Toxoplasma gondii infection in interstate truck drivers: a case–control seroprevalence study

Abstract Background Infection with Toxoplasma gondii can be acquired via the ingestion of undercooked or raw meat containing tissue cysts, or via ingestion of water contaminated with oocysts. Professional long distance truck driving may have epidemiological importance for food-borne infections since...

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Main Authors: Cosme Alvarado-Esquivel, Sandy Janet Pacheco-Vega, Jesús Hernández-Tinoco, Misael Salcedo-Jáquez, Luis Francisco Sánchez-Anguiano, Luis Omar Berumen-Segovia, Elizabeth Rábago-Sánchez, Oliver Liesenfeld
Format: Article
Language:English
Published: BMC 2015-02-01
Series:Parasites & Vectors
Subjects:
Online Access:https://doi.org/10.1186/s13071-015-0690-z
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author Cosme Alvarado-Esquivel
Sandy Janet Pacheco-Vega
Jesús Hernández-Tinoco
Misael Salcedo-Jáquez
Luis Francisco Sánchez-Anguiano
Luis Omar Berumen-Segovia
Elizabeth Rábago-Sánchez
Oliver Liesenfeld
author_facet Cosme Alvarado-Esquivel
Sandy Janet Pacheco-Vega
Jesús Hernández-Tinoco
Misael Salcedo-Jáquez
Luis Francisco Sánchez-Anguiano
Luis Omar Berumen-Segovia
Elizabeth Rábago-Sánchez
Oliver Liesenfeld
author_sort Cosme Alvarado-Esquivel
collection DOAJ
description Abstract Background Infection with Toxoplasma gondii can be acquired via the ingestion of undercooked or raw meat containing tissue cysts, or via ingestion of water contaminated with oocysts. Professional long distance truck driving may have epidemiological importance for food-borne infections since drivers eat out of home and in places where hygiene and cooking practices are uncertain. We aimed to determine whether interstate truck drivers in Durango, Mexico have an increased risk of infection with T. gondii as indicated by seropositivity; and to determine the socio-demographic, work, clinical, and behavioral characteristics associated with T. gondii seropositivity in interstate truck drivers. Methods Through a case–control study design, 192 truck drivers and 192 controls from the general population of the same region matched by gender and age were examined with enzyme-linked immunoassays for the presence of anti-Toxoplasma IgG and IgM antibodies. Socio-demographic, work, clinical and behavioral characteristics from the truck drivers were obtained. Results Anti-T. gondii IgG antibodies were found in 23 (12.0%) of 192 truck drivers and in 13 (6.8%) of 192 controls (OR = 21.0; 95% CI: 1.23-358.38; P = 0.002). Anti-T. gondii IgM antibodies were found in 7 (3.6%) cases and in 7 (3.6%) controls (P = 1.00). The seroprevalence of T. gondii infection was higher in drivers with reflex impairment than in those without this impairment (4/13, 30.8% vs 19/179, 10.6%, respectively; P = 0.05), and in drivers with hearing impairment than in those without this impairment (3/7, 42.9% vs 20/185, 10.8%, respectively; P = 0.03). Multivariate analysis of work and behavioral characteristics of truck drives showed positive associations of T. gondii exposure with trips to the south of Mexico (OR = 3.11; 95% CI: 1.02-9.44; P = 0.04) and consumption of horse meat (OR = 5.18; 95% CI: 1.62-16.55; P = 0.005). Conclusions Results suggest that interstate truck drivers may have an increased risk for T. gondii infection, and that T. gondii exposure may be impacting neurological functions in truck drivers. Contributing factors for T. gondii exposure should be taken into account for the design of optimal prevention measures against T. gondii infection.
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spelling doaj.art-c8d940c3a05e4ff099e512094153f09b2023-06-04T11:14:57ZengBMCParasites & Vectors1756-33052015-02-01811610.1186/s13071-015-0690-zToxoplasma gondii infection in interstate truck drivers: a case–control seroprevalence studyCosme Alvarado-Esquivel0Sandy Janet Pacheco-Vega1Jesús Hernández-Tinoco2Misael Salcedo-Jáquez3Luis Francisco Sánchez-Anguiano4Luis Omar Berumen-Segovia5Elizabeth Rábago-Sánchez6Oliver Liesenfeld7Faculty of Medicine and Nutrition, Juárez University of Durango StateFaculty of Medicine and Nutrition, Juárez University of Durango StateInstitute for Scientific Research “Dr. Roberto Rivera Damm”, Juárez University of Durango StateFaculty of Medicine and Nutrition, Juárez University of Durango StateInstitute for Scientific Research “Dr. Roberto Rivera Damm”, Juárez University of Durango StateFaculty of Medicine and Nutrition, Juárez University of Durango StateFaculty of Medicine and Nutrition, Juárez University of Durango StateInstitute for Microbiology and Hygiene, Campus Benjamin Franklin, Charité Medical SchoolAbstract Background Infection with Toxoplasma gondii can be acquired via the ingestion of undercooked or raw meat containing tissue cysts, or via ingestion of water contaminated with oocysts. Professional long distance truck driving may have epidemiological importance for food-borne infections since drivers eat out of home and in places where hygiene and cooking practices are uncertain. We aimed to determine whether interstate truck drivers in Durango, Mexico have an increased risk of infection with T. gondii as indicated by seropositivity; and to determine the socio-demographic, work, clinical, and behavioral characteristics associated with T. gondii seropositivity in interstate truck drivers. Methods Through a case–control study design, 192 truck drivers and 192 controls from the general population of the same region matched by gender and age were examined with enzyme-linked immunoassays for the presence of anti-Toxoplasma IgG and IgM antibodies. Socio-demographic, work, clinical and behavioral characteristics from the truck drivers were obtained. Results Anti-T. gondii IgG antibodies were found in 23 (12.0%) of 192 truck drivers and in 13 (6.8%) of 192 controls (OR = 21.0; 95% CI: 1.23-358.38; P = 0.002). Anti-T. gondii IgM antibodies were found in 7 (3.6%) cases and in 7 (3.6%) controls (P = 1.00). The seroprevalence of T. gondii infection was higher in drivers with reflex impairment than in those without this impairment (4/13, 30.8% vs 19/179, 10.6%, respectively; P = 0.05), and in drivers with hearing impairment than in those without this impairment (3/7, 42.9% vs 20/185, 10.8%, respectively; P = 0.03). Multivariate analysis of work and behavioral characteristics of truck drives showed positive associations of T. gondii exposure with trips to the south of Mexico (OR = 3.11; 95% CI: 1.02-9.44; P = 0.04) and consumption of horse meat (OR = 5.18; 95% CI: 1.62-16.55; P = 0.005). Conclusions Results suggest that interstate truck drivers may have an increased risk for T. gondii infection, and that T. gondii exposure may be impacting neurological functions in truck drivers. Contributing factors for T. gondii exposure should be taken into account for the design of optimal prevention measures against T. gondii infection.https://doi.org/10.1186/s13071-015-0690-zToxoplasma gondiiSeroprevalenceTruck driversCase–control studyRisk factors
spellingShingle Cosme Alvarado-Esquivel
Sandy Janet Pacheco-Vega
Jesús Hernández-Tinoco
Misael Salcedo-Jáquez
Luis Francisco Sánchez-Anguiano
Luis Omar Berumen-Segovia
Elizabeth Rábago-Sánchez
Oliver Liesenfeld
Toxoplasma gondii infection in interstate truck drivers: a case–control seroprevalence study
Parasites & Vectors
Toxoplasma gondii
Seroprevalence
Truck drivers
Case–control study
Risk factors
title Toxoplasma gondii infection in interstate truck drivers: a case–control seroprevalence study
title_full Toxoplasma gondii infection in interstate truck drivers: a case–control seroprevalence study
title_fullStr Toxoplasma gondii infection in interstate truck drivers: a case–control seroprevalence study
title_full_unstemmed Toxoplasma gondii infection in interstate truck drivers: a case–control seroprevalence study
title_short Toxoplasma gondii infection in interstate truck drivers: a case–control seroprevalence study
title_sort toxoplasma gondii infection in interstate truck drivers a case control seroprevalence study
topic Toxoplasma gondii
Seroprevalence
Truck drivers
Case–control study
Risk factors
url https://doi.org/10.1186/s13071-015-0690-z
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