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伊朗北部艾滋病毒/艾滋病患者中弓形虫抗体的高血清阳性率

High Seroprevalence of Toxoplasma gondii Antibody in HIV/AIDS Individuals from North of Iran.

作者信息

Rahimi Mohammad Taghi, Mahdavi Seif Ali, Javadian Behzad, Rezaei Rozita, Moosazadeh Mahmood, Khademlou Mehri, Seyedpour Seyed Hosein, Syadatpanah Abolghasem

机构信息

Toxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran.

Amol Faculty of Paramedics, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Iran J Parasitol. 2015 Oct-Dec;10(4):584-9.

Abstract

BACKGROUND

Toxoplasmosis in immunocompetent people is generally asymptomatic but in immunocompromised patients including HIV/AIDS, cancer patients, and organ transplant recipients, etc. it can lead to serious pathological problems. The objective of current study was to determine the seroprevalence of T. gondii IgG and IgM antibodies in HIV/AIDS patients using ELISA technique in Mazandaran Province, northern Iran.

METHODS

Overall, 82 serum samples (61 males and 21 females) were collected from HIV/AIDS patients in Mazandaran Provinces, in 2013. Sera were surveyed employing ELISA assay. Data were analyzed using Chi-Square or Fisher exact test. In addition, before sampling a questionnaire was filled out for each subject.

RESULTS

Overall seroprevalence of examined sera was 96.3% for IgG antibody but none of the sera shown IgM antibody against T. gondii. The seroprevalence of toxoplasmosis in males and females was 96.7% and 95.2%, respectively. An antibody titer of >1 IU/ml was considered as positive. Furthermore, none of the included variables statistically was significant.

CONCLUSIONS

Seroprevalence of chronic (latent) toxoplasmosis in HIV/AIDS patients in Mazandaran Province is high compared to toxoplasmosis in general population. Consequently, the risk of acquiring Toxoplasma encephalitis in examined seropositive HIV/AIDS patients of Toxoplasma is high.

摘要

背景

免疫功能正常者感染弓形虫病通常无症状,但在包括艾滋病毒/艾滋病患者、癌症患者和器官移植受者等免疫功能低下的患者中,它可导致严重的病理问题。本研究的目的是利用酶联免疫吸附测定(ELISA)技术,确定伊朗北部马赞德兰省艾滋病毒/艾滋病患者中弓形虫IgG和IgM抗体的血清流行率。

方法

2013年,从马赞德兰省的艾滋病毒/艾滋病患者中总共采集了82份血清样本(61名男性和21名女性)。采用ELISA检测血清。数据采用卡方检验或费舍尔精确检验进行分析。此外,在采样前为每个受试者填写了一份问卷。

结果

检测血清中IgG抗体的总体血清流行率为96.3%,但没有一份血清显示出针对弓形虫的IgM抗体。男性和女性弓形虫病的血清流行率分别为96.7%和95.2%。抗体滴度>1 IU/ml被视为阳性。此外,纳入的变量在统计学上均无显著意义。

结论

与普通人群中的弓形虫病相比,马赞德兰省艾滋病毒/艾滋病患者中慢性(潜伏性)弓形虫病的血清流行率较高。因此,在所检测的弓形虫血清阳性的艾滋病毒/艾滋病患者中发生弓形虫性脑炎的风险较高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c192/4724835/f01ba679a579/IJPA-10-584-g001.jpg

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