scholarly journals Toxoplasma gondii infection in pregnant women

2013 ◽  
Vol 66 (11-12) ◽  
pp. 459-463 ◽  
Author(s):  
Vera Jerant-Patic ◽  
Vesna Milosevic ◽  
Ivana Hrnjakovic-Cvjetkovic ◽  
Aleksandra Patic ◽  
Sandra Stefan-Mikic ◽  
...  

Introduction. The aim of this study was to determine the percentage of seropositive pregnant women, i.e. of pregnant women infected with Toxoplasma gondii in order to provide an insight into the risk of developing congenital toxoplasmosis in our community. Material and Methods. In the period of two years, 662 pregnant women from Vojvodina were examined serologically. The enzyme-linked immunosorbent assay tests were performed to determine IgM and IgG antibodies against Toxoplasma gondii and the complement fixation test was done to detect total antibodies against Toxoplasma gondii. Results and Discussion. Seropositivity was determined in 180 pregnant women (27.19%). Of 135 pregnant women examined in the routine control in pregnancy, 16.30% were seropositive and out of five proven, completely new Toxoplasma gondii infections, three were detected in pregnant women who had undergone the routine check-up for no specific symptoms. A detailed analysis of the frequency of seropositive findings in relation to clinical diagnoses and the place of residence of pregnant women (urban and rural areas) was performed. At the same time, the results from the serological reactions were presented, commented and interpreted, and recommendations were given for the implementation of additional examinations (eg, IgG antibody avidity test) in order to make the accurate diagnosis. Conclusion. It can be concluded that the occurrence of congenital toxoplasmosis is still a problem in our community and that the best prevention is the prompt and adequate examination of pregnant women for the presence of Toxoplasma gondii infection.

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.


2021 ◽  
Author(s):  
Priscilla Vilela dos Santos ◽  
Débora Nonato Miranda Toledo ◽  
Bianca Alves Almeida ◽  
Valter F Andrade-Neto ◽  
Nathalia S Guimarães ◽  
...  

Abstract Background. Congenital toxoplasmosis (CT) is an infectious disease caused by placental transfer of Toxoplasma gondii protozoa to the fetus, and can generate neurological and neurocognitive deficits, or death. As a mother’s infection poses the risk of fetal transmission in about 30% of the cases, appropriate preventive strategies are required for infection-related risk factors. The present study assessed the prevalence of T. gondii infection and the factors associated with congenital toxoplasmosis in pregnant women with assistance from the Public Health Service at Ouro Preto, Brazil.Methods. This cross-sectional study was conducted between April and December 2020. Pregnant women (n = 131) aged between 13 and 46 years, were recruited and evaluated for specific IgM and IgG antibody levels against T. gondii. These women also responded to a structured questionnaire, which was later used to determine the socioeconomic, environmental, gestational, clinical, and dietary patterns.Results. The prevalence of infection by T. gondii was 45.8% (n = 60); of these, multigravida women were more exposed to infection and were 2.6 times more likely to become infected with T. gondii compared to primigravida women (OR: 2.60; 95% CI: 1.25-5.39). A high prevalence of T. gondii seropositivity was identified in pregnant women in the region of Ouro Preto, Brazil, where part of the sample reported the absence of basic sanitation at home.Conclusion. Our data identified multigravida as a potential risk factor for gestational toxoplasmosis, based on the high positivity of anti-T. gondii serology in these women Thus, educational and preventive measures must be intensified in both primigravida and multigravida women, to increase awareness regarding the potential risks of contact with T. gondii.


2020 ◽  
Vol 2020 (1) ◽  
pp. 1 ◽  
Author(s):  
Dan-Bogdan Navolan ◽  
Florin Gorun ◽  
Cristian Oancea ◽  
Ioana-Mihaela Ciohat ◽  
Daniel Malița ◽  
...  

(1) Background: Toxoplasma gondii and cytomegalovirus belong to a group of pathogens entities called TORCH agents. TORCH represents an acronym which derives from the name of a series of certain pathogenic agents (Toxoplasma gondii, Other agents, Rubella virus, Cytomegalovirus, Herpes virus). They could cross the placenta barrier and cause serious damage to the fetus if a primary infection occurs in a pregnant woman. Immunized women are relatively protected against a reinfection and the risk of a materno-fetal infection in these categories of pregnant women is considered low. (2) Aim of the study: To analyze changes in the percentage of pregnant women seronegative to Toxoplasma gondii and cytomegalovirus along a period of ten years, from 2008 to 2018. (3) Material and Methods: We studied the changes in percentage of seronegative Toxoplasma gondii and Cytomegalovirus pregnant women along two periods: 2008–2010 and 2015–2018. Only pregnant women with declared medium of provenience and unequivocal results were enrolled in the study. (4) Results: In urban areas, we found an increase in the percentage of pregnant women seronegative to Toxoplasma gondii (RR = 1.488, p < 0.0001), respectively to cytomegalovirus (RR = 1.985, p < 0.0001), from 2008–2010 to 2015–2018. A similar increasing trend was found also in rural areas: Toxoplasma gondii (RR = 1.136, p < 0.0322), respectively cytomegalovirus (RR = 1.088, p < 0.8265) but it did not reach a significant threshold for cytomegalovirus. (5) Conclusion: Our study showed that the percentage of women seronegative to Toxoplasma gondii and cytomegalovirus antibodies increases along a period of ten years, from 2008–2010 to 2015–2018, in both urban and rural areas. Probably, the main cause of this trend is represented by the improvement in hygienic condition and food quality control. These results present an argument for continuing the TORCH screening of pregnant women.


PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0245572
Author(s):  
Nurul Fadilah Ali Polanunu ◽  
Sitti Wahyuni ◽  
Firdaus Hamid

The protozoan parasite, Toxoplasma gondii is estimated to infect one-third of the world’s population. Infection in pregnant women can cause severe conditions for their babies. Until now, there is no data regarding Toxoplasma infection from Makassar pregnant mothers. This study aims to obtain information on Toxoplasma specific antibodies and to measure the risk factor associate with parasite infection. This cross-sectional study conducted in 9 of 47 primary health centres (Puskesmas) in Makassar. Blood samples and questionnaires were collected from 184 pregnant women aged 15–42 years old from September to October 2020. ELISA technique was used to examine the IgG and IgM antibodies. Univariable and multivariable analyses were carried out to measure factors that independently associate with Toxoplasma antibody positivity. Our result showed the range of Toxoplasma IgM and IgG are 0.06–1.01 and 0.09–3.01, respectively. While no one of our participants has an acute Toxoplasma gondii infection (IgM positive), we found 32,6% pregnant mothers are exposed to parasite (positive IgG). Contact with cats [OR(95%CI): 10.45(3.77–28.99)], consume chicken satay [OR(95%CI): 9.72(3.71–25.48)] and consume un-boiled water/ filtered water [OR(95%CI): 5.98(1.77–20.23)] are independently associate with positive Toxoplasma IgG antibody. Based on the result, we conclude that pregnant women in Makassar are exposed to T. gondii and the oocyst and tissue cyst of parasite contaminates food and water in Makassar.


2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Mohammed A. K. Mahdy ◽  
Lina M. Q. Alareqi ◽  
Rashad Abdul-Ghani ◽  
Samira M. A. Al-Eryani ◽  
Abdullah A. Al-Mikhlafy ◽  
...  

2011 ◽  
Vol 53 (4) ◽  
pp. 185-191 ◽  
Author(s):  
Renata Cristina Ferreira Dias ◽  
Fabiana Maria Ruiz Lopes-Mori ◽  
Regina Mitsuka-Breganó ◽  
Rafael André Ferreira Dias ◽  
Deise Vieira Tokano ◽  
...  

The aim of the present work was to determine the prevalence of IgG and IgM anti-Toxoplasma gondii antibodies and the factors associated to the infection in pregnant women attended in Basic Health Units in Rolândia, Paraná, Brazil. The sample was divided in two groups: group I (320 pregnant women who were analyzed from July 2007 to February 2008) and group II (287 pregnant women who were analyzed from March to October 2008). In group I, it was found 53.1% of pregnant women with IgG reactive and IgM non-reactive, 1.9% with IgG and IgM reactive, 0.3% with IgG non-reactive and IgM reactive and 44.7% with IgG and IgM non-reactive. In group II, it was found 55.1% with IgG reactive and IgM non-reactive and 44.9% with IgG and IgM non-reactive. The variables associated to the presence of IgG antibodies were: residence in rural areas, pregnant women between 35-40 years old, low educational level, low family income, more than one pregnancy, drinking water which does not originate from the public water supply system and the habit of handling soil or sand. Guidance on primary prevention measures and the quarterly serological monitoring of the pregnant women in the risk group are important measures to prevent congenital toxoplasmosis.


2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Majda Laboudi ◽  
Zoubida Taghy ◽  
Oussama Duieb ◽  
François Peyron ◽  
Abderrahim Sadak

Abstract Background Toxoplasmosis is an infectious disease caused by a protozoan parasite named Toxoplasma gondii (T.gondii). Pregnant women are considered one of the risk groups. The objective of this retrospective study is to provide an updated estimate of the seroprevalence of anti-T. gondii antibodies among a group of Moroccan pregnant women monitored at the Parasitology Laboratory of the National Institute of Hygiene in Rabat in Morocco. Methods Serum samples were tested for the presence of specific anti-T. gondii immunoglobulin G (IgG) and immunoglobulin M (IgM) antibodies using indirect enzyme-linked immunosorbent assay (ELISA). Anti-Toxoplasma IgM- and IgG-positive cases were also evaluated with the anti-Toxoplasma IgG avidity test. All cases were evaluated according to the age, parity, and historical of abortion. Results Among 677 pregnant women, 94.1% (637/677) were serologically screened for the first time and therefore had no knowledge of their serological status, and only 5.9% (40/677) were screened for the second or third time. The overall anti-T. gondii IgG and IgM seropositivity among the 637 pregnant women included in the study analysis was 43% (274/637) and 3.9% (25/637), respectively. The use of the IgG avidity test allowed excluding recent infection among 83% of cases with IgG and IgM positive sera. The mean age was 29.4 ± 6.3 years. The result of the bivariate analysis revealed that the age influenced significantly the seroprevalence rate, while the parity and the existence of previous spontaneous abortion did not have any significant statistical correlation with seropositivity to T. gondii. Conclusion This study shows that 43% of pregnant women were positive and 57% of them had no antibody against the T. gondii infection. However, the pregnancy follow-up and the counseling of pregnant women remain essential for the prevention of congenital toxoplasmosis.


2021 ◽  
Vol 16 (4) ◽  
Author(s):  
Alireza Bakhshipour ◽  
Narjes Sargolzaie ◽  
Raheleh Rafaiee

Background: Recently, epidemiological studies on hepatitis A virus (HAV) infection showed the seroprevalence has been changing due to changes in lifestyle. To the best of our knowledge, there have been no published data on the seropositivity of HAV in Zahedan, southeastern Iran. Objectives: This study aimed to investigate the seroprevalence of HAV immunoglobulin G (IgG) antibody in Zahedan, southeastern Iran, to provide the required information for better planning in preventive strategies. Methods: In this cross-sectional study, using the available sampling method, a total of 250 serum samples (18 years and above) in both the urban and rural areas of Zahedan were evaluated for anti-HAV IgG by enzyme-linked immunosorbent assay. Results: Based on the results, it was observed that 228 out of 250 (91.2%) serum samples were positive for HAV IgG antibody. Male gender, family size, parents’ education, mother’s occupation, and history of jaundice before the age of 12 years were associated with positive HAV antibody (P < 0.001). The seroprevalence HAV rates were not statistically different between the residents of urban and rural regions. Conclusions: The seropositivity of HAV is high in both the urban and rural areas of Zahedan, Iran. Therefore, the HAV vaccination of the general population is not necessary. It is recommended to monitor HAV seroprevalence in the general population to determine high-risk groups, including anti-HAV seronegative individuals, for HAV vaccination in the residents of the southeast border.


2020 ◽  
Vol 35 (1) ◽  
Author(s):  
Berta E. Van der Colf ◽  
Gert U. Van Zyl ◽  
Bruce H. Noden ◽  
Dismas Ntirampeba

Background: When a pregnant woman contracts Toxoplasma gondii (T. gondii) infection during pregnancy, it may be vertically transmitted to the foetus. Information on the incidence of congenital toxoplasmosis (CT) in developing countries is scarce. Most studies focus on the seroprevalence of T. gondii infection among pregnant women. This study aimed to determine the seroprevalence of T. gondii infection among pregnant women attending public antenatal care in Windhoek, Namibia, in 2016.Methods: In this descriptive study, 344 urban pregnant women attending public antenatal care were voluntarily enrolled in the study. Seroprevalence of anti-T. gondii Immunoglobulin G (IgG) was determined by automated immunoassay. Samples with a positive T. gondii IgG result were tested for T. gondii Immunoglobulin M (IgM) and specific IgG avidity by using an enzyme-linked immunosorbent assay (ELISA) test. A questionnaire captured demographic data and exposure to risk factors. Data were analysed using Statistical Package for the Social Sciences (SPSS) and R.Results: Anti-T. gondii IgG was found in nine (2.61%) pregnant women. There was no association of anti-T. gondii IgG with demographic characteristics or exposure to risk factors.Anti-T. gondii IgM was positive in one (0.3%) woman, while three (0.9%) women had borderline anti-T. gondii IgM results. Specific IgG avidity was low, equivocal and high in 0%, 33% and 67% of seropositive pregnant women, respectively.Conclusion: Seroprevalence of anti-T. gondii IgG is much lower in Namibia than is reported in other developing countries. Investigation into specific IgM seropositivity and IgG avidity showed that pregnant women in the central region of Namibia are at low risk of vertical transmission and development of CT.


2000 ◽  
Vol 7 (5) ◽  
pp. 781-787 ◽  
Author(s):  
Shuli Li ◽  
Gina Galvan ◽  
Fausto G. Araujo ◽  
Yasuhiro Suzuki ◽  
Jack S. Remington ◽  
...  

ABSTRACT An enzyme-linked immunosorbent assay (ELISA) using four recombinant antigens of Toxoplasma gondii (rP22, rP25, rP29, and rP35) was used in an attempt to differentiate pregnant women with toxoplasma serologic profiles (TSPs) indicative of recently acquired infections (acute profile) from those with TSPs indicative of infections acquired in the distant past (chronic profile). In general, immunoglobulin G antibodies in sera from women with the acute profile reacted more strongly with the recombinant antigens than did those in sera from women with the chronic profile. However, reactivities differed significantly between antigens that reacted with a single serum and between sera that reacted with a single antigen. Because of these variations, we employed a combination of the four antigens in an ELISA (Comb-ELISA) and evaluated its ability to distinguish pregnant women with the acute profile from those with the chronic profile. Eighteen of 20 (90%) sera from acute-profile women were positive in the Comb-ELISA, whereas 69 of 70 (98.6%) sera from the chronic-profile women were negative. Thus, the Comb-ELISA may be useful for diagnosis of toxoplasmosis in pregnant women and for differentiation between recently acquired infections and infections acquired in the more distant past.


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