10 resultados para PEDIATRIA| - NVESTIGACIONES
em Universidade Federal do Rio Grande do Norte(UFRN)
Resumo:
This study deals with a historical, descriptive and exploratory approach aiming to recall the origin and trajectory of the Pediatrics Hospital at Universidade Federal do Rio Grande do Norte. This research also deals with the insertion of the nursing department in the same Hospital. This was realized through existing records and discourse collected through interview of professionals-doctors, nurses, midwifes, nursing attendants and psychologists. Thus, a network was established and consisted of qualified informants, composed through reference analysis. Data treatment and analysis was performed based on the collection of oral data. The data was considered according to the font s context, all of which depending on process of comprehension and interpretation. The research was based on the main theme, through oral history used in order to build a historical background. These main themes were then subdivided and other discourses were made present such as: the historical scene, the dream came true and the insertion of nursing, present in the history construction; all of which enabled the research. Thus, in this process, it was possible to identify the most important characters of the origin of children s health services organization and assistance at Rio Grande do Norte. It was possible to perceive that this institution aimed to initiate health services that dealt with an education for future generations. This was observed through the creation of the Faculty of Medicine of Natal and as a consequence, the installation of a Pediatrics Hospital that dealt with medical education. The research made evident that the nursing contributed for a structuring of quality health assistance towards children, even though the resources and working conditions were scarce, extensive work shifts and low professional qualification. It was observed that the there was change in the category s profile, once nurses were introduced in the service. Once this happened, changes in mentality, and innovative processes as well as professional conducts were established. The distinctive relation between acting and doing of doctors and nurses were also dealt with. Thus, the first item is done towards the idealization, projection and prescription. The second issue deals with concretization in realization of something that was not projected and realized, causing suffering and unsatisfaction. At the end, it was possible to confirm that oral history is a very rich element and it is possible through subjects that build history, through their perceptation of the facts and the context in that their are inside
Resumo:
A epilepsia cursa com diversas comorbidades e, entre elas, esto as alteraes de linguagem, que levam a criana a problemas educacionais e sociais desfavorveis. A etiologia das alteraes de linguagem envolve aspectos orgnicos, cognitivos e sociais, ocorrendo, na maioria das vezes, uma interrelao entre todos esses fatores. A idade da primeira crise epilptica, o tipo de epilepsia, o uso de drogas antiepilpticas e a interveno medicamentosa em politerapia podem implicar na ocorrncia dessas alteraes em crianas. O objetivo dessa pesquisa foi verificar a ocorrncia de alteraes de linguagem em crianas pr-escolares e escolares com diagnstico de epilepsia atendidas no setor de Neurologia Infantil do Hospital de Pediatria Professor Heriberto Ferreira Bezerra. Caracterizou-se como um estudo prospectivo e transversal realizado com 90 crianas com epilepsia, submetidas avaliao fonoaudiolgica de linguagem oral e de leitura e escrita e como pesquisa interdisciplinar uma vez que envolveu reas como a Fonoaudiologia, a Neurologia e a Psicologia. Os critrios de incluso foram: 1) diagnstico inequvoco de epilepsia, segundo a definio da ILAE (2005), 2) idade de 3 aos 12 anos, 3) padro neurolgico e desenvolvimento neuropsicomotor normais; os de excluso: 1) diagnstico de epilepsia duvidoso, 2) padro neurolgico e desenvolvimento neuropsicomotor alterados, 3) crianas com patologias peditricas associadas. Foram analisadas as seguintes variveis: sexo, idade da primeira crise epilptica, tipo de crise epilptica, regime de tratamento, presena de crise epilptica, frequncia escola, tipo de escola e repetncia. A anlise estatstica centrou-se na anlise descritiva; determinou-se a razo de chances (odds ratio), adotando-se um intervalo de confiana de 95%; e na aplicao do teste exato de Fisher, levando-se em considerao p<0,05. Portanto, no que se refere presena de alteraes de linguagem oral, pdese observar que o incio das crises epilpticas durante o perodo de aquisio e desenvolvimento da linguagem oral bem como o tratamento medicamentoso neste perodo podem interferir no desenvolvimento da linguagem devido imaturidade do sistema nervoso central alm dos aspectos socioambientais, uma vez que o estigma e as crenas errneas interferem negativamente no processo interacional to importante para a aquisio e desenvolvimento da linguagem, o que tambm repercute nas habilidades de leitura e escrita. Dessa forma percebe-se a importncia da atuao de uma equipe interdisciplinar (Fonoaudiologia, Psicologia e Neurologia Infantil) no processo avaliativo e no acompanhamento dos pacientes com epilepsia, o que trar benefcios psicosocioafetivos no que se refere reorganizao da sua qualidade de vida e, consequentemente, de seus familiares.
Resumo:
Trata-se de um estudo de delineamento transversal de carter multidisciplinar, o qual conta com um estatstico que contribuiu para o delineamento do estudo, realizando o clculo amostral e contribuindo efetivamente para anlise dos dados e alunos de psicologia e pediatrias que contriburam para a coleta de dados. A literatura aponta que a transmisso inadequada do diagnstico da Sndrome de Down pode prejudicar o vnculo me-beb e o posterior desenvolvimento da criana. Sendo assim, este estudo objetivou analisar os sentimentos maternos frente a este diagnstico, verificando diferentes formas de transmisso e possveis facilitadores da aceitao da Sndrome. A amostra foi constituda por 20 mes cujos filhos apresentam Sndrome de Down, na faixa etria de 0 03 anos e que recebem atendimento em ambulatrio de um Hospital Universitrio de Pediatria. Para coleta dos dados fez-se uso de um questionrio, aps a assinatura do Termo de Consentimento Livre e Esclarecido. Os dados foram analisados atravs de dois softwares de processamento de dados, o SPSS e o ALCESTE (Anlise Lexical por Contexto de um Conjunto de Segmento de Texto). Os dados indicaram que 90% das mes receberam o diagnstico de Sndrome de Down depois do parto. 75% dos diagnsticos foram comunicados pelo mdico pediatra e 15% pelas enfermeiras. As me referiram que o diagnstico foi tardio, inadequado e insuficiente no informativo. Observouse que as entrevistadas viveram os mesmos sentimentos observados na literatura como: choque, negao, tristeza e ira, adaptao e reorganizao. Tais resultados permitem concluir que o diagnstico de SD nas mes investigadas foi em sua maioria tardio, realidade comum no Brasil, principalmente quando se trata de classes econmicas baixas. As mes apontam que percebem este diagnstico como tardio, inadequado e insuficiente no informativo, e gera sentimentos que a literatura j cita como comuns frente a esse tipo de diagnstico. Portanto, observamos que a notcia pode ser um fator que dificulte ou facilite o estabelecimento do vnculo me-beb, comprometendo a busca de recursos para o desenvolvimento da criana
Resumo:
Os objetivos deste trabalho foram: (1) estimar as prevalncias de excesso de peso e de gordura corporal, obesidade central e presso arterial elevada (PAE) em adolescentes beneficirios do Programa Nacional de Alimentao Escolar (PNAE) da rede municipal de ensino de Natal-RN; (2) verificar a associao entre variveis antropomtricas e de composio corporal com a presso arterial, a maturao sexual e a histria familiar positiva de fatores de risco para doena cardiovascular (FRDCV); (3) comparar dois padres de referncia para classificao do excesso de peso em adolescentes; e (4) propor equaes preditivas de massa gorda (MG) e massa livre de gordura (MLG) baseadas nos permetros corporais. Trata-se de um estudo transversal, com 526 adolescentes beneficirios do PNAE, em Natal, Brasil. O tamanho da populao de estudo foi definido por amostragem aleatria, em dois estgios, e ponderada segundo nmero de alunos de cada escola. No primeiro estudo, o excesso de peso foi determinado por ndice de Massa Corporal (IMC), a gordura corporal estimada por dobras cutneas e a obesidade central por permetro abdominal. A presso arterial elevada foi classificada conforme a American Academy of Pediatrics. As prevalncias foram apresentadas em valores relativos e efeito do desenho. Realizou-se uma anlise fatorial para sintetizar o conjunto de variveis antropomtricas visando identificar fatores comuns. Extraram-se dois fatores: (1) padro excesso de adiposidade e (2) padro adiposidade central elevada. Para avaliar a associao entre os padres de adiposidade corporal com presso arterial elevada, faixa etria, maturao sexual e histria familiar de FRDCV utilizou-se a Razo de Chances e respectivo intervalo de confiana de 95% e regresso logstica. No segundo estudo, calculou-se a sensibilidade e a especificidade do excesso de peso classificado segundo o IOTF e a World Health Organization WHO em relao ao excesso de adiposidade corporal; e a estatstica Kappa para medir a concordncia entre os dois padres de referncia. No terceiro estudo, foram elaborados modelos preditivos de MG e MLG com base em nove permetros corporais, utilizando a bioimpedncia Byodinamics 450 como padro de referncia. Para tanto foram selecionados 218 adolescentes eutrficos, segundo o IMC a partir do estudo transversal. As equaes foram estimadas por regresso linear mltipla, considerando a idade e os permetros corporais. Os resultados apontaram que 14,1% dos meninos e 15,7% das meninas tinham excesso de peso; 15,3% dos meninos e 11,6% das meninas tinham excesso de gordura corporal e dentre os meninos 14,3% tinham presso arterial elevada e as meninas, 21,4%. Todos os efeitos do desenho foram inferiores a 2,5%. Nos meninos, o padro excesso de adiposidade foi associado histria familiar positiva de FRDCV (ORajust=2,60; 1,09-6,22), maturao sexual (ORajust=2,92; 1,04-8,22) e PAE (ORajust=3,66; 1,34-9,94). Os meninos com 12 anos e mais apresentaram 6,1 vezes mais chance de apresentar padro adiposidade central elevada do que os adolescentes com 10 a 11 anos (IC95% 2,32-16,04), assim como os pberes apresentaram 3,2 vezes este mesmo padro em relao aos pr-pberes (IC95%1,14-8,85). A partir da comparao entre os dois padres de referencia de classificao do excesso de peso por meio do IMC, observou-se que a sensibilidade foi de 79,3% para o critrio IOTF e de 88,9% para WHO e a especificidade foi de 94,7% e 89,9%, respectivamente. O nvel de concordncia foi maior para o critrio IOTF (Kappa=0,70 x Kappa=0,64). Em relao construo das equaes preditivas de gordura corporal, do total de 106 meninos e 112 meninas, foram desenvolvidas duas equaes para estimar MG e duas para MLG, considerando o sexo. No sexo masculino, a equao para estimar a MG incluiu as variveis idade, punho, quadril e permetro abdominal (R2=0,552; AIC=416,04) e MLG, idade, punho e antebrao (R2=0,869; AIC=578,24). Enquanto que no feminino, MG foi estimada pelas variveis punho, permetro do abdmen, do quadril, da coxa proximal e da panturrilha (R2=0,838; AIC=415,36); e a MLG por idade, punho, permetro do abdmen, do quadril e da panturrilha (R2=0,878; AIC=512,48). Conclui-se que os adolescentes tinham elevada prevalncia de excesso de adiposidade corporal e de presso arterial elevada. Tanto o padro excesso de adiposidade quanto adiposidade central elevada constituem-se em padres de risco. O padro excesso de adiposidade foi associado presso arterial, histria familiar positiva de FRDCV e maturao sexual em meninos. O critrio IOTF mostrou-se menos sensvel, mais especfico, com maior nvel de concordncia e maior probabilidade de identificar corretamente o excesso de gordura corporal nos adolescentes avaliados. Quatro equaes foram desenvolvidas para a estimativa da MG e MLG em adolescentes. As equaes desenvolvidas para estimar a MG no sexo feminino e MLG para ambos os sexos apresentaram valores elevados de coeficiente de determinao ajustados e, portanto, so as preferenciais. Este estudo foi realizado com a participao de equipe multidisciplinar composta por professores da rea de Nutrio, Endocrinologia Peditrica, Estatstica, Educao Fsica, discentes do Curso de Graduao em Nutrio e residentes em Pediatria
Resumo:
Nas ltimas dcadas, houve grande aumento da prevalncia de obesidade, inclusive na faixa etria peditrica. Com isso, aumentou o nmero de crianas e adolescentes afetados por sndrome metablica (SM), diabetes tipo 2 (DM2) e doenas cardiovasculares (DCV), doenas anteriormente consideradas quase exclusivas de adultos. Os objetivos do estudo foram identificar e correlacionar marcadores antropomtricos (IMC- ndice de massa corprea, CA- circunferncia abdominal, RCQ- razo cintura/quadril, RCArazo cintura altura e PSE- prega subescapular), PAS e PAD- presso arterial sistlica e diastlica, respectivamente, e laboratoriais (CT- colesterol total, HDL, LDL, TGL- triglicrides, I/G- razo insulina glicose, HOMA- homeostatic model assessment for insulin resistance) de risco para o desenvolvimento de SM e observar a sua prevalncia em crianas e adolescentes com excesso de peso. Foi conduzido estudo transversal, em amostra aleatria, de convenincia, onde foram avaliadas 60 crianas e adolescentes com excesso de peso, atendidas no ambulatrio de endocrinologia peditrica do Hospital de Pediatria da Universidade Federal do Rio Grande do Norte (UFRN) com idade mnima e mxima de 7 e 15 anos, de maio de 2009 a abril de 2010. Foram admitidos os indivduos que apresentavam sobrepeso (IMC P > 85 e < 95) ou obesidade (IMC P > 95) (CDC, 2000) e histria familiar positiva para DM2 em parentes de primeiro ou segundo grau ou algum dos sinais de resistncia insulnica (acantose, hipertenso arterial, dislipidemia, sndrome de ovrios policsticos). 2 O componente individual para SM mais prevalente foi o percentil da CA ≥ 90 (58,3%), seguido de HDL ≤ 40 mg/dl (36,6%). Na regresso linear simples, observaram-se as variaes para mais nos parmetros laboratoriais e de PA para cada unidade de aumento de IMC, CA, RCA, RCQ e PSE, sendo significantes as seguintes correlaes: CA com TGL, HOMA IR, I/G, PAS e PAD; RCQ com TGL, HOMA, I/G, LDL e glicemia; RCA com TGL; PSE com TGL, HOMA-IR, I/G e PAS; e IMC com HOMA IR, I/G, PAS e PAD. De acordo com os critrios da IDF (Federao Internacional de Diabetes International Diabetes Federation) 2007, o diagnstico de SM foi encontrado em seis indivduos (10%). Do total, oito (13,3%), estavam em situao de sobrepeso e 52 (86,6%), obesos. As evidncias de correlao CA e RCQ, medidas de obesidade centrpeta, com vrios marcadores como TGL e HOMA, j sabidamente relacionados SM, chamam ateno para a necessidade de utilizao dessas medidas de forma mais rotineira na prtica peditrica, por serem de fcil obteno, baixo custo e mtodo no invasivo. Os valores de CA, RCQ, RCA e PSE, quando elevados devem justificar maior detalhamento na avaliao laboratorial de possvel resistncia insulnica. importante a identificao de crianas e adolescentes que preencham os requisitos para o diagnstico da SM, pois so indivduos de maior risco metablico e devem ser adequadamente acompanhados.
Resumo:
Diabetes Mellitus (DM) and osteoposes are chronic diseases with great socioeconomic consequences, mainly due to the late complications and consequent disabilities. The potential effects of DM on bone metabolism remain a very conroversial issue, and disagreement exists with regard to the clinical implications of diabetic osteopenia and the mechanism of its ocurrence. The issue is further complicated by the contribuicion of the especific factors, such as duration of disease an dthe degree of metabolic control. The objective of this study is to identify the osteopathy in children and adolescents with DM 1 assisted in the hospital of pediatrics, UFRN, through biochemical markers of bone and mineral metabolism and the extent of bone mineral density. The study was composed by 74 diabetics type 1 patients (DM1) of both gender and aged 6 to 20 yars. Normoglicmic group was composed by 97 healthy subjects of both genders, which showed the same age range of DM1, in addition to same socioeconomic class. These individuals qere students from the networks of public education in the city of Natal-RN, randomly invited to paticipate in our study. Both groups DM1 and NG were divided intofour subgroups, according to the classification of tanner , T1, T2, T3, T4 for achieving a benchmark. Diabetic individuals showed up with a poor glycemic control. the group DN1 T4 showed an incresead value for total protein, albumin, urea and microalbumiuria are predictors of grumelura injury in DM1 patients . The total alkaline phosphatase activitywas kept on high levels for both groups because they are in a stature development age. For osteocalcin there were decreased levels for groups Dm1 T1, T2, and T3 when compared to their NG (s), suggesting that this decrease could be associated with reduction in the number and/or differentiation os osteoblasts thereby contributing to reducing bone formation. There were no changes in the activity of TRAP. The serum concentrations of total and ionized calcium, phosphorus and magnesium were included within the RV. It was observed that the BMD (Z- SCORE ) has always been within the RV for both groups, despite to DM1 T4. Taking all together, our results support the hypothesis that children and adolescents with type 1 DM present the risk in the long run to suffer a reduction in the bone mass, associated to poor glicemic control and disease duration. It could limit the bone growth and increase the probality of development of osteopenia, as well as other complications surch as retinopathy and renal failure
Resumo:
The Hospital Epidemiology Nucleus (NHE) is a structure that has a specific organizational climate, which influence the level of job satisfaction among professionals working in it. This is a descriptive study with a quantitative approach, aimed to identify the relationship between organizational climate in the NHE regulated in the city of Natal / RN and the job satisfaction among its professionals from the perspective of theoretical issues about Organizational Development. The research was carried out in 13 hospitals with different kinds of sponsorship, 9 public, 3 philanthropic and 1 private. Data were collected using the instrument "organization in hospitals: issues relating to climate and job satisfaction , with 33 professionals appointed and active on NHE. This study obtained an appropriate consent of the Research Ethics Committee of the Hospital of Pediatrics Professor Heriberto Ferreira Bezerra, from the Riograndense Northern League Against Cancer and the Federal University of Rio Grande do Norte. Data collected were organized and treated with simple descriptive statistics. It was observed that from 33 of surveyed people, 93% was female, had an average of 40 years old age, with activity duration between 1 and 2 years (84.9%). Furthermore, 45.5% of industry professionals were nurses. It was identified that professionals working in NHE perceive and experience its work environment as an Organization Structure in construction. It was found that with the exception of the aspects "working life", "socio-cultural" and "organizational culture , the other internal and external factors to the NHE does not have strong expression in the forming of an organizational climate conducive to the development of the sector. It was found that 70% of interviewed perceive the organizational climate as favorable for the industry's progress. Regarding the job level of satisfaction, respondents feel fairly satisfied with the organizational structure. Therefore, the results of this study are suggestive that there is some factor that is greatly contributing to a healthy organizational climate that encourages the industry team members of the NHE present behaviors that identify them as actors committed and satisfied with the work, even face of all obstacles to implementation of epidemiological surveillance. Thus, it is suggested for futures studies to seek to determine how the organizational culture, while significant internal factor, influencing the organizational climate establishment of NHE and therefore the level of job satisfaction and well-being of each members of the team
Resumo:
Unlike adult cancer, where cells usually originate from epithelial tissue and is linked to environmental factors, malignant tumors in childhood are mostly of embryonic origin and have a phase of rapid proliferation. When not started chemotherapy at this stage, the tumor increases in size, reducing their growth rate, thus reducing the response to chemotherapy. Childhood cancer is in Brazil, the second cause of mortality among children and adolescents from one to nineteen. His impact on the ranking of diseases becomes significantly important to public health since the first issue is related to accidents and violence. Many children are still sent to the centers of high complexity for cancer treatment with advanced stage disease. The delay in referral to diagnosis can be family, or the difficulty of access to the health sector, or the characteristics of the disease and lack of health staff regarding theme of childhood cancer. Before this problem, we aimed to assess the performance of health teams in the identification of child and adolescent symptoms of cancer in primary care, through the action research methodology, which includes the teaching-learning, seminars, describing the actions of the group and discussing the activities after the training. This study involved thirty-seven health professionals who provide care for children and adolescents in the USF Felipe Shrimp II, the Support Center for Children with Cancer and the pediatric hospital UFRN during the period from March to December 2010. The data were analyzed simultaneously to evaluate actions, following the direction of the analysis of ideas Freires, having as theoretical reference the primary health care. The diagnosis of current reality, as knowledge of the health team targeted for early identification of signs and symptoms raised through questioning, presented as generative themes: resistance to change, awareness of the need for apprehension of knowledge; prior knowledge through the media, fragmentation of the healthcare network, interfering with the operation of the reference and counter, the stigma of death, among others. The selected themes enabled the choice of content for the preparation of four seminars, such as implementation of collective action for discussion problematical. The teaching-learning process has allowed the study participants awareness of the problem and work through the knowledge acquired by interfering in decreasing the time interval between the identification of signs and symptoms of cancer and early specialist treatment. Their difficulties we are faced with a diagnosis of terminal cancer and associated with delayed access to laboratory tests and imaging necessary for the diagnosis of neoplasms. Thus, we find that when the team is consciously involved in the education process from identification of the problem situation, there may be significant changes in daily activities through awareness of being. However, we also realize that acquisition of knowledge and interest of the team are not enough, since to be efficiency of our service, we need an organization of cancer care network operating in the state of Rio Grande do Norte
Resumo:
A presente pesquisa teve como objetivo analisar as transformaes do cotidiano profissional do enfermeiro do hospital universitrio aps a realizao do curso de mestrado. Trata-se de um estudo com abordagem qualitativa, realizado no Complexo Hospitalar Universitrio da UFRN, composto pelo Hospital Universitrio Onofre Lopes (HUOL), Maternidade Escola Janurio Cicco (MEJEC), e Hospital de Pediatria Professor Heriberto Ferreira Bezerra (HOSPED) localizados em Natal-RN; e pelo Hospital Universitrio Ana Bezerra (HUAB) situado em Santa Cruz-RN. A populao foi composta por vinte e dois enfermeiros, com ttulo de mestre em enfermagem, que trabalham nessas instituies. Aps encaminhamento e aprovao pelo Comit de tica em pesquisa, conforme Parecer n 268.498 e CAAE: 13922713.1.0000.5537, as entrevistas foram iniciadas, utilizando-se um roteiro semiestruturado, organizado em questes orientadas em conformidade com os objetivos do estudo. Do material emprico, emergiram as categorias que foram trabalhadas com base na anlise de contedo temtica, tendo como aporte terico os estudos de Agnes Heller acerca do cotidiano e os de Paulo Freire sobre educao e mudanas, buscando a possvel interlocuo entre esses autores. Os resultados demonstram que o cotidiano dos enfermeiros nos hospitais universitrios, aps cursarem o mestrado, modifica-se a partir da prpria motivao em curslo e do apoio institucional recebido. As continuidades e rupturas apontadas esto distribudas nas categorias: a inrcia da cotidianidade, na qual os enfermeiros relatam a dificuldade em mudar seu cotidiano devido rotina exaustiva e falta de apoio; reconhecem mudanas particulares, compreendendo a formao de um olhar crtico/reflexivo/analtico, e a qualificao para o ensino e pesquisa; e as rupturas do cotidiano, que se referem s mudanas ocorridas no servio, como a melhoria da assistncia, pela implantao de resultados; e uma prtica diferenciada por ter um profissional qualificado. Portanto, considera-se que a realizao do mestrado contribuiu para o crescimento do intelectual e profissional do enfermeiro e, consequentemente, para o servio, no cotidiano do Complexo Hospitalar Universitrio, sendo reconhecido pelos enfermeiros o compromisso com uma maior responsabilidade social. Porm, ainda so necessrias reflexes sobre maneiras de minimizar as dificuldades apontadas, como forma de incentivar essa qualificao
Resumo:
Congenital Toxoplasmosis results in severe systemic disease. If mother is infected for the first time during gestation, she can infect the fetus causing substantial damage. However, relatively little is known about the seroprevalence and epidemiological and economic factors of Toxoplasmosis infection in pregnancy in the most state in northeastern Brazil and knowledge about this can be essential in determining effective and acceptable prevention strategies. Our aim was to determine the prevalence of Toxoplasmosis in pregnant woman consulted by reference Maternity Escola Janurio Cicco in Natal, a city in Northeastern Brazil, which belongs to the public health system, correlating to the risk factors involved in the infection and to accomplish active Search in the Hospital of Pediatrics Prof Heriberto Bezerra of the damages caused by the Toxoplasmic infection in children up to 12 years of age. The study was conducted from March to December 2007 and sera obtained from 190 pregnant women were tested for IgM and IgG antibodies avidity to Toxoplasma by Microparticle enzyme immunoassay (Abbott AxSYM system - Abbott Laboratories, Chicago, IL, USA). Data were examined with univariate analysis. Chi-squared (x2) and Odds ratio was calculated (IC 95% p 0,05). Of these women, 126 (66,3%) had only IgG antibodies high-avidity against T. gondii; 01 (0,52%) had a IgM and IgG high-avidity antibodies against T. gondii and 63 (33,1%) have neither IgM nor IgG against T. gondii. Our studies shown that the direct contact with cats or dogs was highly associated with the Toxoplasma gondii infection (OR, 2.72, p<0.001, 95% CI 1.46 5.02). The years school (p<0,001), socioeconomic status and knowledge about the disease (both p value 0.05) also were associated with Toxoplasmosis. The pattern of risk factors for infection presents regional variations, however our data corroborate others studies in Brazil. In children up to 12 years, one case of Congenital Toxoplasmosis was just registered in seven years (2000 - 2006). There were several suggestive cases, with signs and characteristic symptoms, but that the infection was not confirmed due to lack in the researches through laboratorial and images exams that addressed that it zoonosis
