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Seroprevalence of Toxoplasma gondii Infection in Refugee and Migrant Pregnant Women along the Thailand-Myanmar Border.

Abstract Toxoplasma gondii primary infection in pregnancy is associated with poor obstetric outcomes. This study aimed to determine the seroprevalence of Toxoplasma infection in pregnant migrant and refugee women from Myanmar attending antenatal care in Thailand. A random selection of 199 residual blood samples from first antenatal screen in 2014-2015 was tested for Toxoplasma IgG and IgM antibodies. Seroprevalence of Toxoplasma infection was 31.7% (95% confidence interval = 25.6-38.4). Avidity testing in the three positive IgM cases indicated all were past infections. Multiparity (≥ 3 children) was significantly associated with higher Toxoplasma seropositivity rates. Seroprevalence of T. gondii infection in this pregnant population is similar to the only other report from Myanmar, where multiparity was also identified as a significant association. Toxoplasma infection is important in pregnant women. Nevertheless, in this marginalized population, this infection may be given less priority, due to resource constraints in providing the most basic components of safe motherhood programs.
PMID
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Authors

Mayor MeshTerms

Refugees

Seroepidemiologic Studies

Transients and Migrants

Keywords
Journal Title the american journal of tropical medicine and hygiene
Publication Year Start




PMID- 28719309
OWN - NLM
STAT- MEDLINE
DA  - 20170718
DCOM- 20170731
LR  - 20170731
IS  - 1476-1645 (Electronic)
IS  - 0002-9637 (Linking)
VI  - 97
IP  - 1
DP  - 2017 Jul
TI  - Seroprevalence of Toxoplasma gondii Infection in Refugee and Migrant Pregnant
      Women along the Thailand-Myanmar Border.
PG  - 232-235
LID - 10.4269/ajtmh.16-0999 [doi]
AB  - Toxoplasma gondii primary infection in pregnancy is associated with poor
      obstetric outcomes. This study aimed to determine the seroprevalence of
      Toxoplasma infection in pregnant migrant and refugee women from Myanmar attending
      antenatal care in Thailand. A random selection of 199 residual blood samples from
      first antenatal screen in 2014-2015 was tested for Toxoplasma IgG and IgM
      antibodies. Seroprevalence of Toxoplasma infection was 31.7% (95% confidence
      interval = 25.6-38.4). Avidity testing in the three positive IgM cases indicated 
      all were past infections. Multiparity (>/= 3 children) was significantly
      associated with higher Toxoplasma seropositivity rates. Seroprevalence of T.
      gondii infection in this pregnant population is similar to the only other report 
      from Myanmar, where multiparity was also identified as a significant association.
      Toxoplasma infection is important in pregnant women. Nevertheless, in this
      marginalized population, this infection may be given less priority, due to
      resource constraints in providing the most basic components of safe motherhood
      programs.
FAU - van Enter, Bert J D
AU  - van Enter BJD
AD  - Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit,
      Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand.
FAU - Lau, Yee-Ling
AU  - Lau YL
AD  - Department of Parasitology, Faculty of Medicine, University of Malaya, Kuala
      Lumpur, Malaysia.
FAU - Ling, Clare L
AU  - Ling CL
AD  - Nuffield Department of Medicine, Centre for Tropical Medicine and Global Health, 
      University of Oxford, Oxford, United Kingdom.
AD  - Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit,
      Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand.
FAU - Watthanaworawit, Wanitda
AU  - Watthanaworawit W
AD  - Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine,
      Mahidol University, Bangkok, Thailand.
AD  - Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit,
      Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand.
FAU - Sukthana, Yaowalark
AU  - Sukthana Y
AD  - Department of Protozoology, Faculty of Tropical Medicine, Mahidol University,
      Bangkok, Thailand.
FAU - Lee, Wenn-Chyau
AU  - Lee WC
AD  - Singapore Immunology Network (SIgN), A*STAR, Singapore, Singapore.
FAU - Nosten, Francois
AU  - Nosten F
AD  - Nuffield Department of Medicine, Centre for Tropical Medicine and Global Health, 
      University of Oxford, Oxford, United Kingdom.
AD  - Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit,
      Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand.
FAU - McGready, Rose
AU  - McGready R
AD  - Nuffield Department of Medicine, Centre for Tropical Medicine and Global Health, 
      University of Oxford, Oxford, United Kingdom.
AD  - Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit,
      Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Trop Med Hyg
JT  - The American journal of tropical medicine and hygiene
JID - 0370507
RN  - 0 (Antibodies, Protozoan)
RN  - 0 (Immunoglobulin G)
RN  - 0 (Immunoglobulin M)
SB  - AIM
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Antibodies, Protozoan/*blood
MH  - Female
MH  - Humans
MH  - Immunoglobulin G/blood
MH  - Immunoglobulin M/blood
MH  - Middle Aged
MH  - Myanmar/epidemiology
MH  - Pregnancy
MH  - *Refugees
MH  - *Seroepidemiologic Studies
MH  - Thailand/epidemiology
MH  - Toxoplasma/*immunology
MH  - Toxoplasmosis/*blood/epidemiology
MH  - *Transients and Migrants
MH  - Young Adult
PMC - PMC5508912
EDAT- 2017/07/19 06:00
MHDA- 2017/08/02 06:00
CRDT- 2017/07/19 06:00
AID - 10.4269/ajtmh.16-0999 [doi]
PST - ppublish
SO  - Am J Trop Med Hyg. 2017 Jul;97(1):232-235. doi: 10.4269/ajtmh.16-0999.