pediatrics
Congenital Toxoplasmosis
Prevention of Congenital Toxoplasmosis
Pregnant women should be counseled to avoid contact with cat litter boxes and other areas contaminated with cat feces. Because oocysts require > 24 hours after excretion to become infectious, conscientiously changing the entire litter box on a daily basis while wearing gloves followed by careful handwashing should reduce infection by this route if other members of the household cannot handle litter box chores. Meat should be thoroughly cooked before consumption by pregnant women. Fruits and vegetables should be washed thoroughly or peeled, and all food preparation should be followed immediately by handwashing. Women at risk of primary infection (eg, those frequently exposed to cat feces) should be screened during pregnancy. Women infected during the 1st or 2nd trimester should be counseled regarding available treatments. 