在布基纳法索三个地区的城乡卫生机构接受产前保健服务的孕妇中弓形虫病抗体的流行:一项横断面研究

IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL
Achille Sindimbasba Nikièma, Armel Moumouni Sanou, Mamadou Ouattara, Barnabé Relwendé Yaméogo, Ad Bafa Ibrahim Ouattara, Mariam Seynou, Djara Konaté, Nina Geneviève Mathuola Ouattara, Dieudonné Ilboudo, Ina Marie Angèle Traoré, Henri Gauthier Ouédraogo
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引用次数: 0

摘要

背景与目的先天性弓形虫病可导致胎儿和新生儿严重疾病或流产,发病率和死亡率高。在布基纳法索,虽然城市地区有弓形虫病的血清流行率数据,但农村地区缺乏这类数据。本研究旨在确定在农村和城市地区初级卫生机构接受产前服务的孕妇中弓形虫病的血清患病率。方法于2022年7月至2023年6月在Cascades (n = 2)、Hauts-Bassins (n = 2)和sud - west (n = 2)地区的卫生机构进行横断面研究。所有在医疗机构接受产前护理并同意参与研究的孕妇均被纳入研究对象。采集每位孕妇静脉血样本,使用快速诊断试验分析血清中IgG和IgM抗体。测定血清IgM和IgG的阳性率。通过双变量和多变量分析评估血清阳性率与社会人口学特征之间的关系。结果共纳入筛查孕妇2509例。他们的平均年龄为25.71岁,总体血清阳性率(igm阳性和igg阳性)为29.33% (736)(95% CI: 27.56 ~ 31.16)。在两种抗体均检测呈阳性的736名妇女中,27名血清IgM抗体呈阳性;IgG抗体为703,两种抗体均为6 (Ig M; IgG)。年龄、居住地(农村、城市)、受教育程度对血清阳性率的影响无统计学差异(p = 0.002)。结论妊娠妇女弓形虫病血清阳性率较高,城乡差异无统计学意义。一些妇女在怀孕期间获得感染,突出了先天性弓形虫病的风险。卫生当局应将弓形虫病诊断纳入免费的产前筛查计划,以促进在怀孕期间发现弓形虫病并预防先天性弓形虫病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Prevalence of Toxoplasmosis Antibodies Among Pregnant Women Attending Antenatal Care Services in Urban and Rural Health Facilities in Three Regions of Burkina Faso: A Cross-Sectional Study

The Prevalence of Toxoplasmosis Antibodies Among Pregnant Women Attending Antenatal Care Services in Urban and Rural Health Facilities in Three Regions of Burkina Faso: A Cross-Sectional Study

Background and Aims

Congenital toxoplasmosis can cause severe diseases to the fetus and newborns or abortion, and is associated with significant morbidity and mortality. In Burkina Faso, while seroprevalence data for toxoplasmosis are available for urban areas, such data are scarce for rural areas. This study aims to determine the seroprevalence of toxoplasmosis in pregnant women attending antenatal services in primary health facilities in rural and urban areas.

Methods

A cross-sectional study was conducted between July 2022 and June 2023 in health facilities located in the Cascades (n = 2), Hauts-Bassins (n = 2), and Sud-Ouest (n = 2) regions. All pregnant women attending the health facilities for antenatal care who consented to participate in the study were enrolled. Venous blood samples were collected from each pregnant woman, and serum was analyzed for IgG and IgM antibodies using a rapid diagnostic test. Seroprevalences of IgM and IgG were determined. The association between seroprevalence and socio-demographic characteristics was assessed by bivariate and multivariate analyses.

Results

A total of 2509 pregnant women were enrolled and screened. Their mean age was 25.71 years, and the overall seroprevalence (IgM-positive and or IgG-positive) was 29.33% (736) (95% CI: 27.56–31.16). Of the 736 women tested positive for both antibodies, 27 were seropositive for IgM antibody; 703 for IgG antibody and 6 for both antibody (Ig M; Ig G). No statistically differences were observed in the seroprevalence according to age, place of residence (rural, urban), and educational level of the participant (p = 0.002).

Conclusion

The results of our study indicate a high seroprevalence of toxoplasmosis among pregnant women, with no statistically difference between rural and urban areas. Some women acquired the infection during pregnancy, underscoring the risk of congenital toxoplasmosis. Health authorities should integrate toxoplasmosis diagnosis into a free antenatal screening program to facilitate the detection of toxoplasmosis during pregnancy and prevent congenital toxoplasmosis.

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来源期刊
Health Science Reports
Health Science Reports Medicine-Medicine (all)
CiteScore
1.80
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0.00%
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458
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20 weeks
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