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Archives of Gynecology and Obstetrics

, Volume 285, Issue 4, pp 919–923 | Cite as

Chagas disease in Latin American pregnant immigrants: experience in a non-endemic country

  • José M. RamosEmail author
  • Alfredo Milla
  • Juan C. Rodríguez
  • Paulo López-Chejade
  • Maria Flóres
  • José M. Rodríguez
  • Félix Gutiérrez
Maternal-Fetal Medicine

Abstract

Purpose

Chagas disease is a systemic chronic parasitic infection by Trypanosoma cruzi endemic in Latin America. Migration of women of childbearing age from Latin America to developed countries may spread the disease to non-endemic areas through vertical transmission.

Methods

Prospective study of seroprevalence of T. cruzi infection in immigrant Latin American pregnant women during a 5-year period (from 2006 to 2010) in Spain.

Results

Seven out of 545 participants were seropositive for T. cruzi [prevalence 1.28%, 95% confidence interval (CI) 0.06–2.56]. Four (57%) were from Bolivia and three (43.%) from Paraguay. The seroprevalence in pregnant women from Bolivia was 10.26% (95% CI 4.06–23.58) and in participants from Paraguay was 6.52% (95% CI 2.24–17.5). No congenital transmission occurred.

Conclusions

Seroprevalence of T. cruzi infection in Latin American pregnant women coming from Bolivia and Paraguay is high. Those women should be screened for T. cruzi to control mother-to-child transmission in non-endemic areas.

Keywords

Chagas disease American trypanosomiasis Trypanosoma cruzi Maternal–fetal transmission Vertical transmission Non-endemic area 

Notes

Acknowledgements

To Professor Montserrat Portús (Laboratory of Parasitology, Faculty of Farmacy, Universitat de Barcelona) for the critical reading of the manuscript and her continuous feedback. This study was supported by the Fundación para la investigacion Hospital General Universitario de Elche (FIBELX08/08). The funders had no role in the study design, data collection and analysis, preparation of the manuscript or decision to submit the manuscript for publication.

Conflict of interest

The authors declare that they have no competing interest.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • José M. Ramos
    • 1
    Email author
  • Alfredo Milla
    • 2
  • Juan C. Rodríguez
    • 3
  • Paulo López-Chejade
    • 4
  • Maria Flóres
    • 5
  • José M. Rodríguez
    • 2
  • Félix Gutiérrez
    • 1
    • 6
  1. 1.Infectious Diseases UnitHospital General Universitario de ElcheElcheSpain
  2. 2.Service of Gynecology and ObstetricsHospital General Universitario de ElcheElcheSpain
  3. 3.Microbiology SectionHospital General Universitario de ElcheElcheSpain
  4. 4.Parasitology Laboratory, Faculty of PharmacyUniversitat de BarcelonaBarcelonaSpain
  5. 5.Parasitology Service, Centro Nacional de MicrobiologíaInstituto de Salud Carlos IIIMadridSpain
  6. 6.Departamento de Medicina Clinica, Faculty of MedicineUniversidad Miguel HernándezAlicanteSpain

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