尼日利亚西南部Ile Ife孕妇中弓形虫感染的血清阳性率和相关危险因素

Titus Adeniyi Olusi, Saheed Adekola Salawu, Mobolanle Oladipo Oniya
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摘要

本研究调查了在尼日利亚西南部Ile Ife产前护理诊所就诊的孕妇中抗弓形虫IgG和IgM抗体的血清阳性率及其相关危险因素。2019年6月至10月在研究区内的三家主要卫生保健机构进行了横断面医院研究。在研究期间招募了320名年龄在14-50岁之间的孕妇,使用ELISA测试对她们的血液样本进行了抗弓形虫IgG和IgM抗体的筛选。结构化问卷也被用于获取参与者的信息;社会人口统计数据和与感染有关的一些危险因素。320例孕妇中,弓形虫总血清阳性率为34.68%,其中IgG血清阳性率为23.75%,IgM抗体血清阳性率为10.94%。研究分析还发现,弓形虫血清阳性随孕妇年龄的增加而增加,随受教育程度的增加而降低。弓形虫感染血清阳性与婚姻状况、养猫、品尝生肉/未煮熟肉的习惯以及家中是否存在啮齿动物/蟑螂之间存在显著关联(P?0.05)。本研究结果表明,研究区抗弓形虫抗体血清阳性率较高。因此,有必要教育孕妇了解可能导致弓形虫感染的危险因素,以减少其后代和新生儿中的先天性弓形虫病例。将弓形虫抗体检测作为对孕妇进行的产前调查的一部分也非常重要。关键词:刚地弓形虫,孕妇,血清阳性率,感染,危险因素,婚姻状况,养猫
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Seroprevalence and risk factors associated with Toxoplasma gondii infection among pregnant women in Ile Ife, Southwestern Nigeria
This study investigated the seroprevalence of anti-Toxoplasma IgG and IgM antibodies as well as associated risk factors among pregnant women attending ante-natal care clinics in Ile Ife, Southwestern, Nigeria. A cross sectional hospital study was carried out in three major health care facilities within the study area between June and October, 2019.  Three hundred and twenty pregnant women aged between 14-50 years were enrolled during the study period and their blood samples were screened for IgG and IgM antibodies against T. gondii using ELISA test. Structured questionnaires were also used to obtain participants’ socio-demographic data and some risk factors associated with the infection. Among the 320 pregnant women studied, overall seroprevalence of T. gondii was 34.68%, whereas 23.75% of the pregnant women were seropositive to IgG, 10.94% showed seropositivity to IgM antibodies. The analysis of the study also revealed that the seropositivity of T. gondii increased as the age of the pregnant women increased and decreases with increase in level of educational attainment. Significant associations were recorded among seropositivity of T. gondii infection and marital status, cat ownership, habit of tasting raw/undercooked meat and presence of rodents/cockroaches in the household (P? 0.05). The findings of this study show that the seropositivity to anti-toxoplasma antibodies is high in the study area. Therefore, there is a need to educate pregnant women about the risk factors that can lead to toxoplasma infection in order to reduce congenital toxoplasma cases among their offspring and newborns. It is also very important to include testing for toxoplasma antibodies as part of the ante-natal investigation that will be carried out on pregnant women. Key words: Toxoplasma gondii, pregnant women, seroprevalence, infection, risk factors, marital status, cat ownership.
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