Department of Clinical and Molecular Parasitology, National Liver Institute, Menoufia University, Menoufia, Egypt.
Department of Clinical Pathology, National Liver Institute, Menoufia University, Menoufia, Egypt.
Sci Rep. 2024 Sep 9;14(1):20920. doi: 10.1038/s41598-024-70740-9.
Blood transfusion has a hazard of transmission of many pathogens, including Toxoplasma gondii (T. gondii) and other venereal infections. It is crucial to conduct epidemiological surveillance to detect the prevalence of these pathogens. The study aimed to assess the seroprevalence of T. gondii and common transfusable venereal infections among healthy blood donors in Menoufia Province, Egypt, and identify associated risk factors. Four hundred twenty individuals were recruited between January and April 2023 for cross-sectional descriptive research from the blood banks of Menoufia University medical hospitals. Collected blood samples were screened for anti-T. gondii IgM and IgG, HBsAg, anti-HCV antibodies, HIV p24 antigen and anti-HIV antibodies, and anti-Treponema pallidum antibodies. 46 (11.0%) and 22 donors (5.2%) individuals tested positive for anti-T. gondii IgG with a 95% CI (8.3-14.6) and IgM with a 95% CI (3.5-8.1), respectively, while one patient (0.2%) was positive for both antibodies. Regarding venereal infections, 12 (2.9%) were positive for HBV, 6 (1.4%) were positive for HCV, 7 (1.7%) were positive for HIV, and none of the tested population showed positivity for syphilis. Female gender, consumption of raw meat, agricultural environment, poor awareness about T. gondii, and blood group type (especially AB and O groups) were identified as independent risk factors for T. gondii infection. The study highlights the importance of testing blood donors for T. gondii and common transfusable venereal illnesses. Starting health education programs and preventative measures, such as suitable meat handling and cleanliness practices, is critical for minimizing the occurrence of these illnesses. Larger-scale additional study is advised to confirm these results and provide guidance for public health initiatives.
输血具有传播多种病原体的危险,包括刚地弓形虫(Toxoplasma gondii,T. gondii)和其他性传播感染。进行流行病学监测以检测这些病原体的流行情况至关重要。本研究旨在评估埃及门农菲娅省健康献血者中刚地弓形虫和常见可输血性传播感染的血清流行率,并确定相关的危险因素。2023 年 1 月至 4 月期间,采用横断面描述性研究,从门农菲娅大学医学院的血库招募了 420 名个体。采集的血液样本用于筛查抗刚地弓形虫 IgM 和 IgG、HBsAg、抗 HCV 抗体、HIV p24 抗原和抗 HIV 抗体以及抗梅毒螺旋体抗体。46 名(11.0%)和 22 名献血者(5.2%)的抗刚地弓形虫 IgG 检测呈阳性,95%CI(8.3-14.6)和 IgM 检测呈阳性,95%CI(3.5-8.1),而一名患者(0.2%)两种抗体均呈阳性。关于性传播感染,12 名(2.9%)HBV 阳性,6 名(1.4%)HCV 阳性,7 名(1.7%)HIV 阳性,且未检测到梅毒阳性。女性、食用生肉、农业环境、对刚地弓形虫的认识不足以及血型(尤其是 AB 和 O 型)被确定为刚地弓形虫感染的独立危险因素。该研究强调了对献血者进行刚地弓形虫和常见可输血性传播疾病检测的重要性。开展卫生教育计划和预防措施,如适当的肉类处理和清洁实践,对于最大限度地减少这些疾病的发生至关重要。建议进行更大规模的额外研究,以确认这些结果并为公共卫生计划提供指导。