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在加纳一家地区医院接受产前护理的孕妇中。

among pregnant women attending antenatal care in a district hospital in Ghana.

作者信息

Addo Seth Offei, Asare Thelma Ohene, Arthur Christina, Amoateng Kenneth, Addo Kelvin, Larbi John Asiedu

机构信息

Department of Parasitology Noguchi Memorial Institute for Medical Research, University of Ghana Accra Ghana.

Department of Theoretical and Applied Biology Kwame Nkrumah University of Science and Technology Kumasi Ghana.

出版信息

Public Health Chall. 2023 May 25;2(2):e82. doi: 10.1002/puh2.82. eCollection 2023 Jun.

Abstract

BACKGROUND

Toxoplasmosis is a zoonotic disease that is asymptomatic in many but can spread through the placenta during pregnancy causing miscarriage, stillbirth, intrauterine death, and neurologic impairments. This study reports on the proportion and risk factors associated with the seropositivity of among pregnant women visiting the antenatal care unit of the Nkawie-Toase Government Hospital, Ghana.

METHODS

This was a cross-sectional study among pregnant women attending antenatal care at a district hospital in Ghana. The participants were selected randomly for the study. A structured questionnaire was used to collect information and data on possible risk factors associated with toxoplasmosis. Serum samples from the participants were screened for exposure to using a commercial ELISA kit. The associations of the risk factors with seropositivity were tested using logistic regression.

RESULTS

There were 84 women who participated in this study. The mean age of the sample was 26.96 ± 5.67 years; 64.29% had basic education, 21.43% were traders and 14.29% were farmers. Forty-seven women (55.95%) tested seropositive for , 44 (52.38%) for IgG and 3 (3.57%) for IgM. Women involved as traders (OR 18, 95% CI 2.74-118.39,  = 0.003) and farmers (OR 6.75, 95% CI 1.16-39.20,  = 0.033) had significantly higher risk of testing seropositive.

CONCLUSION

High proportions of pregnant women in this study were found to be exposed to . To prevent negative pregnancy outcomes, pregnant women attending antenatal care be educated and routinely screened for infection.

摘要

背景

弓形虫病是一种人畜共患疾病,许多人感染后无症状,但在孕期可通过胎盘传播,导致流产、死产、宫内死亡和神经功能障碍。本研究报告了加纳恩卡维 - 托阿斯政府医院产前护理单元就诊的孕妇中弓形虫血清阳性的比例及相关危险因素。

方法

这是一项针对加纳一家地区医院产前护理孕妇的横断面研究。参与者通过随机抽样选取。使用结构化问卷收集与弓形虫病相关的可能危险因素的信息和数据。使用商业酶联免疫吸附测定(ELISA)试剂盒对参与者的血清样本进行弓形虫暴露筛查。使用逻辑回归检验危险因素与血清阳性之间的关联。

结果

共有84名女性参与本研究。样本的平均年龄为26.96 ± 5.67岁;64.29%接受过基础教育,21.43%为商人,14.29%为农民。47名女性(55.95%)弓形虫检测血清阳性,44名(52.38%)IgG阳性,3名(3.57%)IgM阳性。从事商业的女性(比值比18,95%置信区间2.74 - 118.39,P = 0.003)和农民(比值比6.75,95%置信区间1.16 - 39.20,P = 0.033)血清阳性检测风险显著更高。

结论

本研究发现高比例的孕妇暴露于弓形虫。为预防不良妊娠结局,应对接受产前护理的孕妇进行教育并常规筛查弓形虫感染。

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