Sero-epidemiological Study of Toxoplasma gondii among Pregnant Women in Akre City

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Hogir Mohammed Shukri Saadi Ahmed Jumaa Ahmed


Recently has been observed globally that toxoplasmosis disease was caused by Toxoplasma gondii and generally its asymptomatic infection in people except pregnant women. Many previous studies were suggested this pathogen transmits by ingesting of undercooked or raw meat contaminated with the oocytes of this parasite. The study aimed to show the seroreactivity of Toxoplasma gondii antibodies among pregnant women and to evaluate association of studied risk factors with infected cases. ELISA technique used for detection of anti-toxoplasma specific IgG and IgM antibodies. A biography form interview for participant was performed to estimate between the risk factors and  toxoplasmosis. The present study was carried out from the beginning of October 2018 to the end of March 2019 and included 90 pregnant women visited Akre general hospital. Out of 90 tested samples, 49 (54.46%) and 4 (4.44%) were positive for IgG and IgM respectively. According to residency factor, pregnant women from villages had higher percentages of IgG (57.14%) and IgM (4.08%) than those lived in the city which were recorded 0% and 48.48%of IgM and IgG respectively. A high percentage of IgG (65.64%) and IgM (7.27%) were found among pregnant women with history of miscarriage. Seropositivity for both IgG (61.90 %) and IgM (9.52%) was higher among pregnant women who had cats compared to those without cat. Seroprevalence of IgM and IgG was 9.67% and 54.83% among population who had undercooked meat, while 1.69% and 59.23% were positive for IgM and IgG respectively, in those well cooked meat meal. Highest positive percentage of IgG (77.77%) was recorded at ages 40-50 years while the lowest rate was (40%) at ages <20 year. Through a seropositive reaction was found that age groups as a possible risk factor by ELISA IgG in which risk increased by rising of age categories. Significant correlation was detected between consumption of undercooked meat and cases positive for IgM. It revealed the association between third trimester and cases with positive IgM. In the conclusion, toxoplasmosis is widespread in the area which requires raising awareness among pregnant women to decrease T. gondii infection and subsequently minimize possibilities of congenital transmission.


Toxoplasma gondii , Toxoplasmosis, ELISA ,


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[1] J. P. Dubey, "The History of Toxoplasma gondii—The First 100 Years," Journal of Eukaryotic Microbiology, vol.55(6), pp. 467-475, 2008.
[2] J.B.McAuley," Congenital Toxoplasmosis," Journal of the Pediatric Infectious Diseases Society , vol.3(1),pp.S30-S35,2014.
[3] A. Retmanasari, B.S.Widartono,M.A.Wijayanti and W.T. Artama, "Prevalence and Risk Factors for Toxoplasmosis in MiddleJava,Indonesia," Public Health Official journal of EcoHealth Alliance, vol.14,pp.162-170,2017.
[4] I.A.Nassir,A.H.Aderinsayo,H.U.Mele and M.M.Aliyu," Prevalence and Associated Risk Factors of Toxoplasma gondii Antibodies among Pregnant Women Attending Maiduguri Teaching Hospital, Nigeria," Journal of Medical Sciences,vol 15(3),pp.147-154,2015.
[5] A.T.Ali, D.S.Mahdi and A.H.Awad , "Seroprevalence of Toxoplasma gondii antibodies in aborted women using ELISA in Thi-Qar province ,Iraq," International journal of advanced research,vol.7(1),pp.629-635,2019.
[6] E.Ch.Wam, L.F.Sama, I.M.Ali,W.A.Ebile,L.A.Aghangu and Ch.B.Tume," Seroprevalence of Toxoplasma gondii IgGand IgM antibodies and associated risk factors in women of child-bearing age in Njinikom, NW
Cameroon," Biomed central research notes ,vol.9(406),pp.1-8,2016.
[7] F.R.Gangneux and M-L.Darde," Epidemiology of and Diagnostic Strategies for Toxoplasmosis," Clinical microbiology reviews,vol.25(2),pp.264-296,2012.
[8] P.Prelezov,V.Koinarski and D.Georgieva,"Seroprevalence of Toxoplasma gondii Infection among sheep and goatsin the stara zagora region," Bulgarian Journal of Veterinary Medicine, vol.11(2),pp.113-119,2008.
[9] A. Calderaro,S. Peruzzi,G.Piccolo,C.Gorrini,S. Montecchini, S,Rossi, C.Chezzi,G. Dettori," Laboratory diagnosis of Toxoplasma gondii infection," International Journal of Medical Sciences, vol.6(3),pp.135-136,2009.
[10] L. J. Mohammed and, "Seroprevalence of Toxoplasmosis in Aborted Women in Babylon
Province, Iraq," Medical Journal of Babylon,vol. 16(3), pp. 188–191, 2019.
[11] J.G.Montoya," Laboratory Diagnosis of Toxoplasma gondii Infection and Toxoplasmosis," The Journal of Infectious Diseases, vol.185(1),pp.S73-S82,2002.
[12] I. García-Bermejo and F. de Ory," Rapid diagnosis in serology," Enfermedades Infecciosas y Microbiologıa ´ Clınica , vol.35,pp.246-254,2017.
[13] .M.Mose, J.M.Kagira,D.M.Kamau,N.W.Maina,M.Ngotho and S.M.Karanga," A Review on the Present Advances on Studies of Toxoplasmosis in Eastern Africa," BioMed Research International, vol.2020(10),pp.1-12,2020.
[14] F.M.Alsaide. A.A.Elagib, I.E.EI-Rayah and M.N.M.Hamad," Immunological and Molecular Diagnosis of T. gondii Infection among Aborted Women in Sana’a Capital and Capital Trusteeship, Yemen," International Journal of Medical Research & Health Sciences,vol.8(7),pp.122-133,2019.
[15] J.G.Montoya," Laboratory Diagnosis of Toxoplasma gondii Infection and Toxoplasmosis," The Journal of Infectious Diseases, vol.185(1),pp.S73-S82,2002.
[16] S.Pignanelli," Laboratory diagnosis of Toxoplasma gondii infection with direct and indirect diagnostic techniques ,"Indian Journal of Pathology and Microbiology,vol.54(4),pp.786-789,2011.
[17] D. Brüggmann, V.Handl,D. Klingelhöfer, J.Jaque and D.A. Groneberg," Congenital toxoplasmosis: an in-depth density-equalizing mapping analysis to explore its global research architecture," Parasites & Vectors,vol.8(646),pp.1-13,2015.
[18] D.Sh.Ramadhan and A.N.Sarkees,"Seroprevalnce and risk factors of Toxoplasmaosis among undergraduate female students of University of Duhok," Journal of University of Duhok,vol.2(2),pp.243-250, 2019.
[19] S.A.Al-harthi, M.B.Jamjoon and H.O.Ghazi," Seroprevalence of Toxoplasma Gondii Among Pregnant Women in Makkah, Saudi Arabia," Umm al-Qura University journal of science, medicine, engineering ,vol.18(2),pp.217-227,2006.
[20] G. B.Mong, N. A. A. Ch. Seri, R. S-K. Sharma, H. Andiappan,T-ChyeTan,Y. A-L. L and V. Nissapatorn," Seroepidemiology of toxoplasmosis among people having close contact with animals," Frontiers in Immunology, vol.6(143),pp.1-6,2015.
[21] S.S.Muhsin,M.A.Muhsin and B.A.Nasraalla," Seroprevalance Study of Toxoplasmosis among Males in AlRuasfa Institute of Management in Baghdad Province-Iraq," International Organisation of Scientific Research Journal of Pharmacy and Biological Sciences , vol.13(2),pp.22-26,2018.
[22] I.S.El-Shabawy, M.I.Khalil and M.M.Babnass," Seroprevalence of Toxoplasma gondii in women in Najran City, Saudi Arabia ," Saudi Medical Journal , vol.35(9),pp,1143-1146,2014.
[23] A.A.K. Al-Daoody,T.S.Sauad,H.R.Hashim,O.D. Babasheikh,H.Y.Akram and S.Kh.Ali," Detection of Toxoplasma gondii among Healthy Populations by Different Techniques in Erbil Province," ZANCO Journal of Pure and Applied Sciences, vol.31(6),pp.75-83,2019.
[24] H.M.Obiad," Survey study on toxoplasmosis among Kirkuk university students," Journal University of Kerbala, vol.15(1),pp.253-259,2017.
[25] R.Kh.M.Taha,Kh.M.Taha,M.N.M.Hamad and A.E.N.Hamad," Seroprevalence of anti-Toxoplasma gondii
Antibodies Among Aborted Ladies Attended to Atbara Teaching Hospital, River Nile State," Advancements in Bioequivalence & Bioavailability, vol.2(3),pp.143-152,2019.
[26] A.A. Eskandarian,Gh.A. Jafarnezghad and M.Akbari," Seroprevalence of toxoplasma-specific antibodies in patients suspected to have active toxoplasmosis: A cross-sectional survey," Advanced Biomedical Research , vol.3(236),pp.1-4,2014.
[27] S. Ertug,P. Okyay,M. Turkmen and H. Yuksel ," Seroprevalence and risk factors for toxoplasma infection among pregnant women in Aydin province, Turkey," BMC Public Health, vol.5(66),pp.1-6,2005.
[28] A.H. Al-Adhroey, A.Al.O. Mehrass, A.A. Shammakh, A.D.Ali, M.Y.M.Akabat and H.M. Al-Mekhlafi," Prevalence and predictors of Toxoplasma gondii infection in pregnant women from Dhamar, Yemen," BMC Infectious Diseases , vol.19( 1089 ),pp.1-9,2019.
[29] S.Z.Khademi , F.Ghaffarifar , A.Dalimi ,P.Davoodian and A.Abdoli," Prevalence and Risk Factors of Toxoplasma gondii Infection among Pregnant Women in Hormozgan Province, South of Iran," Iranian Journal of Parasitology , vol.14(1),pp.167-173,2019.
[30] E. Murebwayire, K. Njanaake, J. C. S. Ngabonziza, W. Jaoko and K J. Njunwa ," seroprevalence and risk factors of Toxoplasma gondii infection among pregnant women attending antenatal care in Kigali, Rwanda," Tanzania Journal of Health Research, vol.19(1),pp,1-8,2017.
[31] S. Mulugeta,A. Munshea and E.Nibret," Seroprevalence of Anti–Toxoplasma gondii Antibodies
and Associated Factors Among Pregnant Women Attending Antenatal Care at Debre Markos Referral
Hospital, Northwest Ethiopia," Infectious Diseases: Research and Treatment,vol.13,pp.1-10,2020.
[32] Sh. Sadiqui,S.R.H.Shah,B.S. Almugadam,Q. Shakeela and Sh.Ahmed," Distribution of Toxoplasma gondii IgM and IgG antibody seropositivity among age groups and gestational periods in pregnant women,"F1000 Research, vol.7(1823),pp.1-10,2019.
[33] Kh.Mohamed, A. Bahathiq, N. Degnah, S. Basuni, Al . Mahdi, A.Al Malki and A. Babalghith," Detection of Toxoplasma gondii infection and associated risk factors among pregnant women in Makkah Al Mukarramah, Saudi Arabia," Asian Pacific Journal of Tropical Disease ,vol.6(2),pp.113-119,2016.