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Toxoplasmosis Sero-Prevalence, Awareness and Risk Behavior Among Pregnant Women Following Antenatal Care in Asella Teaching and Referral Hospital, Asella, Ethiopia

Received: 21 August 2020    Accepted: 3 September 2020    Published: 19 September 2020
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Abstract

Toxoplasmosis is caused by infection with the protozoan Toxoplasma gondii (T. gondii), an obligate intracellular parasite. The infections produced a wide range of clinical syndromes in humans, land and sea mammals, and various bird species. Toxoplasmosis is especially important among Immune-compromised patients and pregnant women. Infection of mothers during pregnancy by Toxoplasma gondii may have serious consequences for fetus ranging from miscarriage, central nervous system involvement, retinochoroditis, or at birth subclinical infection. Objectives: To determine Toxoplasmosis sero-prevalence, awareness and risk Behavior among pregnant women following antenatal care in Asella Teaching and Referral Hospital, Asella, Ethiopia. Methods: Institutional based quantitative cross sectional study design was conducted on sample size of 384 from December 1, 2018 to June 30, 2019. To collect the demographic and risk factor related data a pre-tested Structured, questionnaire was used. Serum sample, collected was tested for Toxoplasma Immunoglobulin G (IgG) and Toxoplasma Immunoglobulin M (IgM) antibodies using anti- IgG and IgM antibodies by Toxoplasma immune-chromatographic test (ICT) IgG-IgM test. To show association between the dependent and independent variables a bivariable and multivariable logistic regression model was applied allowing for p, 0.05 and the confidence interval 95%. Result: The overall sero- prevalence of T. gondii in the study area was 81.8%. Three hundred and fourteen (81.8%) of the pregnant women were IgG seropositive, fifty women (13%) were IgM seropositive. fifty women were positive for both IgG and IgM. None of the pregnant women were positive exclusively for IgG and IgM ani-bodies. eating raw meat (COR=3.480, 95%CI: 1.450-8.352; P=0.005, AOR=3.798, 95%CI: 1.249-11.550, P=0.19), using unpasteurized milk (COR=3.860, 95%CI: 2.118-7.037; P=0.000, AOR=3.907, 95% CI: 1.744-8.751, P=0.001), having three or more children (COR=2.194, 95%CI: 1.065-4.518; P=0.033) and Consumption of raw egg (COR=2.042, 95%CI: 1.049-3.974; P=0.036). Conclusion: The sero-prevalence of T. gondii antibodies was high among the pregnant women. Those who consumed raw meat and egg, unpasteurized milk and those who have three or more children were at higher risk of T. gondii infection. Hence, blood screening for Toxoplasmosis, health education and awareness creation among pregnant women should be done during antenatal follow up.

Published in International Journal of Biomedical Science and Engineering (Volume 8, Issue 3)
DOI 10.11648/j.ijbse.20200803.12
Page(s) 28-35
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Sero-prevalence, Pregnant Women, Risk Factors. T. gondii, Asella, Ethiopia

References
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    Shimeles Adugna Elemo. (2020). Toxoplasmosis Sero-Prevalence, Awareness and Risk Behavior Among Pregnant Women Following Antenatal Care in Asella Teaching and Referral Hospital, Asella, Ethiopia. International Journal of Biomedical Science and Engineering, 8(3), 28-35. https://doi.org/10.11648/j.ijbse.20200803.12

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    Shimeles Adugna Elemo. Toxoplasmosis Sero-Prevalence, Awareness and Risk Behavior Among Pregnant Women Following Antenatal Care in Asella Teaching and Referral Hospital, Asella, Ethiopia. Int. J. Biomed. Sci. Eng. 2020, 8(3), 28-35. doi: 10.11648/j.ijbse.20200803.12

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    AMA Style

    Shimeles Adugna Elemo. Toxoplasmosis Sero-Prevalence, Awareness and Risk Behavior Among Pregnant Women Following Antenatal Care in Asella Teaching and Referral Hospital, Asella, Ethiopia. Int J Biomed Sci Eng. 2020;8(3):28-35. doi: 10.11648/j.ijbse.20200803.12

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  • @article{10.11648/j.ijbse.20200803.12,
      author = {Shimeles Adugna Elemo},
      title = {Toxoplasmosis Sero-Prevalence, Awareness and Risk Behavior Among Pregnant Women Following Antenatal Care in Asella Teaching and Referral Hospital, Asella, Ethiopia},
      journal = {International Journal of Biomedical Science and Engineering},
      volume = {8},
      number = {3},
      pages = {28-35},
      doi = {10.11648/j.ijbse.20200803.12},
      url = {https://doi.org/10.11648/j.ijbse.20200803.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbse.20200803.12},
      abstract = {Toxoplasmosis is caused by infection with the protozoan Toxoplasma gondii (T. gondii), an obligate intracellular parasite. The infections produced a wide range of clinical syndromes in humans, land and sea mammals, and various bird species. Toxoplasmosis is especially important among Immune-compromised patients and pregnant women. Infection of mothers during pregnancy by Toxoplasma gondii may have serious consequences for fetus ranging from miscarriage, central nervous system involvement, retinochoroditis, or at birth subclinical infection. Objectives: To determine Toxoplasmosis sero-prevalence, awareness and risk Behavior among pregnant women following antenatal care in Asella Teaching and Referral Hospital, Asella, Ethiopia. Methods: Institutional based quantitative cross sectional study design was conducted on sample size of 384 from December 1, 2018 to June 30, 2019. To collect the demographic and risk factor related data a pre-tested Structured, questionnaire was used. Serum sample, collected was tested for Toxoplasma Immunoglobulin G (IgG) and Toxoplasma Immunoglobulin M (IgM) antibodies using anti- IgG and IgM antibodies by Toxoplasma immune-chromatographic test (ICT) IgG-IgM test. To show association between the dependent and independent variables a bivariable and multivariable logistic regression model was applied allowing for p, 0.05 and the confidence interval 95%. Result: The overall sero- prevalence of T. gondii in the study area was 81.8%. Three hundred and fourteen (81.8%) of the pregnant women were IgG seropositive, fifty women (13%) were IgM seropositive. fifty women were positive for both IgG and IgM. None of the pregnant women were positive exclusively for IgG and IgM ani-bodies. eating raw meat (COR=3.480, 95%CI: 1.450-8.352; P=0.005, AOR=3.798, 95%CI: 1.249-11.550, P=0.19), using unpasteurized milk (COR=3.860, 95%CI: 2.118-7.037; P=0.000, AOR=3.907, 95% CI: 1.744-8.751, P=0.001), having three or more children (COR=2.194, 95%CI: 1.065-4.518; P=0.033) and Consumption of raw egg (COR=2.042, 95%CI: 1.049-3.974; P=0.036). Conclusion: The sero-prevalence of T. gondii antibodies was high among the pregnant women. Those who consumed raw meat and egg, unpasteurized milk and those who have three or more children were at higher risk of T. gondii infection. Hence, blood screening for Toxoplasmosis, health education and awareness creation among pregnant women should be done during antenatal follow up.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Toxoplasmosis Sero-Prevalence, Awareness and Risk Behavior Among Pregnant Women Following Antenatal Care in Asella Teaching and Referral Hospital, Asella, Ethiopia
    AU  - Shimeles Adugna Elemo
    Y1  - 2020/09/19
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ijbse.20200803.12
    DO  - 10.11648/j.ijbse.20200803.12
    T2  - International Journal of Biomedical Science and Engineering
    JF  - International Journal of Biomedical Science and Engineering
    JO  - International Journal of Biomedical Science and Engineering
    SP  - 28
    EP  - 35
    PB  - Science Publishing Group
    SN  - 2376-7235
    UR  - https://doi.org/10.11648/j.ijbse.20200803.12
    AB  - Toxoplasmosis is caused by infection with the protozoan Toxoplasma gondii (T. gondii), an obligate intracellular parasite. The infections produced a wide range of clinical syndromes in humans, land and sea mammals, and various bird species. Toxoplasmosis is especially important among Immune-compromised patients and pregnant women. Infection of mothers during pregnancy by Toxoplasma gondii may have serious consequences for fetus ranging from miscarriage, central nervous system involvement, retinochoroditis, or at birth subclinical infection. Objectives: To determine Toxoplasmosis sero-prevalence, awareness and risk Behavior among pregnant women following antenatal care in Asella Teaching and Referral Hospital, Asella, Ethiopia. Methods: Institutional based quantitative cross sectional study design was conducted on sample size of 384 from December 1, 2018 to June 30, 2019. To collect the demographic and risk factor related data a pre-tested Structured, questionnaire was used. Serum sample, collected was tested for Toxoplasma Immunoglobulin G (IgG) and Toxoplasma Immunoglobulin M (IgM) antibodies using anti- IgG and IgM antibodies by Toxoplasma immune-chromatographic test (ICT) IgG-IgM test. To show association between the dependent and independent variables a bivariable and multivariable logistic regression model was applied allowing for p, 0.05 and the confidence interval 95%. Result: The overall sero- prevalence of T. gondii in the study area was 81.8%. Three hundred and fourteen (81.8%) of the pregnant women were IgG seropositive, fifty women (13%) were IgM seropositive. fifty women were positive for both IgG and IgM. None of the pregnant women were positive exclusively for IgG and IgM ani-bodies. eating raw meat (COR=3.480, 95%CI: 1.450-8.352; P=0.005, AOR=3.798, 95%CI: 1.249-11.550, P=0.19), using unpasteurized milk (COR=3.860, 95%CI: 2.118-7.037; P=0.000, AOR=3.907, 95% CI: 1.744-8.751, P=0.001), having three or more children (COR=2.194, 95%CI: 1.065-4.518; P=0.033) and Consumption of raw egg (COR=2.042, 95%CI: 1.049-3.974; P=0.036). Conclusion: The sero-prevalence of T. gondii antibodies was high among the pregnant women. Those who consumed raw meat and egg, unpasteurized milk and those who have three or more children were at higher risk of T. gondii infection. Hence, blood screening for Toxoplasmosis, health education and awareness creation among pregnant women should be done during antenatal follow up.
    VL  - 8
    IS  - 3
    ER  - 

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Author Information
  • Medical Laboratory Sciences Department, Collage of Health Sciences, Arsi University, Asella, Ethiopia

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