rev. Méd. roSArio 87: 163-164, 2021  
RESÚMENES DE PUBLICACIONES  
TRYPANOCIDAL THERAPY AMONG CHILDREN INFECTED WITH CHRONIC INFECTION BY  
TRYPANOSOMA CRUZI. SEROLOGICAL AND ELECTROCARDIOGRAPHIC CHANGES OVER A  
MEAN TWENTY-FIVE-YEARS FOLLOW-UP PERIOD  
SuASnáBAr S, oliverA lv, AriAS e, BizAi Ml, BottASSo o, AriAS e, fABBro d.  
is study compared the serological and electrocardiographic patients (OR = 0.18, 95% CI = 0.04-0.79; p = 0.023).  
evolution among patients with chronic T. cruzi infection Electrocardiographic abnormalities attributable to Chagas  
treated during childhood or left untreated. A retrospective cardiomyopathy were seen in 3 patients from the untreated  
cohort study was conducted during a mean follow-up group (complete right bundle branch block + left anterior  
period of 25 years in 82 patients: half of them underwent fascicular block, frequent ventricular+ extrasystole,  
treatment (nifurtimox 8, benznidazole 33) before being and left anterior fascicular block). e remarkable  
1
5 years old, whereas the other half remained untreated. seronegativization seen in Benznidazole and Nifurtimox  
During the follow-up, negative seroconversion occurred in recipients underlines the parasiticidal effect of both  
2.7% of the treated children, while all the untreated ones compounds. Such demonstration along with the fact that  
remained positive for conventional serology. At baseline, CCC-related alterations were only present in the untreated  
patients from each group had electrocardiographic group, reinforces the view of trypanocidal treatment in  
abnormalities. During the study period, 4/41 (9.75%) and chronically T. cruzi-infected children as decreasing the risk  
/41 (21.95%) of treated and untreated patients displayed for cardiomyopathy development.  
9
2
9
an altered electrocardiogram, respectively. In multivariate  
analyses, the probability of developing electrocardiographic  
abnormalities was significantly reduced among treated  
Acta Tropica 222: 106 050, 2021.  
ABORTION-RELATED MORBIDITY IN SIX LATIN AMERICAN AND CARIBBEAN COUNTRIES:  
FINDINGS OF THE WHO/HRP MULTI-COUNTRY SURVEY ON ABORTION (MCS-A).  
MAriAnA roMero, rodolfo goMez ponce de león, luiz frAnciSco BAccAro, BereniSe cArroli,  
hedieh MehrtASh, JiMenA rAndolino, eliSA MenJivAr, erikA eStévez SAint-hilAire, MAríA del  
pilAr huAtuco, roSAlindA hernández Muñoz, gABrielA gArcíA cAMAcho, Soe Soe thwin, liA-  
nA cAMpodonico, edgArdo áBAloS, dAniel giordAno, hugo gAMerro, cAron rAhn kiM, BelA  
gAnAtrA, Metin gulMezoglu, ozge tuncAlp, guillerMo cArroli  
Introduction  
countries of the Americas region. Methods is is a cross-  
Abortion-related complications are a significant cause of sectional study of 70 health facilities across six countries  
morbidity and mortality among women in many Latin in the region. We collected data on women’s characteristics  
American and Caribbean (LAC) countries. e objective of including socio-demographics, obstetric history, clinical  
this study was to characterise abortion-related complication information, management procedures and using Audio  
severity, describe the management of these complications and Computer-Assisted Self-Interviewing (ACASI) survey the  
report women’s experiences with abortion care in selected experience of abortion care. Descriptive bivariate analysis  
REVISTA MÉDICA DE ROSARIO  
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rev. Méd. roSArio 87: 163-164, 2021  
was performed for women’s characteristics, management experiencing severe maternal outcomes compared with  
of complications and reported experiences of abortion care mild complications. Management of abortion-related  
by severity of complications, organised in five hierarchical complications included both uterotonics and uterine  
mutually exclusive categories based on indicators present at evacuation for two-thirds of the women while one-  
assessment. Generalised linear estimation models were used third received uterine evacuation only. Surgical uterine  
to assess the association between women’s characteristics and evacuation was performed in 93.2% (7437/7983) of  
severity of complications.  
Results  
women, being vacuum aspiration the most common one  
(5007/7437, 67.4%). Of the 327 women who completed  
We collected data on 7983 women with abortion-related the ACASI survey, 16.5% reported having an induced  
complications. Complications were classified  
abortion, 12.5% of abortion care in LAC. Results aim  
as mild (46.3%), moderate (49.5%), potentially life- to inform policies and Programmes addressing sexual and  
threatening (3.1%), near-miss cases (1.1%) and deaths reproductive rights and health in the region.  
(
0.2%). Being single, having a gestational age of ≥13  
weeks and having expelled products of conception before  
arrival at the facility were significantly associated with  
BMJ Global Health 2021;6:e005618.  
No os fiéis de quienes dicen que no creen en nada.  
Amado Nervo  
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