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Original Article

Seropositivity of Toxoplasmosis in Pregnant Women by ELISA at Minia University Hospital, Egypt

Amany M. Kamal1, Azza K. Ahmed1,*, Manal Z. M. Abdellatif1, Mohamed Tawfik2, Ebtesam E. Hassan3
The Korean Journal of Parasitology 2015;53(5):605-610.
Published online: October 29, 2015

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* Corresponding author (saraa96@yahoo.com)
• Received: April 13, 2015   • Revised: September 1, 2015   • Accepted: September 3, 2015

© 2015, Korean Society for Parasitology and Tropical Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Seropositivity of Toxoplasmosis in Pregnant Women by ELISA at Minia University Hospital, Egypt
Korean J Parasitol. 2015;53(5):605-610.   Published online October 29, 2015
DOI: https://doi.org/10.3347/kjp.2015.53.5.605
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Seropositivity of Toxoplasmosis in Pregnant Women by ELISA at Minia University Hospital, Egypt
Korean J Parasitol. 2015;53(5):605-610.   Published online October 29, 2015
DOI: https://doi.org/10.3347/kjp.2015.53.5.605
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Seropositivity of Toxoplasmosis in Pregnant Women by ELISA at Minia University Hospital, Egypt
Seropositivity of Toxoplasmosis in Pregnant Women by ELISA at Minia University Hospital, Egypt
Pregnant women No. of positive T. gondii Abs
 P-value
IgM positive (%) IgG positive (%) Both positive (%) Total (%)
Group I (120)a 22 (18.3)c 46 (38.3)d 7 (5.83) 61 (50.83) 0.001
Group II (120)b 2 (1.66) 8 (6.66) 0 (0) 10 (8.3)
Type of previous BOH No. of subtotal No. of positive T. gondii antibodies (%)
Early embryonic pregnancy lossa 40 21 (52.5)
Late abortion (12-24) weeksa 29 18 (62.0)
Still birth (IUFD) delivery (24-40) 24 11 (45.8)
Preterm labor 15 7 (46.6)
Un-explained neonatal death 8 3 (37.5)
Congenital anomalies 4 1 (25.0)
Total cases 120 61 (50.83)
Age group Group I
 Group II
 P-valuea
No. of subtotal No. of positive T. gondii Abs (%) No. of subtotal No. of positive T. gondii Abs (%)
18-20 17 5 (29.4) 15 0 (0) 0.02a
21-25 41 25 (60.9) 36 4 (11.1) 0.005a
26-30 22 14 (63.6) 24 3 (12.5) 0.001a
31-35 27 12 (44.4) 28 2 (7.1) 0.007a
36-40 10 4 (40) 12 1 (8.3) 0.03a
> 40 3 1 (33.3) 5 0 (0) 0.03a
Total cases 120 61 (50.8) 120 10 (8.3)
Clinical obstetrics outcome No. of positive T. gondii Abs
 P-valuea
Group I
 Group II
No. of subtotal IgM (%) IgG (%) Both (%) No. of subtotal IgM (%) IgG (%) Both (%)
Abortion 18 8 (44.4) 6 (33.3) 4 (22.2) 1 1 (100) 0 (0) 0 (0) 0.09
Stillbirth (IUFD) 16 3 (18.8) 12 (75.0) 1 (6.3) 0 0 (0) 0 (0) 0 (0) 0.03a
Preterm labor 13 1 (7.6) 12 (92.0) 0 (0.0) 1 0 (0) 1 (100) 0 (0) 0.2
Congenital anomalies 2 1 (50.0) 0 (0.0) 1 (50.0) 0 0 (0) 0 (0) 0 (0) 0.3
Normal baby 12 2 (16.6) 9 (75.0) 1 (8.3) 8 1 (12.5) 7 (87.5) 0 (0) 0.001a
Total 61 10
Demographic Characterization No. of positive T. gondii Abs (%) No. of negative T. gondii Abs (%) OR (95% CI) P-value
Residence:
 Rural 42 (59.2) 73 (43.2) 1.9 (1.08-3.3) 0.02
 Urban 29 (40.8) 96 (56.8)
Education level:
 Illiterate 2 (2.8) 7 (4.1) 0.68 (0.48-0.97) 0.03
 Primary 38 (53) 29 (17.2)
 Secondary 19 (26.8) 75 (44.4)
 University 12 (16.9) 58 (34.3)
Occupation
 House wives 44 (62) 87 (51.5) 1.5 (0.87-2.7) 0.1
 Others 27 (38) 82 (48.5)
Socio-economic level
 Low 39 (54.9) 34 (20.1) 4.8 (2.6-8.8) 0.001
 Middle 29 (40.8) 102 (60.4)
 High 3 (4.2) 33 (19.5)
Contact with soil
 Yes 38 (53.5) 64 (37.9) 1.8 (1.1-3.3) 0.02
 No 33 (46.5) 105 (62.1)
Contact with cats
 Yes 10 (14.1) 11 (6.5) 2.3 (0.9-5.8) 0.06
 No 61 (85.9) 158 (93.5)
Consumption of under-cooked meat
 Yes 49 (69) 62 (36.7) 3.8 (2.1-6.9) 0.001
 No 22 (31) 107 (63.3)
Consumption of row vegetables
 Yes 71 (100) 169 (100) - -
 No 0 (0) 0 (0)
Total 71 (100) 169 (100)
Table 1. Seropositive rate of T. gondii IgM and IgG antibodies with ELISA in high risk pregnant group

High risk pregnancy group.

Normal pregnancy group.

IgM positive (IgM+ combined IgM and IgG).

IgG positive (IgG+ combined IgM and IgG).

Table 2. Previous obstetric histories in seropositive pregnancy

Abortion (early embryonic loss+late abortion).

Table 3. Seropositive rate of T. gondii IgM and IgG antibodies in high risk pregnant group according to age

P-value was calculated by Z-test (test of proportion).

Table 4. Clinical obstetric outcome(s) of seropositive pregnancy in BOH and normal pregnant groups

P-value was calculated by comparison between IgM, IgG and both between Group I and Group II at each obstetric outcome.

P-value was calculated by the Fisher’s exact test.

Table 5. The correlation of demographic risk factors and T. gondii seropositivity in pregnant women

P-value <0.05.

OR, odds ratio; CI, confidence interval.

Table 1.

Table 2.

Table 3.

Table 4.

Table 5.

PHD : Parasites, Hosts and Diseases

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