{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:32:49Z","timestamp":1767677569338,"version":"3.48.0"},"reference-count":42,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"PROPESQ\/UFNT"},{"DOI":"10.13039\/501100002322","name":"Coordination for the Improvement of Higher Education Personnel","doi-asserted-by":"crossref","award":["No. 008\/2025-PPGSaspt"],"award-info":[{"award-number":["No. 008\/2025-PPGSaspt"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["TropicalMed"],"abstract":"<jats:p>Objective: To determine the prevalence of and risk factors for congenital toxoplasmosis in neonates treated in the public health network of the eastern region of the Brazilian Amazon, northern Tocantins state. Methods: A retrospective cohort study was conducted with neonates born to mothers with gestational toxoplasmosis who received care between 2017 and 2024. The outcome under analysis was positivity for immunoglobulin M in the electrochemiluminescence assay (CLIA). We estimated the prevalence of transplacental infection and respective 95% confidence intervals (95% CI) and its association with risk factors using the odds ratio (or) with a p-value &lt; 0.05 in infected neonates before and after 16 gestational weeks at maternal infection diagnosis. Results: A total of 1142 neonates were surveyed, in which 496 were diagnosed with congenital toxoplasmosis (IgM positive), thus obtaining a prevalence of vertical transmission of 45.4%. The main risk factors for vertical transmission were the mother\u2019s education level equal to or less than eight years, (OR = 1.5; 95% CI 1.2; 2.0) and having less than six prenatal consultations (OR = 22.8; 95% CI 3.0; 172.6). Conclusions: A high prevalence of congenital toxoplasmosis was observed, with higher rates of infection in neonates born to mothers with lower levels of education.<\/jats:p>","DOI":"10.3390\/tropicalmed11010013","type":"journal-article","created":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T18:10:51Z","timestamp":1767204651000},"page":"13","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and Risk Factors for Congenital Toxoplasmosis in Newborns in the Public Health System in the Eastern Region of the Brazilian Amazon, Northern Tocantins State, Brazil: Retrospective Cohort Study"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6843-7597","authenticated-orcid":false,"given":"Stela B. C.","family":"Sousa","sequence":"first","affiliation":[{"name":"Medical School, Health Sciences Center, Federal University of Northern Tocantins (UFNT), Aragua\u00edna 77814-350, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2544-9325","authenticated-orcid":false,"given":"Cl\u00e1udia D. M.","family":"Mangueira","sequence":"additional","affiliation":[{"name":"Medical School, Health Sciences Center, Federal University of Northern Tocantins (UFNT), Aragua\u00edna 77814-350, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1359-6160","authenticated-orcid":false,"given":"Sandro E.","family":"Moron","sequence":"additional","affiliation":[{"name":"Medical School, Health Sciences Center, Federal University of Northern Tocantins (UFNT), Aragua\u00edna 77814-350, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1199-937X","authenticated-orcid":false,"given":"Raphael G.","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Medical School, Health Sciences Center, Federal University of Northern Tocantins (UFNT), Aragua\u00edna 77814-350, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5737-6496","authenticated-orcid":false,"given":"Helierson","family":"Gomes","sequence":"additional","affiliation":[{"name":"Medical School, Health Sciences Center, Federal University of Northern Tocantins (UFNT), Aragua\u00edna 77814-350, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0699-8313","authenticated-orcid":false,"given":"No\u00e9 M. E. P. L.","family":"Costa","sequence":"additional","affiliation":[{"name":"Graduate Program in Biotechnology, Federal University of Tocantins, Gurupi 77402-970, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2664-8027","authenticated-orcid":false,"given":"Alex S. R.","family":"Cangussu","sequence":"additional","affiliation":[{"name":"Graduate Program in Biotechnology, Federal University of Tocantins, Gurupi 77402-970, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1061-196X","authenticated-orcid":false,"given":"Bergmann M.","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Graduate Program in Biotechnology, Federal University of Tocantins, Gurupi 77402-970, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5948-472X","authenticated-orcid":false,"given":"Fabricio S.","family":"Campos","sequence":"additional","affiliation":[{"name":"Graduate Program in Biotechnology, Federal University of Tocantins, Gurupi 77402-970, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3830-9463","authenticated-orcid":false,"given":"Gil R. dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Graduate Program in Biotechnology, Federal University of Tocantins, Gurupi 77402-970, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5169-4968","authenticated-orcid":false,"given":"Raimundo W. S.","family":"Aguiar","sequence":"additional","affiliation":[{"name":"Graduate Program in Biotechnology, Federal University of Tocantins, Gurupi 77402-970, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0985-1035","authenticated-orcid":false,"given":"Kelly M. I.","family":"Silva","sequence":"additional","affiliation":[{"name":"Graduate Program in Biotechnology, Federal University of Tocantins, Gurupi 77402-970, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6119-8412","authenticated-orcid":false,"given":"Alice R.","family":"Mazutti","sequence":"additional","affiliation":[{"name":"Graduate Program in Biotechnology, Federal University of Tocantins, Gurupi 77402-970, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9538-6863","authenticated-orcid":false,"given":"Julliana D.","family":"Pinheiro","sequence":"additional","affiliation":[{"name":"Gurupi Regional Hospital, Gurupi 77405-110, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7096-4719","authenticated-orcid":false,"given":"Frederico","family":"Eug\u00eanio","sequence":"additional","affiliation":[{"name":"Gurupi Regional Hospital, Gurupi 77405-110, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5975-5596","authenticated-orcid":false,"given":"Erica E. L.","family":"Gontijo","sequence":"additional","affiliation":[{"name":"Graduate Program in Biosciences and Health at UNIRG, Gurupi 77425-500, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4172-0306","authenticated-orcid":false,"given":"Sara F. de","family":"Sousa","sequence":"additional","affiliation":[{"name":"Graduate Program in Biosciences and Health at UNIRG, Gurupi 77425-500, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2739-6987","authenticated-orcid":false,"given":"Jaqueline C. 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