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伊朗西南部阿瓦士地区流产女性与正常分娩女性中弓形虫血清阳性率的比较。

Seroprevalence of Toxoplasma gondii in women who have aborted in comparison with the women with normal delivery in Ahvaz, southwest of Iran.

作者信息

Saki J, Mohammadpour N, Moramezi F, Khademvatan S

机构信息

Department of Medical Parasitology and Health Research Institute, Infectious and Tropical Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Department of Medical Parasitology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

ScientificWorldJournal. 2015;2015:764369. doi: 10.1155/2015/764369. Epub 2015 Jan 29.

Abstract

Toxoplasma gondii is an obligate intracellular protozoan parasite causing toxoplasmosis in animals and humans. Primary maternal infection with toxoplasmosis during pregnancy is frequently associated with transplacental transmission to the fetus. However it is not certain whether Toxoplasma infection can cause recurrent abortion. The aim of this study was to determine the relationship between Toxoplasma infection and abortion via detection of anti-Toxoplasma gondii antibodies in sera of women with obstetrical problems and compare the results with control group consisting of women with history of normal delivery. Sera from 130 women with abortion and sera of 130 women with normal delivery were tested for IgG and IgM anti-Toxoplasma gondii antibodies by ELISA method. The present study revealed 24.6% of the samples with abortion and 21.5% of the samples with normal delivery were positive for IgG antibodies. However, statistical analysis indicated no significant differences (P > 0.05). In addition, IgM antibody was detected in one woman who had aborted but not in women with normal childbirth. This study showed no significant difference between the case and control groups in IgG anti-Toxoplasma antibody but detected one sample with IgM antibodies in woman with abortion during the first trimester of pregnancy. In order to determine the relationship between Toxoplasma infection and abortion, anti-Toxoplasma IgG avidity and PCR to discriminate between recent and prior infections are recommended.

摘要

弓形虫是一种专性细胞内原生动物寄生虫,可导致动物和人类感染弓形虫病。孕期母亲初次感染弓形虫病常与经胎盘传播给胎儿有关。然而,尚不确定弓形虫感染是否会导致复发性流产。本研究的目的是通过检测有产科问题的女性血清中的抗弓形虫抗体,确定弓形虫感染与流产之间的关系,并将结果与有正常分娩史的女性组成的对照组进行比较。采用ELISA法检测130例流产女性和130例正常分娩女性血清中的抗弓形虫IgG和IgM抗体。本研究显示,24.6%的流产样本和21.5%的正常分娩样本IgG抗体呈阳性。然而,统计分析表明差异无统计学意义(P>0.05)。此外,在一名流产女性中检测到IgM抗体,而正常分娩女性中未检测到。本研究表明,病例组和对照组在抗弓形虫IgG抗体方面无显著差异,但在妊娠早期流产的女性中检测到一份IgM抗体样本。为了确定弓形虫感染与流产之间的关系,建议检测抗弓形虫IgG亲和力和采用PCR法区分近期感染和既往感染。

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