Evidence map›Paper›PMID 30285660›Full record

ArticleBMC pregnancy and childbirth2018

A multicenter survey on toxoplasmosis knowledge among pregnant women in Poland (the TOWER study).

Jacek Smereka, Lukasz Szarpak, Kurt Ruetzler, Yehoshua Schacham, Adam Smereka, Marek Dabrowski, Marzena Terpilowska, Lukasz Terpilowski, Ishag Adam

Abstract readMulticenter Study
In one paragraph

Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jacek SmerekaDepartment of Emergency Medical Service, Laboratory of Experimental Medicine and Innovative Technology, Wroclaw Medical University, Wroclaw, Poland.
Lukasz SzarpakFaculty of Medicine, Lazarski University, 43 Swieradowska Str., 02-662, Warsaw, Poland. lukasz.szarpak@gmail.com.ORCID http://orcid.org/0000-0002-0973-5455
Kurt RuetzlerDepartment of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH, USA.
Yehoshua SchachamDepartment of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH, USA.
Adam SmerekaDepartment of Clinic of Gastroenterology and Hepatology, Wroclaw Medical University, Wroclaw, Poland.
Marek DabrowskiChair and Department of Medical Education, Poznań University of Medical Sciences, Poznan, Poland.
Marzena TerpilowskaDivision of Neonatology, Department of Pediatrics, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland.
Lukasz TerpilowskiDepartment of Emergency Medical Service, Laboratory of Experimental Medicine and Innovative Technology, Wroclaw Medical University, Wroclaw, Poland.
Ishag AdamFaculty of Medicine, University of Khartoum, Khartoum, Sudan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe seroprevalence of Toxoplasma gondii ranges widely in different areas of the world and different populations. Although toxoplasmosis is typically benign and asymptomatic, it induces major complications in immunocompromised individuals and during pregnancy. Prevention of maternal primary infection constitutes the major tool for avoiding congenital T. gondii infections and toxoplasmosis complications. The preventive measures depend on the women's knowledge about toxoplasmosis. The aim of the study was to assess the knowledge on toxoplasmosis among pregnant women in Poland.

methodsThe study was conducted between October 2016 and January 2017 in 3 Polish cities. During a visit in a hospital outpatient clinic, pregnant women aged > 16 years fulfilled a previously validated questionnaire. The questions concerned personal data (age, parity, educational level, place of residence), toxoplasmosis knowledge (etiology, routes of transmission, symptoms, sequelae), and sources consulted to collect information.

resultsOverall, 465 pregnant women participated in the survey; 439 (94.4%) were aware of toxoplasmosis. Toxoplasmosis was perceived as a zoonotic disease by 77.4%, as a parasitic disease by 41.7%, as a disease transmitted through poor hand hygiene by 8.6%, as a childhood illness by 4%, and as a congenital disease by 0.4%. Regarding the transmission route, 84.5% of women pointed at a domestic cat, 46.7% at eating raw or undercooked meat. The total of 84.3% did not know toxoplasmosis symptoms, and 12.0% stated that they did not present the symptoms. In multivariate analysis, younger age (OR, 2.74; 95% CI, 1.67-4.49; p <  0.001), city residence (OR, 13.45; 95% CI, 3.12-57.89; p <  0.003), and higher education level (OR, 6.81; 95% CI, 3.69-12.59; p <  0.001) were significantly associated with better knowledge of toxoplasmosis, and the number of children (OR, 0.32; 95% CI, 0.22-0.48; p <  0.001) - with higher knowledge of the symptoms.

conclusionsAmong pregnant women in Poland, the basic knowledge on toxoplasmosis is very high (94.4%). Younger age, city residence, higher education level, and the number of children turned out significantly associated with better knowledge of T. gondii and toxoplasmosis symptoms.

Indexed as

Health Knowledge, Attitudes, PracticeAdolescentAdultFemaleHumansInfectious Disease Transmission, VerticalPatient Education as TopicPolandPregnancyPregnancy Complications, ParasiticPrenatal CareSeroepidemiologic StudiesSurveys and QuestionnairesToxoplasmosisYoung AdultAwarenessPregnancyToxoplasma gondiiToxoplasmosis

Identifiers

PMID30285660
PMCPMC6171245

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.