Department of Basic Medical Sciences, Division of Microbiology, College of Medicine, Prince Sattam bin AbdulAziz University, Alkharj, 11942, Saudi Arabia.
Department of Pathology, Frontier Medical and Dental College, Abbottabad, Pakistan.
Trop Biomed. 2020 Mar 1;37(1):186-193.
Toxoplasma gondii (T. gondii) is a zoonotic infection that may be transmitted to human beings either by consumption of raw or uncooked meat or by ingesting oocysts. Toxoplasma organisms can cross blood placenta barrier and may result in congenital toxoplasmosis. About 80% of immunocompetent individuals do not show any clinical manifestations and are silent carriers of this disease. Pregnant women especially in highly prevalent areas are recommended to be screened for this disease in order to prevent the potential vertical transmission. To our knowledge no such study has been conducted in this region of Saudi Arabia. This study attempted to carry out two objectives: first, to find out the seroprevalence of T. gondii infection in pregnant women attending prenatal care services in our hospital; second, to find out risk factors associated with T. gondii seroprevalence in our patients. It was carried out in Teaching Hospital in Al-Kharj over a period of one year. All 306 pregnant women attending antenatal clinic were involved in the study. A pretested selfexplanatory questionnaire was filled out by the patients and their sera were collected to be tested for IgG and/or IgM against T. gondii. The results were then statistically analyzed using SPSS software and p-value was calculated using Pearson Chi Square test. Out of the 306 blood samples tested, 99 (32.4%) were seropositive for specific anti T. gondii IgG antibodies and 3(1%) were seropositive for IgM. This show that seroprevalence of T. gondii antibodies was high among pregnant women and the prevalence showed a significant association with age. The study recommends conducting educational programs to raise awareness among women about risk factors and precautions to be taken.
刚地弓形虫(T. gondii)是一种人畜共患的感染,人类可能通过食用生的或未煮熟的肉类或摄入卵囊而感染。弓形虫可以穿过血胎盘屏障,可能导致先天性弓形虫病。大约 80%的免疫功能正常的人没有任何临床表现,是这种疾病的无症状携带者。建议特别是在高流行地区的孕妇对此病进行筛查,以防止潜在的垂直传播。据我们所知,在沙特阿拉伯的这一地区还没有进行过此类研究。本研究试图实现两个目标:首先,了解在我们医院接受产前保健服务的孕妇中弓形虫感染的血清流行率;其次,了解与我们患者的弓形虫血清流行率相关的危险因素。该研究在 Al-Kharj 的教学医院进行了一年。所有 306 名参加产前诊所的孕妇都参与了这项研究。患者填写了一份预先测试的自我解释问卷,并采集了他们的血清来检测针对 T. gondii 的 IgG 和/或 IgM。然后使用 SPSS 软件对结果进行统计分析,并使用 Pearson Chi Square 检验计算 p 值。在检测的 306 份血样中,99 份(32.4%)对特定的抗 T. gondii IgG 抗体呈血清阳性,3 份(1%)对 IgM 呈血清阳性。这表明孕妇中弓形虫抗体的血清流行率较高,且流行率与年龄显著相关。该研究建议开展教育计划,提高妇女对危险因素和应采取的预防措施的认识。