history of abortion (90.4%). According to this study, only 11% of these pregnant women had read, heard, or seen information regarding toxoplasmosis and 3.5% of them were aware of being tested for the infection. A small percentage of these pregnant women knew that T. gondii were shed in the feces of infected cats (19.4%) and sometimes found in the raw or undercooked meat (11. 0%). There was 16.1% of pregnant women included in this study knew that toxoplasmosis is caused by an infection. Conclusion:- Demographic characteristics such as age group, level of education, pregnancy term, and a number of children of the pregnant women showed significant association with their responses toward questions related to prevention knowledge and behavior. Health education on Toxoplasma infection and preventive practices should be presented to reproductive age women and pregnant women. This information could help to reduce the transmission of Toxoplasma gondii infection during pregnancy


  1. Ross DS, Jones JL, Lynch MF: Toxoplasmosis, cytomegalovirus, listeriosis, and preconception care. Matern Child Health J. 2006, 10 (Suppl 5): S187-S191.
  2. Ross DS, Rasmussen SA, Cannon MJ, Anderson B, Kilker K, Tumpey A, Schulkin J, Jones JL: Obstetrician/gynecologists? knowledge, attitudes, and practices regarding prevention of infections in pregnancy. J Womens Health (Larchmt). 2009, 18 (8): 1187-1193. 10.1089/jwh.2008.1288.
  3. Ross DS, Victor M, Sumartojo E, Cannon MJ: Women?s knowledge of congenital cytomegalovirus: results from the 2005 HealthStyles survey. J Womens Health (Larchmt). 2008, 17 (5): 849-858. 10.1089/jwh.2007.0523.
  4. Jeon J, Victor M, Adler SP, Arwady A, Demmler G, Fowler K, Goldfarb J, Keyserling H, Massoudi M, Richards K, Staras SA, Cannon MJ: Knowledge and awareness of congenital cytomegalovirus among women. Infect Dis Obstet Gynecol. 2006, 2006: 1-7.
  5. Jones JL, Ogunmodede F, Scheftel J, Kirkland E, Lopez A, Schulkin J, Lynfield R: Toxoplasmosis-related knowledge and practices among pregnant women in the United States. Infect Dis Obstet Gynecol. 2003, 11 (3): 139-145. 10.1080/10647440300025512.
  6. Ogunmodede F, Jones JL, Scheftel J, Kirkland E, Schulkin J, Lynfield R: Listeriosis prevention knowledge among pregnant women in the USA. Infect Dis Obstet Gynecol. 2005, 13 (1): 11-15. 10.1155/2005/734814.
  7. Ogunmodede F, Scheftel J, Jones JL, Lynfield R: Toxoplasmosis prevention knowledge among pregnant women in Minnesota. Minn Med. 2005, 88 (2): 32-34.
  8. Cates SC, Carter-Young HL, Conley S, O?Brien B: Pregnant women and listeriosis: preferred educational messages and delivery mechanisms. J Nutr Educ Behav. 2004, 36 (3): 121-127. 10.1016/S1499-4046(06)60148-6.
  9. Cannon MJ, Westbrook K, Levis D, Schleiss MR, Thackeray R, Pass RF: Awareness of and behaviors related to child-to-mother transmission of cytomegalovirus. Prev Med. 2012, 54 (5): 351-357. 10.1016/j.ypmed.2012.03.009.
  10. Torvaldsen S, Kurinczuk JJ, Bower C, Parsons DE, Roberts CL: Listeria awareness among new mothers in Western Australia. Aust N Z J Public Health. 1999, 23 (4): 362-367. 10.1111/j.1467-842X.1999.tb01276.x.
  11. Coonrod DV, Jack BW, Stubblefield PG, Hollier LM, Boggess KA, Cefalo R, Cox SN, Dunlop AL, Hunter KD, Prasad MR, Lu MC, Conry JA, Gibbs RS, Hogan VK: The clinical content of preconception care: infectious diseases in preconception care. Am J Obstet Gynecol. 2008, 199 (6): S296-S309. 10.1016/j.ajog.2008.08.062. Suppl 2.
  12. Cook AJ, Gilbert RE, Buffolano W, Zufferey J, Petersen E, Jenum PA, Foulon W, Semprini AE, Dunn DT: Sources of toxoplasma infection in pregnant women: European multicentre case-control European Research Network on Congenital Toxoplasmosis. BMJ. 2000, 321 (7254): 142-147. 10.1136/bmj.321.7254.142.
  13. Schmidt DR, Hogh B, Andersen O, Fuchs J, Fledelius H, Petersen E: The national neonatal screening programme for congenital toxoplasmosis in Denmark: results from the initial four years, 1999?2002. Arch Dis Child. 2006, 91 (8): 661-665. 10.1136/adc.2004.066514.
  14. Kortbeek LM, Hofhuis A, Nijhuis CD, Havelaar AH: Congenital toxoplasmosis and DALYs in the Netherlands. Mem Inst Oswaldo Cruz. 2009, 104 (2): 370-373. 10.1590/S0074-02762009000200034.
  15. Feldman DM, Timms D, Borgida AF: Toxoplasmosis, parvovirus, and cytomegalovirus in pregnancy. Clin Lab Med. 2010, 30 (3): 709-720. 10.1016/j.cll.2010.04.009.
  16. Lopez A, Dietz VJ, Wilson M, Navin TR, Jones JL: Preventing congenital toxoplasmosis. MMWR Recomm Rep. 2000, 49 (RR-2): 59-68.
  17. Kirkham C, Berkowitz J: Listeriosis in pregnancy: a survey of British Columbia practitioners? knowledge of risk factors, counseling practices, and learning needs. Can Fam Physician. 2010, 56 (4): e158-e166.
  18. Doorduyn Y, de Jager CM, van der Zwaluw WK, Wannet WJ, van der Ende A, Spanjaard L, van Duynhoven YT: Invasive Listeria monocytogenes infections in the Netherlands, 1995?2003. Eur J Clin Microbiol Infect Dis. 2006, 25 (7): 433-442. 10.1007/s10096-006-0157-4.
  19. Doorduyn Y, de Jager CM, van der Zwaluw WK, Wannet WJ, van der Ende A, Spanjaard L, van Duynhoven YT: First results of the active surveillance of Listeria monocytogenes infections in the Netherlands reveal higher than expected incidence. Euro Surveill. 2006, 11 (4): E060420.4-
  20. Kenneson A, Cannon MJ: Review and meta-analysis of the epidemiology of congenital cytomegalovirus (CMV) infection. Rev Med Virol. 2007, 17 (4): 253-276. 10.1002/rmv.535.
  21. Cannon MJ, Davis KF: Washing our hands of the congenital cytomegalovirus disease epidemic. BMC Public Health. 2005, 5: 70-10.1186/1471-2458-5-70.
  22. de Vries JJ, Korver AM, Verkerk PH, Rusman L, Claas EC, Loeber JG, Kroes AC, Vossen AC: Congenital cytomegalovirus infection in the Netherlands: birth prevalence and risk factors. J Med Virol. 2011, 83 (10): 1777-1782. 10.1002/jmv.22181.
  23. Raynor BD: Cytomegalovirus infection in pregnancy. Semin Perinatol. 1993, 17 (6): 394-402.
  24. Brug J, Assema P, Lechner L: Gezondheidsvoorlichting en gedragsverandering: een planmatige aanpak. Edited by: Open Universiteit Nederland. 2007, Heerlen: van Gorcum, 5
  25. Peadon E, Payne J, Henley N, D?Antoine H, Bartu A, O?Leary C, Bower C, Elliott EJ: Attitudes and behavior predict women?s intention to drink alcohol during pregnancy: the challenge for health professionals. BMC Public Health. 2011, 11: 584-10.1186/1471-2458-11-584.
  26. Giles ML, Pedrana A, Jones C, Garland S, Hellard M, Lewin SR: Antenatal screening practice for infectious diseases by general practitioners in Australia. Aust N Z J Obstet Gynecol. 2009, 49 (1): 39-44. 10.1111/j.1479-828X.2008.00932.x.
  27. Korver AM, de Vries JJ, de Jong JW, Dekker FW, Vossen AC, Oudesluys-Murphy AM: Awareness of congenital cytomegalovirus among doctors in the Netherlands. J Clin Virol. 2009, 46 (Suppl 4): S11-S15.
  28. Kravetz JD, Federman DG: Prevention of toxoplasmosis in pregnancy: knowledge of risk factors. Infect Dis Obstet Gynecol. 2005, 13 (3): 161-165. 10.1080/10647440500068305.
  29. Manni?n J, Klomp T, Wiegers T, Pereboom M, Brug J, de Jonge A, van der Meijde M, Hutton E, Schellevis F, Spelten E: Evaluation of primary care midwifery in the Netherlands: design and rationale of a dynamic cohort study (DELIVER). BMC Health Serv Res. 2012, 12 (1): 69-10.1186/1472-6963-12-69.
  30. CBS Statline. [http://statline.cbs.nl/StatWeb/publication/?DM=SLNL&PA=70999ned&D1=0-1,4-6&D2=0,5,10,13-15&VW=T]
  31. CBS Statline. [http://statline.cbs.nl/StatWeb/publication/?VW=T&DM=SLNL&PA=71822NED&D1=0&D2=a&D3=0&D4=1,3-9&D5=0-2,4,8-10&D6=0&D7=l&HD=081216-1451&HDR=T,G6,G2,G5,G3&STB=G1,G4]
  32. Gaytant MA, Galama JM, Semmekrot BA, Melchers WJ, Sporken JM, Oosterbaan HP, van Dop PA, Huisman A, Merkus HM, Steegers EA: The incidence of congenital cytomegalovirus infections in The Netherlands. J Med Virol. 2005, 76 (1): 71-75. 10.1002/jmv.20325.
  33. Peadon E, Payne J, Henley N, D?Antoine H, Bartu A, O?Leary C, Bower C, Elliott EJ: Women?s knowledge and attitudes regarding alcohol consumption in pregnancy: a national survey. BMC Public Health. 2010, 10: 510-10.1186/1471-2458-10-510.
  34. Meillier LK, Lund AB, Kok G: Cues to action in the process of changing lifestyle. Patient Educ Couns. 1997, 30 (1): 37-51. 10.1016/S0738-3991(96)00957-3.
  35. Stelma FF, Smismans A, Goossens VJ, Bruggeman CA, Hoebe CJ: Occupational risk of human Cytomegalovirus and Parvovirus B19 infection in female day care personnel in the Netherlands; a study based on seroprevalence. Eur J Clin Microbiol Infect Dis. 2009, 28 (4): 393-397. 10.1007/s10096-008-0635-y.
  36. Harvey J, Dennis CL: Hygiene interventions for prevention of cytomegalovirus infection among childbearing women: a systematic J Adv Nurs. 2008, 63 (5): 440-450. 10.1111/j.1365-2648.2008.04726.x.
  37. Vauloup-Fellous C, Picone O, Cordier AG, Parent-du-Chatelet I, Senat MV, Frydman R, Granger-Keros L: Does hygiene counseling have an impact on the rate of CMV primary infection during pregnancy? Results of a 3-year prospective study in a French hospital. J Clin Virol. 2009, 46 (Suppl 4): S49-S53.
  38. Cioffi J, Markham R: Clinical decision-making by midwives: managing case complexity. J Adv Nurs. 1997, 25 (2): 265-272. 10.1046/j.1365-2648.1997.1997025265.x.
  39. Kowalski RM, Westen D: Psychology, fourth edition. 2004, New York: John Wiley & Sons Inc
  40. Conyn-van Spaedonck MA, van Knapen F: Choices in preventive strategies: experience with the prevention of congenital toxoplasmosis in The Netherlands. Scand J Infect Dis Suppl. 1992, 84: 51-58.
  41. Pawlowski ZS, Gromadecka-Sutkiewicz M, Skommer J, Paul M, Rokossowski H, Suchocka E, Schantz PM: Impact of health education on knowledge and prevention behavior for congenital toxoplasmosis: the experience in Poznan, Poland. Health Educ Res. 2001, 16 (4): 493-502. 10.1093/her/16.4.493.
  42. Gollub EL, Leroy V, Gilbert R, Chene G, Wallon M, European Toxoprevention Study Group (EUROTOXO): Effectiveness of health education on Toxoplasma-related knowledge, behavior, and risk of seroconversion in pregnancy. Eur J Obstet Gynecol Reprod Biol. 2008, 136 (2): 137-145. 10.1016/j.ejogrb.2007.09.010.

[Khaled Hussein Mohamed I. El-dessouki and Wael M. Abd El Ghany. (2018); ASSESSMENT OF PREGNANT WOMENS KNOWLEDGE AND PRACTICE TO PREVENT TOXOPLASMOSIS INFECTION IN MALLAWY CITY MINIA GOVERNORATE. Int. J. of Adv. Res. 6 (Sep). 21-28] (ISSN 2320-5407). www.journalijar.com


Khaled hussein mohamed El-dessouki
Assistant Professor of community medicine. Faculty of medicine-Minia University

DOI:


Article DOI: 10.21474/IJAR01/7640      
DOI URL: http://dx.doi.org/10.21474/IJAR01/7640