Factors associated with folic acid knowledge and intake among pregnant women in Sudan

Preconceptual folic acid use is known to have a protective effect against neural tube defects [NTDs]. This study assessed knowledge and determinants of awareness on folic acid use among pregnant women at Omdurman Maternity Hospital, Sudan during 2014. The standardized, anonymous questionnaire was used to collect data. Almost 80% of respondents had heard of folic acid. College-educated women [92.2%] knew more about folic acid and used it more often in the pre-conceptual period [8.3%]. Doctors were the commonest source of information on folic acid [62%]. Fewer subjects [8.9%] knew that it prevented birth defects, and 33.8% of subjects knew that green leafy vegetables are a source of folic acid. Of all subjects, only 3.2% use it preconceptually. Supplementation of folic acid preconceptually needs to be addressed in order to reduce the rate of NTDs found in Sudan

Acute Toxoplasma gondii infection in children with reactive hyperplasia of the cervical lymph nodes

To determine the seroprevalence of Toxoplasma gondii [T. gondii] in children with reactive hyperplasia of the cervical lymph nodes. This cross-sectional prospective study was conducted in Khartoum Children Emergency Hospital, Khartoum, Sudan between January 2010 and April 2011. Eighty children with cervical lymphadenopathy were selected using random sampling. Their lymph nodes were aspirated for cytology, and a blood sample was collected from all patients for routine laboratory analysis and T. gondii IgG and IgM antibodies. Among 80 children with cervical lymphadenopathy, 60 [75%] had non-specific reactive hyperplasia. The seroprevalence of T. gondii among children with cervical lymphadenopathy was 27.5% [n=22], and the seropositivity of acute T. gondii among those with reactive hyperplasia was 36.7% [n=22/60]. Lymph nodes in the T. gondii positive group were mobile and warm [p<0.05]. The clinical features and laboratory tests were insignificant predictors of acute T. gondii infection with reactive hyperplasia of the cervical lymph nodes. The prevalence of acute T. gondii infection is high among children with non-specific reactive hyperplasia of the cervical lymph nodes. Routine laboratory studies are not helpful in the diagnosis of T. gondii infection with reactive hyperplasia of the lymph nodes however, serological studies may be requested prior to invasive procedures