埃塞俄比亚Arba Minch医院产前门诊孕妇刚地弓形虫感染血清阳性率及相关因素:横断面研究

T. Yohanes, Z. Zerdo, Nega Chufamo, Ashenafi Abossie
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引用次数: 7

摘要

背景:刚地弓形虫(T. gondii)是一种普遍存在的球虫细胞内原生动物寄生虫,可引起弓形虫病。怀孕期间感染弓形虫可导致胎儿严重损伤或死亡,并给后代留下长期后遗症。到目前为止,没有关于研究地区孕妇中弓形虫感染的血清流行率的记录数据。因此,本研究旨在确定在埃塞俄比亚南部Arba Minch医院产前诊所(ANC)就诊的孕妇中弓形虫的血清患病率及其相关因素。方法:采用基于设施的横断面研究设计。采用系统抽样方法对2015年2 - 4月在Arba Minch医院ANC就诊的孕妇232例进行调查。采用前测问卷法收集社会人口学及相关因素数据。采集了约2毫升血液标本,并检测了血清样本的抗t抗体。用酶联免疫吸附法测定刚地IgG和IgM抗体。数据分析采用SPSS version 20。结果:在232例孕妇中,184例血清阳性,弓形虫感染总血清阳性率为79.3% (95%CI;73.7 - -84.5)。多因素分析显示生肉消费(AOR=3.211;95% CI: 1.592-6.477)和吃生蔬菜或水果的习惯(AOR=2.669;95% CI: 1.264-5.639)与弓形虫感染显著相关。结论:妊娠妇女弓形虫感染总体血清阳性率较高,血清学证据显示有原发感染。因此,在ANC随访中应考虑弓形虫感染筛查。此外,应提供有关如何尽量减少暴露于危险因素的健康信息,重点是不要吃生肉和生蔬菜。
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 Associated Factors of Toxoplasma gondii Infection among Pregnant Women Attending in Antenatal Clinic of Arba Minch Hospital, SouthEthiopia: Cross Sectional Study
Background: Toxoplasma gondii (T. gondii) is a ubiquitous, coccidian intracellular protozoan parasite that causes toxoplasmosis. T. gondii infection acquired during pregnancy may result in severe damage or death of the fetus and long-term sequelae in offspring. So far, no documented data concerning the seroprevalence of T. gondii infection among pregnant women is available in the study area. Therefore, this study was aimed at determining of T. gondii sero-prevalence and associated factors among pregnant women attending in ante natal clinic (ANC) of Arba Minch hospital, southern Ethiopia. Methods: A facility based cross sectional study design was employed. A total of 232 pregnant women visiting Arba Minch hospital ANC from February to April, 2015 were enrolled by using systematic sampling technique. Data regarding Socio-demographic and associated factors were gathered using pretest questionnaire. Approximately 2 milliliters of blood specimen was collected and serum samples were tested for anti-T. gondii IgG and IgM antibody using Enzyme Linked Immunosorbent Assay. Data were analyzed using SPSS version 20. Results: Out of the total 232 pregnant women tested, 184 were found to be seropositive, giving overall seroprevalence rate of T. gondii infection 79.3% (95%CI; 73.7-84.5). On multivariate analysis showed that consumption of raw meat (AOR=3.211; 95% CI: 1.592-6.477) and habit of eating raw vegetables or fruit (AOR=2.669; 95% CI: 1.264-5.639) were significantly associated with T. gondi infection. Conclusion: The overall seroprevalence of T. gondii infection among pregnant women was high and serological evidence of primary infection was observed. Therefore, screening of Toxoplasma infection should be considered during ANC follow up. Moreover, health information about ways to minimize exposure to the risk factors should be provided with main focus on not eats raw meat and raw vegetables.
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