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土耳其南部孕妇弓形虫、风疹和巨细胞病毒的血清流行率。

Seroprevalence of Toxoplasma gondii, rubella and cytomegalovirus among pregnant women in southern Turkey.

作者信息

Ocak Sabahattin, Zeteroglu Sahin, Ozer Cahit, Dolapcioglu Kenan, Gungoren Arif

机构信息

Department of Infectious Disease and Clinical Microbiology, Mustafa Kemal University, Hatay, Turkey.

出版信息

Scand J Infect Dis. 2007;39(3):231-4. doi: 10.1080/00365540600978880.

Abstract

Primary infections caused by Toxoplasma gondii, rubella and cytomegalovirus (CMV) can lead to serious complications in pregnant women. The aim of this study was to determine the seroprevalence of Toxoplasma, rubella and CMV infections through antenatal screening. In this study, the consecutive records of 1652 pregnant women examined between the period March 2004 to January 2006 were included. The results of the antenatal screening for Toxoplasma, rubella and CMV during the first trimester of pregnancy were evaluated. Anti-Toxoplasma, anti-rubella and anti-CMV IgG and IgM antibodies were assayed using an enzyme linked immunosorbent assay method. Of the 1652 pregnant women tested, anti-Toxoplasma IgG antibody was found in 860 (52.1%) of the cases, while 9 (0.54%) of the subjects tested positive for anti-Toxoplasma IgM. Anti-rubella IgG and IgM antibodies were reactive in 1570 (95.0%), and in 9 (0.54%) of the tested women, respectively. Moreover, 1568 (94.9%) of them were found to be positive for anti-CMV IgG, while 7 (0.4%) tested positive for anti-CMV IgM. Consequently, because of the high seropositivity of T. gondii, rubella and CMV in the pregnant women, the country's health authorities should be alerted, and preventive measures should be taken.

摘要

由弓形虫、风疹和巨细胞病毒(CMV)引起的原发性感染可导致孕妇出现严重并发症。本研究的目的是通过产前筛查确定弓形虫、风疹和CMV感染的血清阳性率。在本研究中,纳入了2004年3月至2006年1月期间接受检查的1652名孕妇的连续记录。对妊娠早期弓形虫、风疹和CMV的产前筛查结果进行了评估。采用酶联免疫吸附测定法检测抗弓形虫、抗风疹和抗CMV IgG及IgM抗体。在1652名接受检测的孕妇中,860例(52.1%)检测到抗弓形虫IgG抗体,而9例(0.54%)抗弓形虫IgM检测呈阳性。抗风疹IgG和IgM抗体反应阳性的分别有1570例(95.0%)和9例(0.54%)。此外,1568例(94.9%)抗CMV IgG检测呈阳性,7例(0.4%)抗CMV IgM检测呈阳性。因此,鉴于孕妇中弓形虫、风疹和CMV的血清阳性率较高,应提醒该国卫生当局,并采取预防措施。

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