SEROPREVALENCE AND RISK FACTORS OF SPECIFIC TOXOPLASMA GONDII ANTIBODY AMONG PREGNANT WOMEN

  • AHMED J. AHMED Deptof Biology, College of Education-Akre, University of Duhok
  • BAYAR K. ZEEBAREE University of Duhok, College of Veterinary medicine and surgery
  • RAMADHAN A. KHANAMIR University of Duhok, College of Veterinary medicine and surgery
Keywords: Anti-Toxoplasma Immunoglobulin G (Igg), Immunoglobulin M (Igm), Pregnancy, Risk Factors, Seroprevalence, Toxoplasma Gondii

Abstract

Toxoplasmosis during pregnancy has an adverse effect on pregnant women, fetus and neonatal. The
infection is generally asymptomatic but can cause severe effect on the fetus and immunocompromised women.
Control study conducted on 77 pregnant women categorized according to the risk factors influencing
toxoplasmosis infection. Specific anti Toxoplasma gondii IgG and IgM were evaluated using Enzyme-linked
immunosorbent assay (ELISA) test kits. Among 77 pregnant women, (57.1%) women had toxoplasmosis,
seropositive for latent infection with specific Toxoplasma gondii immunoglobulin G (IgG) antibodies were
(54.54 %), whereas acute infection immunoglobulin M (IgM) were only in (2.59 %) cases. The seroprevalence
of Toxoplasma was higher in older pregnant women (> 60%) than younger ones (<50%). The specific IgG
antibody was higher in pregnant women working in farms (65.7 vs 45.23; P=0.053). Also, the seropositive IgG
antibody was low in the first trimester and high in rural areas. Pregnant women need to educate more about
toxoplasmosis and prevention to exposure in order to reduce the risk of congenital toxoplasmosis.

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References

Abdullah, H. M., & Mahmood, M. A. (2017).
Seroprevalence of Toxoplasma gondii among Pregnant
Women in Erbil City/ Kurdistan Region/ Iraq. Polytech.
J., 7(3), 45–63. Retrieved from
https://www.researchgate.net/publication/330832726_S
eroprevalence_of_Toxoplasma_gondii_among_Pregnan
t_Women_in_Erbil_City_Kurdistan_Region_Iraq
Ades, A. E., Parker, S., Gilbert, R., Tookey, P. A.,
Berry, T., Hjelm, M., Wilcox, A. H., Cubitt, D.,
& Peckham, C. S. (1993). Maternal prevalence
of toxoplasma antibody based on anonymous
neonatal serosurvey: A geographical analysis.
Epidemiol. Infect., 110(1), 127–133. doi:
10.1017/S0950268800050755
Al-Hamdani, M. M., & Mahdi, N. K. (1997).
Toxoplasmosis among women with habitual
abortion. East. Mediterr. Heal. J., 3(2), 310–
315. Retrieved from
https://apps.who.int/iris/handle/10665/117384
AL Omar, O., & Tabbara, K. (1993). Prevalence of
toxoplasma antibodies among Saudi eye
patients. Saudi Med. J., 14(3), 244–246.
Retrieved from
https://vlibrary.emro.who.int/imemr/prevalence-
of-toxoplasma-antibodies-among-saudi-eye-
patients-2/
Al Se´adawy, M. A. H. (2010). prevalence of
Toxoplasmosis in pregnant women in Al
Muthana province / Iraq. Kufa J. Vet. Med. Sci.,
1(1), 166–173. Retrieved from
https://www.iasj.net/iasj?func=article&aId=3513
3
Altunal, L. N. (2018). Seroprevalence of Toxoplasma
gondii, Rubella and Cytomegalovirus Among
Pregnant Refugees and Turkish Women: A
Retrospective Comparative Study. South. Clin.
Istanbul Eurasia. doi: 10.14744/scie.2018.66375
Alzaheb, R. A. (2018). Seroprevalence of toxoplasma
gondii and its associated risk factors among
women of reproductive age in Saudi Arabia: A
systematic review and meta-analysis. In
International Journal of Women’s Health (Vol.
10, pp. 537–544). Dove Medical Press Ltd. doi:
10.2147/IJWH.S173640
Aqeely, H., El-Gayar, E. K., Perveen Khan, D., Najmi,
A., Alvi, A., Bani, I., Mahfouz, M. S., Abdalla,
S. E., & Elhassan, I. M. (2014).
Seroepidemiology of toxoplasma gondii
amongst pregnant women in Jazan Province,
Saudi Arabia. J. Trop. Med., 2014. doi:
10.1155/2014/913950
Baril, L., Ancelle, T., Goulet, V., Thulliez, P., Tirard-
Fleury, V., & Carme, B. (1999). Risk factors for
toxoplasma infection in pregnancy: A case-
control study in France. Scand. J. Infect. Dis.,
31(3), 305–309. doi:
10.1080/00365549950163626
Calderaro, A., Peruzzi, S., Piccolo, G., Gorrini, C.,
Montecchini, S., Rossi, S., Chezzi, C., &
Dettori, G. (2009). Laboratory diagnosis of
Toxoplasma gondii infection. Int. J. Med. Sci.,
6(3), 135–136. doi: 10.7150/ijms.6.135
Dubey, D. P. (2013). Overview of Toxoplasmosis:
Toxoplasmosis: Merck Veterinary Manual.
Merck Veterinary Manual. Retrieved from
https://www.merckvetmanual.com/generalized-
conditions/toxoplasmosis/overview-of-
toxoplasmosis
El Deeb, H. K., Salah-Eldin, H., Khodeer, S., & Allah,
A. A. (2012). Prevalence of Toxoplasma gondii
infection in antenatal population in Menoufia
governorate, Egypt. Acta Trop., 124(3), 185–
191. doi: 10.1016/j.actatropica.2012.08.005
Elnahas, A., Gerais, A. S., Elbashir, M. I., Eldien, E. S.,
& Adam, I. (2003). Toxoplasmosis in pregnant
Sudanese women. Saudi Med. J., 24(8), 868– 870. Retrieved from
https://europepmc.org/abstract/med/12939674
Fadhil Al Kalaby, R., Sultan, B. A., & Al-Fatlawi, S. N.
(2016). Relationship between Toxoplasma
gondii and abortion in aborted women in Najaf
كىندي واإلجهاض بين النساء المجهضات في province
.J. محافظة النجف العالقة بين اإلصابة بطفيلي مقىسات
Kerbala Univ., 14(1). Retrieved from
https://www.iasj.net/iasj?func=article&aId=1094
71
Foroutan-Rad, M., Khademvatan, S., Majidiani, H.,
Aryamand, S., Rahim, F., & Malehi, A. S.
(2016). Seroprevalence of Toxoplasma gondii in
the Iranian pregnant women: A systematic
review and meta-analysis. In Acta Tropica (Vol.
158, pp. 160–169). Elsevier B.V. doi:
10.1016/j.actatropica.2016.03.003
Gao, X. J., Zhao, Z. J., He, Z. H., Wang, T., Yang, T.
B., Chen, X. G., Shen, J. L., Wang, Y., Lv, F. L.,
Hide, G., & Lun, Z. R. (2012). Toxoplasma
gondii infection in pregnant women in China. In
Parasitology (Vol. 139, Issue 2, pp. 139–147).
Cambridge University Press. doi:
10.1017/S0031182011001880
Gavinet, M. F., Robert, F., Firtion, G., Delouvrier, E.,
Hennequin, C., Maurin, J. R., Tourte-Schaefer,
C., & Dupouy-Camet, J. (1997). Congenital
toxoplasmosis due to maternal reinfection during
pregnancy. J. Clin. Microbiol., 35(5), 1276–
1277. doi: 10.1128/jcm.35.5.1276-1277.1997
González-Morales, T., Bacallo-Gallestey, J., García-
Santana, C. A., & Molina-García, J. R. (1995).
Prevalence of Toxoplasma gondii antibodies in a
population of pregnant women in Cuba. Gac.
Med. Mex., 131(5–6), 499–503. Retrieved from
https://europepmc.org/abstract/med/8768594
Hill, D. E., & Dubey, J. P. (2018). Toxoplasma gondii
BT - Foodborne Parasites (Y. R. Ortega & C. R.
Sterling (eds.); pp. 119–138). Springer
International Publishing. doi: 10.1007/978-3-
319-67664-7_6
Hung, C. C., Fan, C. K., Su, K. E., Sung, F. C., Chiou,
H. Y., Gil, V., Ferreira, M. da C. dos R., de
Carvalho, J. M., Cruz, C., Lin, Y. K., Tseng, L.
F., Sao, K. Y., Chang, W. C., Lan, H. S., &
Chou, S. H. (2007). Serological screening and
toxoplasmosis exposure factors among pregnant
women in the Democratic Republic of Sao Tome
and Principe. Trans. R. Soc. Trop. Med. Hyg.,
101(2), 134–139. doi:
10.1016/j.trstmh.2006.04.012
Iqbal, J., & Khalid, N. (2007). Detection of acute
Toxoplasma gondii infection in early pregnancy
by IgG avidity and PCR analysis. J. Med.
Microbiol., 56(11), 1495–1499. doi:
10.1099/jmm.0.47260-0
Jumaian, N. F. (2005). Seroprevalence and risk factors
for Toxoplasma infection in pregnant women in
Jordan. East. Mediterr. Heal. J., 11(1–2), 45–51.
Retrieved from
https://www.researchgate.net/publication/72452
18_Seroprevalence_and_risk_factors_for_Toxop
lasma_infection_in_pregnant_women_in_Jordan
Kadir., M. A., Ghalib., A. K., Othman., N. F., &
Ahmed, I. S. (2011). Seroprevalence of
Toxoplasma Gondii among Pregnant Women in
Kirkuk / Iraq. J. Kirkuk Univ., 6(2), 1–11.
Retrieved from
https://www.iasj.net/iasj?func=article&aId=4310
7
Khademi, S. Z., Ghaffarifar, F., Dalimi, A., Davoodian,
P., & Abdoli, A. (2019). Prevalence and risk
factors of Toxoplasma gondii infection among
pregnant women in Hormozgan province, south
of Iran. Iran. J. Parasitol., 14(1), 167–173. doi:
10.18502/ijpa.v14i1.732
Mohammed, B. A. (2018). Seroprevalence of
Toxoplasma gondii among pregnant women in
Tikrit city-Salahaldeen Province. Med. J. Tikrit
Univ., 24(2), 170–176. doi:
10.25130/mjotu.24.02.16
Mohammed, T. K. (2011). Seroprevalence of
toxoplasma gondii among pregnant women in
baghdad city. Iraqi Found. Tech. Educ., 24(4),
21–28. Retrieved from
https://www.iasj.net/iasj?func=article&aId=2933
4
Montoya, J. G., & Liesenfeld, O. (2004).
Toxoplasmosis. Lancet, 363(9425), 1965–1976.
doi: 10.1016/S0140-6736(04)16412-X
Montoya, J. G., & Remington, J. S. (2008).
Management of Toxoplasma gondii infection
during pregnancy. In Clinical Infectious
Diseases (Vol. 47, Issue 4, pp. 554–566).
Retrieved from
https://academic.oup.com/cid/article-
abstract/47/4/554/304753
Morris, A. J., & Croxson, M. C. (2004). Serological
evidence of Toxoplasma gondii infection among
pregnant women in Auckland. N. Z. Med. J.,
117(1189). Retrieved from
https://www.google.co.uk/search?q=Serological
+evidence+of+toxoplasma+gondii+infection+a
mong+pregnant+women&spell=1&sa=X&ved=
2ahUKEwil356HgNDpAhVHzqQKHW4_ATM
QBSgAegQICxAn&biw=1366&bih=657 Mozzatto, L., & Soibelmann Procianoy, R. (2003).
Incidence of congenital toxoplasmosis in
Southern Brazil: A prospective study. Rev. Inst.
Med. Trop. Sao Paulo, 45(3), 147–151. doi:
10.1590/S0036-46652003000300006
Muñoz Batet, C., Guardià Llobet, C., Juncosa Morros,
T., Viñas Domenech, L., Sierra Soler, M.,
Sanfeliu Sala, I., Bosch Mestres, J., Dopico
Ponte, E., Lite Lite, J., Matas Andreu, L., Juste
Sánchez, C., & Barranco Romeu, M. (2004).
Toxoplasmosis y embarazo. Estudio
multicéntrico realizado en 16.362 gestantes de
Barcelona. Med. Clin. (Barc)., 123(1), 12–16.
doi: 10.1016/s0025-7753(04)74396-1
Mustafa, M., Fathy, F., Mirghani, A., Mohamed, M. A.,
Muneer, M. S., Ahmed, A. E., Ali, M. S., Omer,
R. A., Siddig, E. E., Mohamed, N. S., & Abd
Elkareem, A. M. (2019). Prevalence and risk
factors profile of seropositive Toxoplasmosis
gondii infection among apparently
immunocompetent Sudanese women. BMC Res.
Notes, 12(1). doi: 10.1186/s13104-019-4314-0
Nash, J. Q., Chissel, S., Jones, J., Warburton, F., &
Verlander, N. Q. (2005). Risk factors for
toxoplasmosis in pregnant women in Kent,
United Kingdom. Epidemiol. Infect., 133(3),
475–483. doi: 10.1017/S0950268804003620
Petersson, K., Stray-Pedersen, B., Malm, G., Forsgren,
M., & Evengård, B. (2000). Seroprevalence of
Toxoplasma gondii among pregnant women in
Sweden. Acta Obstet. Gynecol. Scand., 79(10),
824–829. doi: 10.1034/j.1600-
0412.2000.079010824.x
Peyron, F., L’ollivier, C., Mandelbrot, L., Wallon, M.,
Piarroux, R., Kieffer, F., Hadjadj, E., Paris, L.,
& Garcia-Meric, P. (2019). Maternal and
congenital toxoplasmosis: Diagnosis and
treatment recommendations of a French
multidisciplinary working group. Pathogens,
8(1). doi: 10.3390/pathogens8010024
Razzak, A. H., Wais, S. A., & Saeid, A. Y. (2005).
Toxoplasmosis: The innocent suspect of
pregnancy wastage in Duhok, Iraq. East.
Mediterr. Heal. J., 11(4), 625–632.
Rostami, A., Riahi, S. M., Gamble, H. R., Fakhri, Y.,
Nourollahpour Shiadeh, M., Danesh, M.,
Behniafar, H., Paktinat, S., Foroutan, M.,
Mokdad, A. H., Hotez, P. J., & Gasser, R. B.
(2020). Global prevalence of latent
toxoplasmosis in pregnant women: a systematic
review and meta-analysis. In Clinical
Microbiology and Infection (Vol. 26, Issue 6,
pp. 673–683). Elsevier B.V. doi:
10.1016/j.cmi.2020.01.008
Segundo, G. R. S., Silva, D. A. O., Mineo, J. R., &
Ferreira, M. S. (2004). A comparative study of
congenital toxoplasmosis between public and
private hospitals from Uberlândia, MG, Brazil.
Mem. Inst. Oswaldo Cruz, 99(1), 13–17. doi:
10.1590/S0074-02762004000100002
Sert, U. Y., Ozgu-Erdinc, A. S., Gokay, S., & Engin-
Ustun, Y. (2019). Toxoplasma Screening Results
of 84587 Pregnant Women in a Tertiary Referral
Center in Turkey. Fetal Pediatr. Pathol., 38(4),
307–316. doi: 10.1080/15513815.2019.1587122
Tammam, A. E., Haridy, M. A. M., Abdellah, A. H.,
Ahmed, S. R., Fayed, H. M., & Alsammani, M.
A. (2013). Seroepidemiology of Toxoplasma
Gondii infection in women with first trimester
spontaneous miscarriage in Qena Governorate,
Egypt. J. Clin. Diagnostic Res., 7(12), 2870–
2873. doi: 10.7860/JCDR/2013/6480.3780
Tawfeeq, W. F., Muslim, T. M., & Technologies, M.
(2012). Seroprevalence and Associated Factors
of Toxoplasma Infection among Sample of
Pregnant Women in Wassit Governorate- Iraq.
9(4), 873–882. Retrieved from
https://www.iasj.net/iasj?func=article&aId=6851
0
Teweldemedhin, M., Gebremichael, A., Geberkirstos,
G., Hadush, H., Gebrewahid, T., Asgedom, S.
W., Gidey, B., Asres, N., & Gebreyesus, H.
(2019). Seroprevalence and risk factors of
Toxoplasma gondii among pregnant women in
Adwa district, northern Ethiopia. BMC Infect.
Dis., 19(1). doi: 10.1186/s12879-019-3936-0
Wilson, C., Nizet, V., Maldonado, Y., Remington, J.,
Krupp, M. A., & Klein, J. (2011). Infectious
Diseases of the Fetus and Newborn Infant. In
Infectious Diseases of the Fetus and Newborn
Infant. doi: 10.1016/C2009-0-50442-4
Yilmaz1., S., & Çetinkaya, R. A. (2018).
Seroprevalence of Toxoplasma gondii in
Pregnant Women in Turkey: A Meta- Analysis
Research. Saudi J. Pathol. Microbiol. doi:
10.21276/sjpm.2018.3.10.3
Published
2020-12-15
How to Cite
AHMED, A. J., ZEEBAREE, B. K., & KHANAMIR, R. A. (2020). SEROPREVALENCE AND RISK FACTORS OF SPECIFIC TOXOPLASMA GONDII ANTIBODY AMONG PREGNANT WOMEN. Journal of Duhok University, 23(2), 131-139. https://doi.org/10.26682/ajuod.2020.23.2.16
Section
Agriculture and Veterinary Science