Negash T, Tilahun G, Medhin G
Aklilu Lemma Institute of Pathobiology, Addis Ababa University, P.O. Box 1176, Addis Ababa, Ethiopia. , Fax: +251-11-2755296,
East Afr J Public Health. 2008 Dec;5(3):211-4.
To determine the seroprevalence of toxoplasmosis, assess its zoonotic importance and identify factors associated with seroprevalence.
Questionnaire survey was conducted on 65 serum samples collected from male and female urban and peri-urban residents aged between 15 days and 65 years. Main outcome measures were feeding habits, purpose of keeping cats and association with family members. Serologic evidence of toxoplasmosis was conducted by the Modified Direct Agglutination Test (MDA T) and determination of HIV status using the HIV - Spot Test.
Over 50% of the interviewed people had a history of consumption of raw or undercooked mutton and had close contact with cats. 60% of the serum samples analyzed by the MDA T had serologic evidence of Toxoplasma infection. Significantly higher MDA T tiers were encountered both in pregnant and immunocompromised individuals. The risk factors associated to Toxoplasma infection, i.e. raw or undercooked mutton consumption and presence of cats appeared significant.
The significance of toxoplasmosis as a disease of zoonotic importance was demonstrated. Close contact between family members and the consumption of raw or undercooked mutton were the major risk factors in the transmission of the disease. Considering the relatively high prevalence as revealed by this study it would be important to conduct studies on a wider scale. It would also be important to increase public awareness and upgrade the knowledge on congenital toxoplasmosis.
确定弓形虫病的血清流行率,评估其人畜共患病的重要性,并确定与血清流行率相关的因素。
对65份血清样本进行问卷调查,这些样本采集自年龄在15天至65岁之间的城市和城郊男女居民。主要观察指标为饮食习惯、养猫目的以及与家庭成员的关联。采用改良直接凝集试验(MDA T)检测弓形虫病的血清学证据,并使用HIV斑点试验测定HIV感染状况。
超过50%的受访者有食用生肉或未煮熟羊肉的历史,且与猫有密切接触。通过MDA T分析的血清样本中,60%有弓形虫感染的血清学证据。孕妇和免疫功能低下者的MDA T滴度明显更高。与弓形虫感染相关的危险因素,即食用生肉或未煮熟羊肉以及养猫,显得很重要。
证明了弓形虫病作为一种具有人畜共患病重要性的疾病的意义。家庭成员之间的密切接触以及食用生肉或未煮熟羊肉是该疾病传播的主要危险因素。鉴于本研究揭示的相对较高的患病率,进行更广泛的研究很重要。提高公众意识并更新关于先天性弓形虫病的知识也很重要。