Alvarado-Esquivel C, Pacheco-Vega S J, Hernández-Tinoco J, Centeno-Tinoco M M, Beristain-García I, Sánchez-Anguiano L F, Liesenfeld O, Rábago-Sánchez E, Berumen-Segovia L O
Eur J Microbiol Immunol (Bp). 2014 Jun;4(2):117-22. doi: 10.1556/EuJMI.4.2014.2.4. Epub 2014 May 21.
Through a cross-sectional study design, 326 women with a history of miscarriage were examined for anti-Toxoplasma gondii IgG and IgM antibodies in Durango City, Mexico. Prevalence association with sociodemographic, clinical, and behavioral characteristics in women with miscarriage was also investigated. Twenty-two (6.7%) of the 326 women studied had anti-T. gondii IgG antibodies and two (0.6%) were also positive for anti-T. gondii IgM antibodies. Seroprevalence of T. gondii infection was not influenced by age, birth place, occupation, educational level, or socioeconomic status. In contrast, logistic regression showed that T. gondii exposure was associated with consumption of raw or undercooked meat (OR = 6.84; 95% CI: 1.04-44.95; P = 0.04) and consumption of chicken brains (OR = 18.48; 95% CI: 1.26-269.43; P = 0.03). This is the first study on the seroepidemiology of T. gondii infection in women with a history of miscarriage in Northern Mexico. Of interest, we also observed an association of T. gondii exposure with consumption of chicken brains. Contributing factors for T. gondii exposure found in the present study should be taken into consideration for public health measures to avoid infection with T. gondii and its sequelae.
通过横断面研究设计,对墨西哥杜兰戈市326名有流产史的女性进行了抗弓形虫IgG和IgM抗体检测。还调查了流产女性中弓形虫感染率与社会人口学、临床和行为特征之间的关联。在326名研究对象中,22名(6.7%)女性有抗弓形虫IgG抗体,2名(0.6%)女性抗弓形虫IgM抗体也呈阳性。弓形虫感染的血清阳性率不受年龄、出生地、职业、教育水平或社会经济地位的影响。相比之下,逻辑回归分析显示,弓形虫暴露与食用生肉或未煮熟的肉(比值比=6.84;95%置信区间:1.04-44.95;P=0.04)以及食用鸡脑(比值比=18.48;95%置信区间:1.26-269.43;P=0.03)有关。这是墨西哥北部首次针对有流产史女性进行的弓形虫感染血清流行病学研究。有趣的是,我们还观察到弓形虫暴露与食用鸡脑之间存在关联。本研究中发现的弓形虫暴露的影响因素应在公共卫生措施中予以考虑,以避免感染弓形虫及其后遗症。