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基于化学发光微粒免疫分析的伊朗育龄妇女感染检测与患病率

Chemiluminescent microparticle immunoassay-based detection and prevalence of infection in childbearing women (Iran).

作者信息

Sobati Hossein

机构信息

Health Research Center, Lifestyle Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.

出版信息

J Parasit Dis. 2020 Jun;44(2):273-280. doi: 10.1007/s12639-019-01190-8. Epub 2020 Jan 1.

Abstract

Toxoplasmosis is a common zoonotic disease, which is of particular importance in women before and during pregnancy. In this study, the chemiluminescent microparticle immunoassay was used to detect and the seroepidemiology of was investigated among childbearing women in Qom, Iran. In this study, 202 blood samples were collected from childbearing women for evaluation of toxoplasmosis. Serum samples were isolated to determine anti- IgM and IgG antibodies. Based on findings, the total prevalence of anti- antibodies was 134 (66.3%) [95% CI 59.6-72.5]. In addition, 133 (65.8%) [95% CI 59.1-72.1], 19 (9.4%) [95% CI 6.1-14.2] and 18 (8.9%) [95% CI 5.7-13.6] samples were IgG-positive, IgM-positive and positive for both antibodies, respectively. The highest infection rate was reported over the age of 35 years, and positive lgM antibodies were detected in women below 29 years. infection showed a significant correlation with age, pregnancy, contact with cats, exposure to soil, and consumption of raw food ( < 0.05). The serological tests revealed that nearly 33.7% [95% CI 27.5-40.4] of women at childbearing age (49.1% [95% CI 36.4-61.9] of pregnant women versus 27.9% [95% CI 21.3-35.6] of non-pregnant women) had no anti- antibodies. Therefore, this population is more prone to acute infections with .

摘要

弓形虫病是一种常见的人畜共患病,对孕期及孕前女性尤为重要。本研究采用化学发光微粒子免疫分析法进行检测,并对伊朗库姆地区育龄妇女的弓形虫血清流行病学进行了调查。本研究采集了202份育龄妇女血样以评估弓形虫病。分离血清样本以检测抗弓形虫IgM和IgG抗体。根据研究结果,抗弓形虫抗体总阳性率为134例(66.3%)[95%置信区间59.6 - 72.5]。此外,IgG阳性、IgM阳性及两种抗体均阳性的样本分别为133例(65.8%)[95%置信区间59.1 - 72.1]、19例(9.4%)[95%置信区间6.1 - 14.2]和18例(8.9%)[95%置信区间5.7 - 13.6]。35岁以上人群感染率最高,29岁以下女性检测到IgM抗体阳性。弓形虫感染与年龄、妊娠、接触猫、接触土壤及食用生食显著相关(P < 0.05)。血清学检测显示,育龄妇女中近33.7%[95%置信区间27.5 - 40.4](孕妇为49.1%[95%置信区间36.4 - 61.9],非孕妇为27.9%[95%置信区间21.3 - 35.6])无抗弓形虫抗体。因此,该人群更易发生弓形虫急性感染。

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