scholarly journals Seroprevalence of Toxoplasma gondii among pregnant women attending antenatal clinics at Hawassa University comprehensive specialized and Yirgalem General Hospitals, in Southern Ethiopia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Demissie Assegu Fenta

Abstract Background Toxoplasmosis is caused by infection with the protozoan parasite Toxoplasma gondii. It is acquired by consumption of raw or undercooked meat containing tissue cyst, food or water contaminated with oocyst and congenital infection through the placenta leading to serious congenital abnormalities in the fetus like miscarriage, stillbirth, intrauterine death and neurologic defects. Therefore; this study was aimed to determine the prevalence of toxoplasmosis infection and its possible risk factors associated with pregnant women attending antenatal clinics in Hawassa and Yiregalem Hospitals, Southern Ethiopia. Methods A hospital-based cross-sectional study was conducted from December 2016 to May 2017. The study was done in antenatal care clinics of Hawassa and Yiregalem Hospitals in Southern, Ethiopia. Five hundred pregnant women were interviewed with a pretested structured questionnaire to collect risk factors and socio-demographic data. Blood samples were collected and serum was separated and tested for anti- Toxoplasma gondii antibodies using ELISA (Enzyme-linked Immunosorbent Assay). Data were analyzed using SPSS version 20 statistical software. The risk factors were tested for significance using Bivariate and multivariate analysis. P-value < 0.05 was considered statistically significant. Results The weighted prevalence of this study was 81.8% for the anti- Toxoplasma gondii antibody. Almost all participants (99.6%) had no information about the disease. A significant association was observed between seroprevalence and contact with domestic cats (OR = 1.206, 95% CI (1.627–2.206, P = 0.043), consumption of raw meat (OR = 0.848, 95% CI: 1.517–2.941, P = 0.019) and unpasteurized milk (OR = 0.871, 95% CI 1.531–2.221, P = 0.032). A significant association was not observed between seroprevalence and age, history of abortion, and blood transfusion. Conclusions The findings of this study demonstrated a relatively higher prevalence of seropositivity than studies reported from other countries. Existence of domestic cats at home, consumption of undercooked meat and unpasteurized milk were identified as risk factors for T. gondii infection. Therefore, a health education program to increase the mother’s knowledge about toxoplasmosis towards avoiding eating undercooked meat, contact with cats and consumption of unpasteurized milk during pregnancy is recommended. Furthermore, our results suggested that the implementation of newborn screening and follow-up testing can lead to reducing of toxoplasmosis associated complications.

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Shahrzad Soltani ◽  
Ali Dalir Ghaffari ◽  
Mehdi Sagha Kahvaz ◽  
Mohamad Sabaghan ◽  
Marzieh Pashmforosh ◽  
...  

Background. This research was aimed at evaluating the seroprevalence of acute and chronic Toxoplasma gondii (T. gondii) infection in pregnant women and related risk factors in southwest Iran. Methods. In this cross-sectional study, eighty-eight pregnant women were included from October 2019 to December 2019. The presence of anti-T. gondii IgM and IgG antibodies was measured using the enzyme-linked immunosorbent assay (ELISA). In addition, a questionnaire consisting of demographic information was completed for each subject. Results. The overall seroprevalence of T. gondii infection was estimated to be 34.09% (30/88). Of these, 1 (1.13%) and 29 (32.95%) samples were found positive for IgM and IgG, respectively. Regarding the risk factors, the consumption of raw/undercooked meat ( P value = 0.007) and history of abortion ( P value = 0.017) were significantly associated with IgG seroprevalence in pregnant women. Conclusion. The results showed that the pregnant women of southwest Iran might be moderately exposed to T. gondii. Since the risk of acute T. gondii infection in this susceptible group is very important, regular screening tests to diagnose the infection are recommended before pregnancy.


2021 ◽  
Vol 19 (3) ◽  
pp. 557-566
Author(s):  
Ruenruetai Udonsom ◽  
◽  
Ruangrat Buddhirongawatr ◽  
Yoshifumi Nishikawa ◽  
Ragab M. Fereig ◽  
...  

Domestic cats are a potential source of Toxoplasma gondii infection for humans. This study was conducted to determine the seroprevalence and risk factors for T. gondii infection in domestic cats. Cat sera (n = 182) were tested for T. gondii IgG antibodies using the latex agglutination test (LAT) and the GRA7 of T. gondii (TgGRA7)-indirect enzyme-linked immunosorbent assay (iELISA). Univariable and multivariable logistic regression analyses were used to identify the factors associated with T. gondii infection. The overall prevalence rates were 18.1% (33/182) according to LAT, 19.2% (35/182) according to the iELISA and 17.0% (31/182) according to LAT and iELISA. Univariable analyses identified, outdoor access (P = 0.006), being a former stray cat (P = 0.001) and successful hunting behaviors (P = 0.04) as risk factors for T. gondii infection. Outdoor access (OR 2.63, 95% confidence interval (CI) 1.03–6.72) and is a former stray cat (OR 3.69, 95% CI 1.52–8.96) remained significant risk factors in multivariable analyses. This study indicated a relatively high seroprevalence of T. gondii among domestic cats. Cat owners can reduce the risk for T. gondii infection by not allowing their cats to roam free. Furthermore, education about the transmission of the parasite should be provided to prevent infection to the owners.


Author(s):  
Hogir Mohammed Shukri Saadi ◽  
Ahmed Jumaa Ahmed

Recently has been observed globally that toxoplasmosis disease was caused by Toxoplasma gondii and generally its asymptomatic infection in people except pregnant women. Many previous studies were suggested this pathogen transmits by ingesting of undercooked or raw meat contaminated with the oocytes of this parasite. The study aimed to show the seroreactivity of Toxoplasma gondii antibodies among pregnant women and to evaluate association of studied risk factors with infected cases. ELISA technique used for detection of anti-toxoplasma specific IgG and IgM antibodies. A biography form interview for participant was performed to estimate between the risk factors and  toxoplasmosis. The present study was carried out from the beginning of October 2018 to the end of March 2019 and included 90 pregnant women visited Akre general hospital. Out of 90 tested samples, 49 (54.46%) and 4 (4.44%) were positive for IgG and IgM respectively. According to residency factor, pregnant women from villages had higher percentages of IgG (57.14%) and IgM (4.08%) than those lived in the city which were recorded 0% and 48.48%of IgM and IgG respectively. A high percentage of IgG (65.64%) and IgM (7.27%) were found among pregnant women with history of miscarriage. Seropositivity for both IgG (61.90 %) and IgM (9.52%) was higher among pregnant women who had cats compared to those without cat. Seroprevalence of IgM and IgG was 9.67% and 54.83% among population who had undercooked meat, while 1.69% and 59.23% were positive for IgM and IgG respectively, in those well cooked meat meal. Highest positive percentage of IgG (77.77%) was recorded at ages 40-50 years while the lowest rate was (40%) at ages <20 year. Through a seropositive reaction was found that age groups as a possible risk factor by ELISA IgG in which risk increased by rising of age categories. Significant correlation was detected between consumption of undercooked meat and cases positive for IgM. It revealed the association between third trimester and cases with positive IgM. In the conclusion, toxoplasmosis is widespread in the area which requires raising awareness among pregnant women to decrease T. gondii infection and subsequently minimize possibilities of congenital transmission.


2018 ◽  
Vol 14 (33) ◽  
pp. 56 ◽  
Author(s):  
Amivi Tété-Bénissan ◽  
Mlatovi Dégbé ◽  
Holoud Maman ◽  
Abiba K. Banla ◽  
Agnon Balogou ◽  
...  

Objectives: Toxoplasmosis is caused by Toxoplasma gondii. 50 to 70% of African are contaminated and 60% to 80% in Togo. This parasitic infection involves disorders in immunocompromised persons and pregnant women. The purpose of this study is to evaluate the seroprevalence of toxoplasmosis and the risk factors of contamination in the Togolese population. Methods: Prospective studies from January 2012 to December 2015 concerned 7076 patients. A survey on the risk factors for Toxoplasma gondii contamination has done. The seroprevalence was monitored by examining serological antibodies IgG and IgM using ELISA method. Sampling of 200 excreta of domestic cats were analyzed by coproscopy examinations Results: The average age was 32.61±6.80 years old. The seroprevalence of IgM was 2.85%; and for IgG 59.7%. IgG were high in men (67.0% vs. 58.6%, p<0.0001); IgM were high in women (2.81% vs. 1.85%, p<0.01). In this study, we observed 57.49% immunized subjects. Regarding potential risk factors for contamination, the survey revealed that 80.5% of subjects consume raw garden produce, 65.4% non-potable and 8.3%  undercooked meat. In cats, 20.5% of them excreted oocysts of Toxoplasma gondii. Conclusion: The prevalence of the toxoplasmosis was high in the Togolese population because the risks factors were variable and the level of contamination were high too. The country’s health authorities, especially for the pregnant women, should install sensitization and prevention programs on the risks of the contamination of toxoplasmosis. The high proportion of the young subjects affected constitutes a socio-economical danger for the country.


2020 ◽  
Vol 13 (1) ◽  
pp. 54-60 ◽  
Author(s):  
Abdelbaset E. Abdelbaset ◽  
Maha I. Hamed ◽  
Mostafa F. N. Abushahba ◽  
Mohamed S. Rawy ◽  
Amal S. M. Sayed ◽  
...  

Background and Aim: The cosmopolite protozoan, Toxoplasma gondii, has a significant economic and medical impact. Cats traditionally play a predominant role in the disease maintenance cycle; however, humans can be infected as a result of milk and meat consumption of Toxoplasma-infected livestock. In addition, infected pregnant women, even symptomless, can pass the disease to their unborn fetus. The limited clinical records and absence of specific national educational programs in countries like Egypt underscore the need for periodic toxoplasmosis disease evaluation. Here, we identified T. gondii seroprevalence among sheep and pregnant women and the associated risk factors in El-Minya Governorate, Egypt. Materials and Methods: Using peripheral blood, we detected T. gondii-specific antibodies in 151 sheep and 96 pregnant women sera from El-Minya Governorate using latex agglutination and indirect enzyme-linked immunosorbent assay. The impact of different environmental and behavioral risk factors identified with in-person interviews and serology results on acquiring toxoplasmosis was statistically analyzed. Results: The overall toxoplasmosis seroprevalence was 39.1% and 22.9% in sheep and pregnant women, respectively. Significantly higher seroprevalence was correlated with increasing sheep age and geographical location. Nonetheless, no statistical significance was found based on abortion history and pregnancy status of the examined sheep. Exposure factors important for pregnant women included pregnancy trimester, contact with cats, and the habit of eating undercooked sheep meat, which all had a statistically significant association with Toxoplasma seropositivity. Conclusion: The current study confirms increased antibodies against toxoplasmosis in both sheep and pregnant women in El-Minya Governorate and a clear association between women's age, contact with cats, and the habit of eating undercooked sheep meat and seroreactivity to T. gondii. These results strongly suggest the need for a more comprehensive epidemiological study and public health awareness education for toxoplasmosis.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Shahrzad Soltani ◽  
Ali Dalir Ghaffari ◽  
Mehdi Sagha Kahvaz ◽  
Mohamad Sabaghan ◽  
Marzieh Pashmforosh ◽  
...  

Background: Acute Toxoplasma gondii infection during pregnancy period can cause congenital toxoplasmosis. The aim of this study was to assess the seroprevalence rate of immunoglobulin G (IgG) and immunoglobulin M (IgM) antibodies against T. gondii infection during pregnancy and the associated risk factors in southwest Iran. Methods: This study was performed on 88 pregnant women from October to December 2019 in Khorramshahr County, Khuzestan province, Iran. Anti-T. gondii IgG and IgM antibodies were tested through enzyme-linked immunosorbent assay (ELISA) method. Results: Following serological assays, 38.63% (34/88) and 2.27% (2/88) serum samples were positive for IgG and IgM antibodies, respectively. Also, a statistically significant association was observed between IgG seroprevalence and drinking of unpurified water (P = 0.015). Conclusions: The serological evidence revealed that pregnant women of southwest Iran had moderate exposure to T. gondii parasite. Since the risk of acquiring acute toxoplasmosis in pregnant women is clinically important, we highly recommend regular screening tests for T. gondii infection during pregnancy period.


2021 ◽  
pp. 9-17
Author(s):  
Ocheme Julius Okojokwu ◽  
Innocent Ajegba Onaji ◽  
Entonu Elijah Entonu ◽  
Bashiru Abubakar ◽  
Maryam Adebayo ◽  
...  

Toxoplasma gondii infection causes high rate of gestational and congenital infection across the globe and is considered a both a public health problem and a neglected disease. The study was carried out to determine the prevalence of anti-Toxoplasma gondii antibodies and the associated risk factors among pregnant women attending antenatal care in some Primary Health Centres in Jos, Plateau State, Nigeria. In this cross-sectional study carried out within 5 months between Jan – May 2019, a total of 182 blood samples were collected from consenting pregnant women. Structured questionnaire was used to obtain data on socio-demography and risk factors. Three millilitres (3 ml) of blood samples were collected from the study participants. Sera were separated from the blood and evaluated for anti-Toxoplasma gondii antibodies (IgG and IgM) using enzyme-linked immunosorbent assay (ELISA). The data collected from the experiment were analysed using Statistical Package for the Social Sciences. Out of the 182 samples examined, 84 (46.2%) had anti-Toxoplasma gondii IgG antibody, 2 (1.1%) had IgM antibody while 98 (53.4%) were neither seropositive for IgG nor IgM. Trimester of pregnancy was significantly associated with prevalence of anti-Toxoplasma IgM antibody. In conclusion, Toxoplasmosis is prevalent in Jos. Eleven out of every 1000 women (i.e. 1.1%) had recent toxoplasmosis and 53.4% were not protected against primary infection thereby underscoring the need for prevention and control during pregnancy through enlightenment.


Author(s):  
Saleha Alarabi Algusbi

The study was conducted to determine the occurrence of risk factors of Toxoplasma gondii infection amongst pregnant and non-pregnant women at Sabratha Teaching Hospital and Surman Clinic. The study included cities from the Western region of Libya (Sabratha, Surman, El-Ajelat, Motred, Abo essa, Al-Sabreya and Tripoli). A total of 65 women, 41 pregnant and 24 non-pregnant with the average age from 20 and over 41 years were included in this study. Interviews were conducted using a structured questionnaire survey. The water consumed level originated from treated water (50.8%), mineral water (36.9%), wells water (10.8%) and taps water (1.5%). The majority (87.7%) consumed Chicken meat more often, whilst (53.8%) consumed Beef, thoroughly cooked meat was preferred by (87.7%). Few (1.5%) used gloves when dealing with meat. All respondents washed fruits and vegetables before consumption, consumed milk was (66.2%) of the women, while (10.8%) preferred unpasteurized milk. Only (4.6%) of women owned cats, whilst 6.2% handling them, and 33.8% were in contact with soil. (47.6%) has O blood type. 63.1% of total respondents were pregnant women, of them 70% were aborted previously one time and 14.8% were aborted two times, 11% were aborted three times and 3.7% were aborted four times. The majority of them had some knowledge about toxoplasmosis but few known of the transmission mechanism. Also the study revealed that (3.70%) of aborted respondents was owning cats or dogs, 40.7% of them were dealing with soil and all previously aborted respondents were not using gloves while handling meat. Comparison between previous abortion incidences and consumption of milk showed that 70.4% of aborted women were consumed milk daily, and regarding water sources 55.6% of aborted respondents consumed treated water and 18.5% of them consumed wells or taps water. Knowledge of these risk factors will help to reduce and prevent toxoplasmosis. The study needs further health education to increase awareness of risk factors of toxoplasmosis.


2020 ◽  
Vol 23 (2) ◽  
pp. 131-139
Author(s):  
Ahmed J. Ahmed ◽  
Bayar K. Zeebaree ◽  
Ramadhan A. Khanamir

Toxoplasmosis during pregnancy has an adverse effect on pregnant women, fetus and neonatal. The infection is generally asymptomatic but can cause severe effect on the fetus and immunocompromised women. Control study conducted on 77 pregnant women categorized according to the risk factors influencing toxoplasmosis infection. Specific anti Toxoplasma gondii IgG and IgM were evaluated using Enzyme-linked immunosorbent assay (ELISA) test kits. Among 77 pregnant women, (57.1%) women had toxoplasmosis, seropositive for latent infection with specific Toxoplasma gondii immunoglobulin G (IgG) antibodies were (54.54 %), whereas acute infection immunoglobulin M (IgM) were only in (2.59 %) cases. The seroprevalence of Toxoplasma was higher in older pregnant women (> 60%) than younger ones (<50%). The specific IgG antibody was higher in pregnant women working in farms (65.7 vs 45.23; P=0.053). Also, the seropositive IgG antibody was low in the first trimester and high in rural areas. Pregnant women need to educate more about toxoplasmosis and prevention to exposure in order to reduce the risk of congenital toxoplasmosis.


Author(s):  
Ifeoma N. Obijiaku ◽  
Jacob K.P. Kwaga ◽  
Junaidu Kabir ◽  
Idris A. Lawal ◽  
Damer P. Blake

Background: Toxoplasmosis causes serious economic losses in livestock. Congenital transmission can occur in pregnant women, commonly with serious consequences.Methods: A cross-sectional study was designed to screen for the absence or presence of anti-T. gondii IgM or IgG antibodies and explore associated risk factors in pregnant women (n=261) that attended antenatal clinics in selected hospitals in Benue state, Nigeria. Blood samples were subjected to enzyme linked immunosorbent assay (ELISA). Information on sociodemographic data and possible risk factors were obtained using a structured questionnaire.Results: Out of 261 pregnant women, 19 (7.3%) and 108 (41.1%) were seropositive for anti-T. gondii IgM and IgG respectively. Comparison of IgM and IgG results suggested that 4.4% presented evidence of possible primary infection, 38.7% previous exposure, 2.8% possible reactivated or chronic infections and 51.8% were susceptible to T. gondii infection. The nature of women’s housing was significantly associated with anti-T. gondii IgM seropositivity (p <0.05). Pregnant women that lived in mud houses with thatched roofs were three times more likely to be seropositive than those who lived in concrete/brick houses with aluminium/zinc roofs (OR=3.123, 95% CI:1.027, 9.495). The study also showed that 17.7% of apparent infections were attributable to the nature of housing. More than half of the women sampled were at risk of contracting primary toxoplasmosis.Conclusion: Screening for anti- T. gondii antibodies during antenatal care is advocated in order to detect affected women so that appropriate management strategies can be implemented.


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