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埃塞俄比亚亚的斯亚贝巴两家医院接受常规产前检查的孕妇中抗弓形虫抗体高流行率及无弓形虫感染风险因素

High prevalence of anti-toxoplasma antibodies and absence of Toxoplasma gondii infection risk factors among pregnant women attending routine antenatal care in two Hospitals of Addis Ababa, Ethiopia.

作者信息

Gelaye Woyneshet, Kebede Tadesse, Hailu Asrat

机构信息

Department of Medical Microbiology, Immunology and Parasitology, Faculty of Medicine, Addis Ababa University, Ethiopia; Regional Health Research Laboratory Center, Bahir Dar, Ethiopia.

Department of Medical Microbiology, Immunology and Parasitology, Faculty of Medicine, Addis Ababa University, Ethiopia.

出版信息

Int J Infect Dis. 2015 May;34:41-5. doi: 10.1016/j.ijid.2015.03.005. Epub 2015 Mar 7.

DOI:10.1016/j.ijid.2015.03.005
PMID:25759324
Abstract

OBJECTIVE

Toxoplasmosis is an infection caused by the protozoan parasite Toxoplasma gondii. It is acquired mainly by eating raw or undercooked meat containing Toxoplasma gondii tissue cyst, eating food or water contaminated with oocyst, and acquiring congenital infection through the placenta. This study was conducted to determine the prevalence of toxoplasmosis and assess possible risk factors associated with the infection among pregnant women in Addis Ababa, Ethiopia.

METHOD

Cross sectional study was designed, and 288 serum samples were collected from November 1(st) 2010 to January 2011. The serum samples were tested for anti- Toxoplasma gondii antibodies using latex agglutination test. The risk factors were tested for significance using Bivariate and multivariate analysis. P-value <0.05 was considered statistically significant.

RESULT

85.4% were positive for anti Toxoplasma gondii antibody. No significant association was observed between seroprevalence and age, gestational age, socio demographic characters, history of abortion, consumption of raw or undercooked meat, consumption of raw vegetable, owning of cat, and blood transfusion.

CONCLUSION

Prevalence of toxoplasmosis among pregnant women in Addis Ababa, Ethiopia is higher than that reported from other countries. Efforts to describe risk factors for toxoplasma infection among Ethiopians should focus in children.

摘要

目的

弓形虫病是由原生动物寄生虫刚地弓形虫引起的一种感染。主要通过食用含有刚地弓形虫组织包囊的生肉或未煮熟的肉、食用被卵囊污染的食物或水以及通过胎盘获得先天性感染而感染。本研究旨在确定埃塞俄比亚亚的斯亚贝巴孕妇弓形虫病的患病率,并评估与感染相关的可能危险因素。

方法

设计横断面研究,于2010年11月1日至2011年1月收集288份血清样本。使用乳胶凝集试验检测血清样本中的抗刚地弓形虫抗体。使用双变量和多变量分析检测危险因素的显著性。P值<0.05被认为具有统计学显著性。

结果

85.4%的抗刚地弓形虫抗体检测呈阳性。在血清阳性率与年龄、孕周、社会人口学特征、流产史、食用生肉或未煮熟的肉、食用生蔬菜、养猫和输血之间未观察到显著关联。

结论

埃塞俄比亚亚的斯亚贝巴孕妇弓形虫病的患病率高于其他国家报告的患病率。描述埃塞俄比亚人弓形虫感染危险因素的工作应侧重于儿童。

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