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[2012 - 2014年在一家三级培训医院对孕妇和疑似弓形虫病患者进行的弓形虫血清学调查]

[Serological Investigation of Toxoplasma gondii on Pregnant Women and Toxoplasmosis Suspected Patients Between 2012-2014 Years on a Tertiary Training Hospital].

作者信息

Selek Mehmet Burak, Bektöre Bayhan, Baylan Orhan, Özyurt Mustafa

机构信息

GATA Haydarpaşa Eğitim Hastanesi, Tıbbi Mikrobiyoloji Servisi, İstanbul, Türkiye.

出版信息

Turkiye Parazitol Derg. 2015 Sep;39(3):200-4. doi: 10.5152/tpd.2015.3961.

Abstract

OBJECTIVE

Toxoplasmosis is a zoonotic disease which is still an important health issue in both developing and developed countries. We aimed to evaluate Toxoplasma gondii (T. gondii) seropositivity on toxoplasmosis suspected patients and pregnant women, retrospectively.

METHODS

Blood samples taken from toxoplasmosis suspected patients (n=1296) and pregnant women (1737) on our tertiary training hospital between 2012-2014 years. Anti-T. gondii IgG and IgM seropositivity analyzed with chemiluminescent microparticle immunological assay (CMIA) method. Also IgG avidity index were evaluated on patients who had both antibodies.

RESULTS

Of 1269 toxoplasmosis suspected patients, 37% (n=479) had only T. gondii IgG positive while 1.9% (n=25) had both IgG and IgM antibodies. Of 1737 pregnant women, 24.2% (n=421) had only T. gondii IgG positive while 0.7% (n=13) of women were found positive for both antibodies. None of the total 3033 patients were seropositive for sole IgG antibody. Avidity tests were applied to the double positive patients and low avidity were detected on only one person from each group.

CONCLUSION

Nationwide, high throughput, systemic seroprevalance studies is needed in order to take precautions for the public health to protect sensitive groups and pregnant women especially because of congenital toxoplasmosis risk.

摘要

目的

弓形虫病是一种人畜共患病,在发展中国家和发达国家仍然是一个重要的健康问题。我们旨在回顾性评估疑似弓形虫病患者和孕妇的弓形虫血清阳性情况。

方法

2012年至2014年期间,从我们的三级培训医院采集疑似弓形虫病患者(n = 1296)和孕妇(1737名)的血样。采用化学发光微粒子免疫分析(CMIA)方法分析抗弓形虫IgG和IgM血清阳性情况。还对同时拥有两种抗体的患者评估了IgG亲和力指数。

结果

在1269名疑似弓形虫病患者中,37%(n = 479)仅弓形虫IgG呈阳性,而1.9%(n = 25)同时拥有IgG和IgM抗体。在1737名孕妇中,24.2%(n = 421)仅弓形虫IgG呈阳性,而0.7%(n = 13)的女性两种抗体均呈阳性。在总共3033名患者中,没有一人仅IgG抗体呈血清阳性。对双阳性患者进行了亲和力测试,每组仅一人检测到低亲和力。

结论

在全国范围内,需要进行高通量、系统性的血清流行率研究,以便采取公共卫生预防措施,保护敏感人群,尤其是孕妇,因为存在先天性弓形虫病风险。

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