Seroprevalence and infection by human parvovirus B19 in pregnant women from Córdoba, Argentina, 2021-2022

Introduction: parvovirus B19 (B19V) infection during pregnancy can be transmitted to the fetus and cause serious complications such as fetal hydrops and stillbirth. The preexistence of specific IgG prevents vertical transmission. Seroprevalence in fertile age is variable (50-70%) and depends on the...

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Autores principales: Dicuatro, Néstor, Colazo Salbetti, María Belén, Boggio, Gabriel Amilcar, Ortiz, Emilia, Pedranti, Mauro, Olivera, Nicolás Lionel, Lucchini, Héctor, González, Alicia, Resino, Carlos, Moreno, Laura, Adamo, Maria
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2024
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/44771
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id I10-R327-article-44771
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic human parvovirus b19
pregnancy
seroprevalence
fetal hydrops
anemia
parvovirus B19
gestación
seroprevalencia
hidropesía fetal
anemia
parvovírus B19
gravidez
soroprevalência
anemia
hidropisia fetal
spellingShingle human parvovirus b19
pregnancy
seroprevalence
fetal hydrops
anemia
parvovirus B19
gestación
seroprevalencia
hidropesía fetal
anemia
parvovírus B19
gravidez
soroprevalência
anemia
hidropisia fetal
Dicuatro, Néstor
Colazo Salbetti, María Belén
Boggio, Gabriel Amilcar
Ortiz, Emilia
Pedranti, Mauro
Olivera, Nicolás Lionel
Lucchini, Héctor
González, Alicia
Resino, Carlos
Moreno, Laura
Adamo, Maria
Seroprevalence and infection by human parvovirus B19 in pregnant women from Córdoba, Argentina, 2021-2022
topic_facet human parvovirus b19
pregnancy
seroprevalence
fetal hydrops
anemia
parvovirus B19
gestación
seroprevalencia
hidropesía fetal
anemia
parvovírus B19
gravidez
soroprevalência
anemia
hidropisia fetal
author Dicuatro, Néstor
Colazo Salbetti, María Belén
Boggio, Gabriel Amilcar
Ortiz, Emilia
Pedranti, Mauro
Olivera, Nicolás Lionel
Lucchini, Héctor
González, Alicia
Resino, Carlos
Moreno, Laura
Adamo, Maria
author_facet Dicuatro, Néstor
Colazo Salbetti, María Belén
Boggio, Gabriel Amilcar
Ortiz, Emilia
Pedranti, Mauro
Olivera, Nicolás Lionel
Lucchini, Héctor
González, Alicia
Resino, Carlos
Moreno, Laura
Adamo, Maria
author_sort Dicuatro, Néstor
title Seroprevalence and infection by human parvovirus B19 in pregnant women from Córdoba, Argentina, 2021-2022
title_short Seroprevalence and infection by human parvovirus B19 in pregnant women from Córdoba, Argentina, 2021-2022
title_full Seroprevalence and infection by human parvovirus B19 in pregnant women from Córdoba, Argentina, 2021-2022
title_fullStr Seroprevalence and infection by human parvovirus B19 in pregnant women from Córdoba, Argentina, 2021-2022
title_full_unstemmed Seroprevalence and infection by human parvovirus B19 in pregnant women from Córdoba, Argentina, 2021-2022
title_sort seroprevalence and infection by human parvovirus b19 in pregnant women from córdoba, argentina, 2021-2022
description Introduction: parvovirus B19 (B19V) infection during pregnancy can be transmitted to the fetus and cause serious complications such as fetal hydrops and stillbirth. The preexistence of specific IgG prevents vertical transmission. Seroprevalence in fertile age is variable (50-70%) and depends on the region/viral circulation, in addition to factors such as maternal age and frequent exposure to children. Objectives: to determine seroprevalence for B19V in pregnant women at Hospital Universitario de Maternidad y Neonatología (HUMN), analyze its association with predictive factors and describe cases of B19V infection. Methods: observational, cross-sectional study. Patients treated at HUMN during 2021-2022 were included and compatible demographic and clinical data were recorded. Specific IgG was quantified and its association with predictive factors was analyzed by bivariate analysis (p<0.05). In cases with signs/symptoms associated with B19V, specific IgM and viral DNA were also determined. Results: 317 cases were studied and anti-B19V IgG was detected in 214/317 (67.5%). No association was found between seroprevalence and maternal age, multiparity, cohabitation with children under 15 years of age, or presence of maternal/fetal signs/symptoms. Ten cases (10.4%) of B19V infection were identified, all of them with anemia and one with fetal hydrops and VDRL+. Conclusion: in the population studied, B19V seroprevalence for was 67.5% and independent of the predictive factors, leaving 32.5% without evidence of exposure to the virus (susceptible to contracting the infection in the future). The detection of infection in symptomatic cases indicates the importance of investigating B19V in this group.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2024
url https://revistas.unc.edu.ar/index.php/med/article/view/44771
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spelling I10-R327-article-447712024-12-13T14:58:44Z Seroprevalence and infection by human parvovirus B19 in pregnant women from Córdoba, Argentina, 2021-2022 Seroprevalencia e infección por parvovirus humano B19 en embarazadas de Córdoba, Argentina, 2021-2022 Soroprevalência e infecção por parvovírus humano B19 em gestantes de Córdoba, Argentina, 2021-2022 Dicuatro, Néstor Colazo Salbetti, María Belén Boggio, Gabriel Amilcar Ortiz, Emilia Pedranti, Mauro Olivera, Nicolás Lionel Lucchini, Héctor González, Alicia Resino, Carlos Moreno, Laura Adamo, Maria human parvovirus b19 pregnancy seroprevalence fetal hydrops anemia parvovirus B19 gestación seroprevalencia hidropesía fetal anemia parvovírus B19 gravidez soroprevalência anemia hidropisia fetal Introduction: parvovirus B19 (B19V) infection during pregnancy can be transmitted to the fetus and cause serious complications such as fetal hydrops and stillbirth. The preexistence of specific IgG prevents vertical transmission. Seroprevalence in fertile age is variable (50-70%) and depends on the region/viral circulation, in addition to factors such as maternal age and frequent exposure to children. Objectives: to determine seroprevalence for B19V in pregnant women at Hospital Universitario de Maternidad y Neonatología (HUMN), analyze its association with predictive factors and describe cases of B19V infection. Methods: observational, cross-sectional study. Patients treated at HUMN during 2021-2022 were included and compatible demographic and clinical data were recorded. Specific IgG was quantified and its association with predictive factors was analyzed by bivariate analysis (p<0.05). In cases with signs/symptoms associated with B19V, specific IgM and viral DNA were also determined. Results: 317 cases were studied and anti-B19V IgG was detected in 214/317 (67.5%). No association was found between seroprevalence and maternal age, multiparity, cohabitation with children under 15 years of age, or presence of maternal/fetal signs/symptoms. Ten cases (10.4%) of B19V infection were identified, all of them with anemia and one with fetal hydrops and VDRL+. Conclusion: in the population studied, B19V seroprevalence for was 67.5% and independent of the predictive factors, leaving 32.5% without evidence of exposure to the virus (susceptible to contracting the infection in the future). The detection of infection in symptomatic cases indicates the importance of investigating B19V in this group. Introducción: la infección por parvovirus B19 (B19V) durante el embarazo puede transmitirse al feto y ocasionar complicaciones graves como hidropesía y muerte fetal. La preexistencia de IgG específica previene la transmisión vertical. La seroprevalencia en edad fértil es variable (50-70%) y depende de la región/circulación viral, además de factores como edad materna y exposición frecuente a niños. Objetivos: determinar seroprevalencia para B19V en embarazadas del Hospital Universitario de Maternidad y Neonatología (HUMN), analizar su asociación con factores predictores y describir los casos de infección por B19V. Métodos: estudio observacional, transversal. Se incluyeron pacientes atendidas en HUMN durante 2021-2022 y se registraron datos demográficos y clínicos compatibles. Se cuantificó IgG específica y se analizó su asociación con factores predictores mediante análisis bivariado (p<0,05). En los casos con signos/síntomas asociables a B19V se determinó además IgM específica y ADN viral. Resultados: se estudiaron 317 casos y se detectó IgG anti-B19V en 214/317 (67.5%). No se encontró asociación entre seroprevalencia y edad materna, multiparidad, convivencia con menores de 15 años ni presencia de signos/síntomas maternos/fetales. Se identificaron 10 casos (10,4%) de infección por B19V, todos ellos con anemia y uno con hidropesía fetal y VDRL+. Conclusión: en la población estudiada la seroprevalencia para B19V fue 67,5% e independiente de los factores predictores, restando 32,5% sin evidencia de exposición al virus (susceptible a contraer la infección en el futuro). La detección de la infección en casos sintomáticos indica la importancia de investigar B19V en este grupo. Introdução: A infecção pelo parvovírus B19 (B19V) durante a gravidez pode ser transmitida ao feto e causar complicações graves como hidropisia e natimorto. A preexistência de IgG específica impede a transmissão vertical. A soroprevalência na idade fértil é variável (50-70%) e depende da região/circulação viral, além de fatores como idade materna e exposição frequente dos filhos. Objetivos: determinar a soroprevalência para B19V em gestantes do Hospital Universitário de Maternidade e Neonatologia (HUMN), analisar sua associação com fatores preditivos e descrever casos de infecção por B19V. Métodos: estudo observacional, transversal. Foram incluídos pacientes atendidos no HUMN durante 2021-2022 e registrados dados demográficos e clínicos compatíveis. A IgG específica foi quantificada e sua associação com fatores preditivos foi analisada por análise bivariada (p<0,05). Nos casos com sinais/sintomas associados ao B19V, também foram determinados IgM específico e DNA viral. Resultados: Foram estudados 317 casos e IgG anti-B19V foi detectado em 214/317 (67,5%). Não foi encontrada associação entre soroprevalência e idade materna, multiparidade, coabitação com menores de 15 anos ou presença de sinais/sintomas maternos/fetais. Foram identificados dez casos (10,4%) de infecção pelo B19V, todos com anemia e um com hidropisia fetal e VDRL+. Conclusão: na população estudada a soroprevalência para B19V foi de 67,5% e independente dos fatores preditivos, restando 32,5% sem evidências de exposição ao vírus (susceptíveis de contrair a infecção no futuro). A detecção da infecção em casos sintomáticos indica a importância da investigação do B19V neste grupo. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2024-12-13 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/44771 10.31053/1853.0605.v81.n4.44771 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 81 No. 4 (2024); 670-685 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 81 Núm. 4 (2024); 670-685 Revista da Faculdade de Ciências Médicas de Córdoba; v. 81 n. 4 (2024); 670-685 1853-0605 0014-6722 10.31053/1853.0605.v81.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/44771/47187 https://revistas.unc.edu.ar/index.php/med/article/view/44771/47188 Derechos de autor 2024 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0