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墨西哥北部一家公立医院孕妇弓形虫感染的血清流行病学研究

Seroepidemiology of Toxoplasma gondii infection in pregnant women in a public hospital in northern Mexico.

作者信息

Alvarado-Esquivel Cosme, Sifuentes-Alvarez Antonio, Narro-Duarte Sergio Guadalupe, Estrada-Martínez Sergio, Díaz-García Juan Humberto, Liesenfeld Oliver, Martínez-García Sergio Arturo, Canales-Molina Arturo

机构信息

Faculty of Medicine, Juárez University of Durango State (UJED), Durango, Mexico.

出版信息

BMC Infect Dis. 2006 Jul 13;6:113. doi: 10.1186/1471-2334-6-113.

Abstract

BACKGROUND

Toxoplasma gondii (T. gondii) infection in pregnant women represents a risk for congenital disease. There is scarce information about the epidemiology of T. gondii infection in pregnant women in Mexico. Therefore, we sought to determine the prevalence of T. gondii infection and associated socio-demographic, clinical and behavioural characteristics in a population of pregnant women of Durango City, Mexico.

METHODS

Three hundred and forty three women seeking prenatal care in a public hospital of Durango City in Mexico were examined for T. gondii infection. All women were tested for anti-T. gondii IgM and IgG antibodies by using IMx Toxo IgM and IMx Toxo IgG 2.0 kits (Abbott Laboratories, Abbott Park, IL, USA), respectively. Socio-demographic, clinical and behavioural characteristics from each participant were also obtained.

RESULTS

Twenty one out of the 343 (6.1%) women had IgG anti-T. gondii antibodies. None of the 343 women had IgM anti-T. gondii antibodies. Multivariate analysis using logic regression showed that T. gondii infection was associated with living in a house with soil floor (adjusted OR = 7.16; 95% CI: 1.39-36.84), residing outside of Durango State (adjusted OR = 4.25; 95% CI: 1.72-10.49), and turkey meat consumption (adjusted OR = 3.85; 95% CI: 1.30-11.44). Other characteristics as cat contact, gardening, and food preferences did not show any association with T. gondii infection.

CONCLUSION

The prevalence of T. gondii infection in pregnant women of Durango City is low as compared with those reported in other regions of Mexico and the majority of other countries. Poor housing conditions as soil floors, residing in other Mexican States, and turkey meat consumption might contribute to acquire T. gondii infection.

摘要

背景

孕妇感染弓形虫会给先天性疾病带来风险。关于墨西哥孕妇弓形虫感染的流行病学信息匮乏。因此,我们试图确定墨西哥杜兰戈市孕妇群体中弓形虫感染的患病率以及相关的社会人口学、临床和行为特征。

方法

对在墨西哥杜兰戈市一家公立医院寻求产前护理的343名女性进行弓形虫感染检测。所有女性分别使用IMx Toxo IgM和IMx Toxo IgG 2.0试剂盒(美国雅培实验室,雅培公园,伊利诺伊州)检测抗弓形虫IgM和IgG抗体。还获取了每位参与者的社会人口学、临床和行为特征。

结果

343名女性中有21名(6.1%)具有抗弓形虫IgG抗体。343名女性中无人具有抗弓形虫IgM抗体。使用逻辑回归的多变量分析表明,弓形虫感染与居住在泥土地面的房屋中(调整后的比值比=7.16;95%置信区间:1.39 - 36.84)、居住在杜兰戈州以外地区(调整后的比值比=4.25;95%置信区间:1.72 - 10.49)以及食用火鸡肉(调整后的比值比=3.85;95%置信区间:1.30 - 11.44)有关。其他特征如接触猫、园艺和食物偏好与弓形虫感染未显示出任何关联。

结论

与墨西哥其他地区及大多数其他国家报告的情况相比,杜兰戈市孕妇中弓形虫感染的患病率较低。住房条件差如泥土地面、居住在墨西哥其他州以及食用火鸡肉可能会增加感染弓形虫的几率。

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