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Alvarado-Esquivel C, Sánchez-Anguiano LF, Hernández-Tinoco J, et al. Seroepidemiology of Toxoplasma Gondii Infection in People Applying for Medical Certificates. Eur J Microbiol Immunol (Bp). 2016;6(2):90-8doi: 10.1556/1886.2016.00001.
Alvarado-Esquivel, C., Sánchez-Anguiano, L. F., Hernández-Tinoco, J., Pulido-Montoya, R. A., Acosta-Rojas, G., Estrada-Martínez, S., Pérez-Álamos, A. R., Vaquera-Enriquez, R., Díaz-Herrera, A., Segura-Moreno, R., Guerrero-Carbajal, M. d. e. . L., Liesenfeld, O., García, I. B., & Rentería-López, M. G. (2016). Seroepidemiology of Toxoplasma Gondii Infection in People Applying for Medical Certificates. European journal of microbiology & immunology, 6(2), 90-8. https://doi.org/10.1556/1886.2016.00001
Alvarado-Esquivel, Cosme, et al. "Seroepidemiology of Toxoplasma Gondii Infection in People Applying for Medical Certificates." European journal of microbiology & immunology vol. 6,2 (2016): 90-8. doi: https://doi.org/10.1556/1886.2016.00001
Alvarado-Esquivel C, Sánchez-Anguiano LF, Hernández-Tinoco J, Pulido-Montoya RA, Acosta-Rojas G, Estrada-Martínez S, Pérez-Álamos AR, Vaquera-Enriquez R, Díaz-Herrera A, Segura-Moreno R, Guerrero-Carbajal Mde L, Liesenfeld O, García IB, Rentería-López MG. Seroepidemiology of Toxoplasma Gondii Infection in People Applying for Medical Certificates. Eur J Microbiol Immunol (Bp). 2016 Mar 31;6(2):90-8. doi: 10.1556/1886.2016.00001. eCollection 2016 Jun 24. PMID: 27429791; PMCID: PMC4936331.
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Eur J Microbiol Immunol (Bp). 2016 Mar 31;6(2):90-8. doi: 10.1556/1886.2016.00001. eCollection 2016 Jun 24.

Seroepidemiology of Toxoplasma Gondii Infection in People Applying for Medical Certificates.

European journal of microbiology & immunology

Cosme Alvarado-Esquivel, Luis Francisco Sánchez-Anguiano, Jesús Hernández-Tinoco, Rosa Angélica Pulido-Montoya, Guadalupe Acosta-Rojas, Sergio Estrada-Martínez, Alma Rosa Pérez-Álamos, Raquel Vaquera-Enriquez, Arturo Díaz-Herrera, Raúl Segura-Moreno, María de Lourdes Guerrero-Carbajal, Oliver Liesenfeld, Isabel Beristain García, María Guadalupe Rentería-López

Affiliations

  1. Faculty of Medicine and Nutrition, Juárez University of Durango State, Avenida Universidad S/N , 34000 Durango, Dgo, Mexico.
  2. Institute for Scientific Research "Dr. Roberto Rivera Damm", Juárez University of Durango State, Avenida Universidad S/N , 34000 Durango, Durango, Mexico.
  3. Facultad de Enfermería y Obstetricia, Juárez University of Durango State , Cuauhtémoc 223 norte, 34000 Durango, Mexico.
  4. Health Center No. 2 "Dr. Carlos Santamaría", Servicios de Salud de Durango , Durango, Mexico, Talpa S/N, 34170 Durango, Mexico.
  5. Institute for Microbiology and Hygiene, Campus Benjamin Franklin, Charité Medical School , Hindenburgdamm 27, D-12203 Berlin, Germany.

PMID: 27429791 PMCID: PMC4936331 DOI: 10.1556/1886.2016.00001

Abstract

Medical certificates are documents that state the health status of a person. This study aimed to determine the seroprevalence and risk factors for Toxoplasma gondii infection in applicants of medical certificates and to investigate seroprevalence association with characteristics of these individuals. We examined 404 applicants in a public health center in Durango City, Mexico for the presence of anti-Toxoplasma IgG and IgM antibodies using enzyme-linked immunoassays. Of the 404 subjects (mean age of 35.94 ± 13.01) studied, 29 (7.2%) were positive for anti-T. gondii IgG antibodies and 9 (31.0%) of them were also positive for anti-T. gondii IgM antibodies. IgG and IgM seropositivities were associated with vision impairment (P = 0.04) and a history of surgery (P = 0.03), respectively. Prevalence of high (>150 IU/ml) IgG antibody levels was associated with hearing impairment (P = 0.03), and histories of lymphadenopathy (P = 0.04) and miscarriages (P = 0.03). Multivariate analysis showed that T. gondii seropositivity was associated with being born out of Durango State (odds ratio [OR] = 4.65; 95% confidence interval [CI]: 1.25-17. 29; P = 0.02) and soil contact (OR = 4.27; 95% CI: 1.71-10.67; P = 0.002) and negatively associated with consumption of sheep meat (OR = 0.12; 95% CI: 0.02-0.65; P = 0.01). These results could be used for the design of optimal preventive measures against toxoplasmosis and its sequelae.

Keywords: Toxoplasma gondii; cross-sectional study; medical certificates; risk factors; seroprevalence

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