Toxoplasmosis-Serological Evidence and Associated Risk Factors among Pregnant Women in Southern Thailand

Abstract. Toxoplasma gondii is an important parasite in pregnant women. This case-controlled study assessed the seroprevalence of toxoplasmosis in 640 pregnant women in southern Thailand and identified their associated risk factors. The overall seroprevalence of toxoplasmosis was 181 (28.3%). Of thi...

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Main Authors: Nissapatorn, V., Suwanrath, C., Sawangjaroen, N., Ling, L.Y., Chandeying, V.
Format: Article
Published: American Society of Tropical Medicine and Hygiene 2011
Subjects:
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author Nissapatorn, V.
Suwanrath, C.
Sawangjaroen, N.
Ling, L.Y.
Chandeying, V.
author_facet Nissapatorn, V.
Suwanrath, C.
Sawangjaroen, N.
Ling, L.Y.
Chandeying, V.
author_sort Nissapatorn, V.
collection UM
description Abstract. Toxoplasma gondii is an important parasite in pregnant women. This case-controlled study assessed the seroprevalence of toxoplasmosis in 640 pregnant women in southern Thailand and identified their associated risk factors. The overall seroprevalence of toxoplasmosis was 181 (28.3%). Of this, 138 (21.6%) were positive for only anti-Toxoplasma immunoglobulin G (IgG) antibody, 43 (6.7%) were positive for both IgG and IgM antibodies, and none were positive for IgM antibody. Multivariate analysis revealed that increasing age (adjusted odds ratio [OR] = 1.64, 95% confidence interval [CI] = 1.01-2.67), living outside Songkhla province (adjusted OR = 1.56, 95% CI = 1.08-2.24), parity (adjusted OR = 1.65, 95% CI = 1.01-2.68), contact with cats (adjusted OR = 1.70, 95% CI = 1.20-2.43), and drinking of unclean water (adjusted OR = 1.70, 95% CI = 1.08-2.68) were factors associated with Toxoplasma seroprevalence. On the basis of the results obtained, a health surveillance program should be initiated as a primary preventive measure for congenital toxoplasmosis and focus on educating women of the child-bearing age group to avoid contact with cats and to strictly practice personal hygiene.
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spelling um.eprints-19512019-05-31T06:29:35Z http://eprints.um.edu.my/1951/ Toxoplasmosis-Serological Evidence and Associated Risk Factors among Pregnant Women in Southern Thailand Nissapatorn, V. Suwanrath, C. Sawangjaroen, N. Ling, L.Y. Chandeying, V. R Medicine Abstract. Toxoplasma gondii is an important parasite in pregnant women. This case-controlled study assessed the seroprevalence of toxoplasmosis in 640 pregnant women in southern Thailand and identified their associated risk factors. The overall seroprevalence of toxoplasmosis was 181 (28.3%). Of this, 138 (21.6%) were positive for only anti-Toxoplasma immunoglobulin G (IgG) antibody, 43 (6.7%) were positive for both IgG and IgM antibodies, and none were positive for IgM antibody. Multivariate analysis revealed that increasing age (adjusted odds ratio [OR] = 1.64, 95% confidence interval [CI] = 1.01-2.67), living outside Songkhla province (adjusted OR = 1.56, 95% CI = 1.08-2.24), parity (adjusted OR = 1.65, 95% CI = 1.01-2.68), contact with cats (adjusted OR = 1.70, 95% CI = 1.20-2.43), and drinking of unclean water (adjusted OR = 1.70, 95% CI = 1.08-2.68) were factors associated with Toxoplasma seroprevalence. On the basis of the results obtained, a health surveillance program should be initiated as a primary preventive measure for congenital toxoplasmosis and focus on educating women of the child-bearing age group to avoid contact with cats and to strictly practice personal hygiene. American Society of Tropical Medicine and Hygiene 2011 Article PeerReviewed Nissapatorn, V. and Suwanrath, C. and Sawangjaroen, N. and Ling, L.Y. and Chandeying, V. (2011) Toxoplasmosis-Serological Evidence and Associated Risk Factors among Pregnant Women in Southern Thailand. The American Journal of Tropical Medicine and Hygiene, 85 (2). pp. 243-250. ISSN 0002-9637, DOI 21813842. http://www.ncbi.nlm.nih.gov/pubmed/21813842 21813842
spellingShingle R Medicine
Nissapatorn, V.
Suwanrath, C.
Sawangjaroen, N.
Ling, L.Y.
Chandeying, V.
Toxoplasmosis-Serological Evidence and Associated Risk Factors among Pregnant Women in Southern Thailand
title Toxoplasmosis-Serological Evidence and Associated Risk Factors among Pregnant Women in Southern Thailand
title_full Toxoplasmosis-Serological Evidence and Associated Risk Factors among Pregnant Women in Southern Thailand
title_fullStr Toxoplasmosis-Serological Evidence and Associated Risk Factors among Pregnant Women in Southern Thailand
title_full_unstemmed Toxoplasmosis-Serological Evidence and Associated Risk Factors among Pregnant Women in Southern Thailand
title_short Toxoplasmosis-Serological Evidence and Associated Risk Factors among Pregnant Women in Southern Thailand
title_sort toxoplasmosis serological evidence and associated risk factors among pregnant women in southern thailand
topic R Medicine
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AT suwanrathc toxoplasmosisserologicalevidenceandassociatedriskfactorsamongpregnantwomeninsouthernthailand
AT sawangjaroenn toxoplasmosisserologicalevidenceandassociatedriskfactorsamongpregnantwomeninsouthernthailand
AT lingly toxoplasmosisserologicalevidenceandassociatedriskfactorsamongpregnantwomeninsouthernthailand
AT chandeyingv toxoplasmosisserologicalevidenceandassociatedriskfactorsamongpregnantwomeninsouthernthailand