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巴基斯坦旁遮普省部分地区妇女的抗体出现情况及相关危险因素。

Occurrence of antibodies and associated risk factors in women in selected districts of Punjab province, Pakistan.

机构信息

Wildlife Epidemiology and Molecular Microbiology Laboratory (One Health Research Group), Discipline of Zoology, Department of Wildlife & Ecology, University of Veterinary and Animal Sciences, Lahore, Ravi Campus, Pattoki, Pakistan.

Institute of Pharmaceutical Science, University of Veterinary and Animal Sciences, Lahore, Pakistan.

出版信息

Parasitology. 2020 Sep;147(10):1133-1139. doi: 10.1017/S0031182020000967. Epub 2020 Jun 10.

Abstract

Toxoplasmosis is a parasitic zoonotic disease caused by Toxoplasma (T.) gondii. Limited data are available on the occurrence of T. gondii in women especially pregnant women in Pakistan. The present study aimed to determine the occurrence and risk factors associated with T. gondii in pregnant and non-pregnant women in Punjab Province, Pakistan. A cross-sectional study was conducted and 593 samples were collected from pregnant (n = 293) and non-pregnant (n = 300) women of District Headquarter Hospitals of Chiniot, Faisalabad, Jhang and Okara, Pakistan. Data related to demographic parameters and risk factors were collected using a pretested questionnaire on blood sampling day. Serum samples were screened for antibodies (IgG) against T. gondii using ELISA. A univariant and binomial logistic regression was applied to estimate the association between seropositive and explanatory variables considering the 95% confidence interval. P value ⩽0.05 was considered statistically significant for all analysis. Out of 593, 44 (7.42%) women were seropositive for T. gondii IgG antibodies. Occupation, age, sampling location, socioeconomic status, contact with cat, pregnancy status and trimester of pregnancy were significantly associated with seropositivity for T. gondii antibodies. Location and trimester of pregnancy were identified as potential risk factors for T. gondii seropositivity based on binomial logistic regression. Toxoplasma gondii is prevalent in pregnant and non-pregnant women. Therefore, now a necessitated awareness is required to instruct the individuals about these infectious diseases (toxoplasmosis) and their control strategies to maintain the health of human population. Moreover, health awareness among public can help the minimization of T. gondii infection during pregnancy and subsequent risk of congenital toxoplasmosis.

摘要

弓形虫病是一种由刚地弓形虫(Toxoplasma gondii)引起的寄生虫性人畜共患病。关于巴基斯坦妇女,尤其是孕妇弓形虫病的发生情况,相关数据有限。本研究旨在确定巴基斯坦旁遮普省孕妇和非孕妇中弓形虫病的发生情况及相关危险因素。本研究采用横断面研究,采集了来自巴基斯坦奇尼奥特、费萨拉巴德、詹赫和奥卡拉地区的 593 名孕妇(n=293)和非孕妇(n=300)的血清样本。在采血日,使用经过预测试的问卷收集与人口统计学参数和危险因素相关的数据。使用酶联免疫吸附试验(ELISA)检测血清样本中针对弓形虫的抗体(IgG)。采用单变量和二项逻辑回归分析,在考虑 95%置信区间的情况下,评估血清阳性与解释变量之间的相关性。所有分析均以 P 值 ⩽0.05 为具有统计学意义。在 593 名女性中,有 44 名(7.42%)血清弓形虫 IgG 抗体呈阳性。职业、年龄、采样地点、社会经济地位、与猫接触、妊娠状态和妊娠阶段与弓形虫抗体血清阳性显著相关。基于二项逻辑回归分析,采样地点和妊娠阶段被确定为弓形虫血清阳性的潜在危险因素。弓形虫在孕妇和非孕妇中普遍存在。因此,现在有必要提高人们对这些传染病(弓形虫病)及其控制策略的认识,以维护人类健康。此外,公众健康意识有助于减少怀孕期间弓形虫感染的风险,以及随后先天性弓形虫病的风险。

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