Evaluation of Sero-Epidemiology of Toxoplasmosis with its associated risk Factors among Antenatal Attendees of a Referral Health Facility in Port Harcourt, Rivers State, Nigeria

https://dx.doi.org/10.4314/njpar.v43i2.9

Authors

  • G. N. Wokem Parasitology unit, Department of Medical Laboratory Science, Rivers State University, Rivers State, Nigeria.
  • I. T. Obi Medical Microbiology/Parasitology Unit, Department of Medical Laboratory Science, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
  • S. E. Amala Parasitology unit, Department of Medical Laboratory Science, Rivers State University, Rivers State, Nigeria.

Keywords:

Nigeria, raw-vegetables, sero-prevalence, pregnancy, Toxo-immunoglobulins

Abstract

Toxoplasmosis is a disease that can infect pregnant women, foetus, women of childbearing age and it is also zoonotic. The sero-prevalence of toxoplasmosis with its associated risk factors in two hundred and seventy-seven gravidae attending University of Port Harcourt Teaching Hospital was investigated to ascertain the current status of toxoplasmosis in Rivers State. Blood samples were collected from the subjects through veno-puncture, and the blood tests performed using the rapid test kits for Toxoplasma gondii IgG and IgM antibodies following manufacturer’s instructions. Commercial pregnancy test kits and HIV test kits were used to confirm their pregnancy and HIV status. Out of the 277 pregnant subjects examined, the overall prevalence was 5(1.8%) for T. gondiiIgG antibody and 14(6.9%) positive for HIV. None of the HIVpregnant subjects were positive for toxoplasmosis. Chi-square analysis was used to assess the distribution of toxoplasmosis and other variables. The age groups 20 -29 years and 30-39 years had the highest sero-prevalence rates of 3(60%) and 2(40%) respectively for IgG while age group 40-49 years recorded no sero-prevalence. Exposure related sero-prevalence showed that eating of raw vegetables, undercooked meat, and exposure to contaminated soil through farming were more sensitive risk factors associated with toxoplasmosis than others. There was no statistically significant difference observed among those using cat as pets (P>0.05). A higher statistically significant difference was observed among the subjects that ate raw
vegetables and drank untreated water (P<0.05) compared to those who ate cooked vegetables and drank treated water. The need for intensified health campaign to enlighten the society and pregnant mothers on the dangers of acquiring this neglected tropical disease- toxoplasmosis- and how to prevent it has been advocated.

References

Akinbami, A. A., Adewumi, A. A., Rabiu, K. A., Wright, K. O., Dada, M. O. and Adeyemo, A. (2010). Seroprevalence of Toxoplasma gondii antibodies amongst pregnant women at the Lagos State University Teaching Hospital, Nigeria. Nigerian Postgraduate Medical Journal,

(2): 164-167.

Wokem, G. N., Onosakponome E, and Arene, F. O. I. (2018). Seroprevalence of toxoplasmosis and associated risk factors among pregnant women attending antenatal clinic in the University of Port Harcourt Teaching Hospital. Nigeria Journal of Parasitology. 39(1):98–102.

Tenter, A. M, Heckroth, A. R, and Weiss, L. M. (2000). Toxoplasma gondii from animals to humans. International Journal Parasitology. 30:1217–1258.

Dubey, J. P. and Beatrice, C. P. (2010). Toxoplasmosis of animal and humans.Second edition CRC Press increase., Boca Raton, Florida. Pp 336.

Falusi, O, French, A. L, Seaberg, E. C., Tien, P. C., Watts D. H. and Minkoft, H.(2002). Prevalence and predictors of Toxoplasma seropositivity in women with and at risk for human immunodeficiency virus infection. Clinical Infectious Diseases, 35 (11), 1414 – 1417.

Hill, D. E., Chrukandoth, S. S., and Dubey, J. P. (2005). Biology andepidemiology of Toxoplasma gondii in man and animals. Animal Health ResearchReview. 6(1):41–61.

Kim, K, and Weiss, L. M. (2007). Toxoplasma gondii, the model api- complexan; perspectives and methods.Academic press San Diego, pp 801.

Emeka, E. U., Ogunrin, A. O. and Olubunmi, A. (2010). Cerebellartoxoplasmosis in HIV/ AIDS: A case report. West African Journal of Medicine.

:123–126.

Philip-Ephraim, E. E., Charidimou A., Williams E., and Kajogbola G. (2015). Stroke-Like Presentation of Cerebral Toxoplasmosis: Two HIV-nfected Cases. Cerebrovascular Disease Extra, 5(1):.28-30. doi: 10.1159/000375180. PMID:25960735; PMCID: PMC4395826.

Dubey, J. P. (2010). Toxoplasmosis in pigs and humans. 2nd Edition CRC Press, Boca Raton, Florida, pp 3131.

Wokem, G. N. and Onosakponome, E.(2018). Comparative study of toxoplasmosis among healthy volunteer and schizophrenics attending two health facilities in Port Harcourt rivers state Nigeria. Journal of Advances in Medicine and Medical Research. 25(12):1–8.

Ohiolei, J. A. and Isaac, C. (2016). Toxoplasmosis in Nigeria: the story so far (1950– 2016): a review. Foli Parasitologica. 63:30–39.

Lavan, S., Siddhartha, M. S. P., and Cariappa, M. P. (2014). Seroprevalence of TORCH infections in antenatal and HIVpositive patient populations. MedicalJournal of Armed Forces India. 71(2):135-138.

Silva, M. G., Avelino, M. M., Amaral, W. N. and Castro, A. M. (2013). Optimizing the parasitological diagnosis of congenital toxoplasmosis. University City of Saúde Journal, 11: 1–8.

Campos, F. A., Andrade, G. M. Q., Lanna, A. P. S., Lage, B. F., Assumpção, M. V. M., and Pinto, J. A. (2014). Incidence of congenital toxoplasmosis among infants born to HIV-coinfected mothers: Case series and literature review. Brazilian Journal of Infectious Diseases, 18: 609–617.

Pappas, G., Roussons, N. and Falagas., A.(2009).Toxoplasmosis snapshots: globalstatus of Toxoplasma gondii seroprevalence and implications for pregnancy and congenital toxoplasmosis. InternationalJournal of Parasitology. 39(12):1385–1394.

Bello, H. S., Umar, Y. A., and Abdulsalami, M. S. (2017). Sero-prevalence and risk factor of toxoplasmosis among pregnant women attending antenatal clinic in Kaduna metropolis and environs. International Journal Tropical Disease and Health.23(3):1–11.

Hussain, A., Mean, K. E., Darakhhan, P. K., Abdullah, N., Ayesha, A., Ibrahim, B., Mohamed, S. M., Saif, E. A. and Ibrahim, M. E. (2014). Sero-epidemiology of Toxoplasma gondii amongst pregnantwomen in Jazan Province Saudi Arabia. Journal of Tropical Medicine, 3(1): 231 –

Oboro, I. L., Obunge, O. K. and Wariso, K. W. (2019). Sero-epidemiology of toxoplasmosis among pregnant women received antenatal in university of Port Harcourt teaching hospital. The Nigerian Journal of Health. 16(1):321–328.

El-on, J. A. and Peiser, J. (2003). Toxoplasma and toxoplasmosis. Harefuah, 142: 48-55.

Dubey, J. P. and Jones, J. L. (2008). Toxoplasma gondii infectious to humans and animals in United State. InternationalParasitology, 38 (1): 1275-1278.

Jones, J. L. and Dubey, J. P. (2012). Food borne plasmids. Clinical InfectiousDiseases, 55(6): 845- 851.

Robert, G. F. and Darde, M. L. (2012). Epidemiology of and diagnostic strategies for toxoplasmosis. Clinical Microbiological Review, 25:264 – 294.

Hofgartner, W. T., Swanzy, S. R., Bacina, R. M., Condon, J., Gupta, M., Padlock, P. E., Bergeron, D. L., Plorde, J. J. and Fritsch, T. R. (1997). Detection of immunoglobulin G (IgG) and IgMantibodies to Toxoplasma gondii: evaluation of four commercial systems. Journal of Clinical Microbiology. 35(12):3313–3315.

Published

2022-09-01

How to Cite

Wokem, G. N., Obi, I. T., & Amala, S. E. (2022). Evaluation of Sero-Epidemiology of Toxoplasmosis with its associated risk Factors among Antenatal Attendees of a Referral Health Facility in Port Harcourt, Rivers State, Nigeria: https://dx.doi.org/10.4314/njpar.v43i2.9. Nigerian Journal of Parasitology, 43(2), 268–275. Retrieved from https://njpar.com.ng/index.php/home/article/view/162

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