Toxoplasma gondii seroprevalence among two selected groups of women

Abstract

Toxoplasma gondii is an intracellular parasite able to cross the placental barrier and known to infect foetal tissues leading to abortions and congenital deformities. A case control study comparing the seroprevalence of T. gondii in 100 healthy pregnant women within 28 weeks of pregnancy and 100 women having undergone a spontaneous miscarriage in the past 6 months attending the Antenatal and Gynaecology clinics of the Professorial Obstetrics & Gynaecology Unit of the De Soyza Maternity Hospital for Women in Colombo was conducted between April 2009 and 2010. Serum was tested for antibodies against T. gondii using OnSite Toxo IgG/IgM Rapid Test-Dip Strip®. Personal details and data regarding the known risk factors for the infection were obtained using an interviewer administered questionnaire. The participants were aged between 15 and 46 years (median 29); 38% of women in each group were primigravidae. All participants were sero-negative for anti-T. gondii IgM antibodies. However, 22.5% (n=45) of all study subjects were sero-positive for anti-T. gondii IgG antibodies, which included 62.2% (n=28) from the healthy group and 37.8% (n=17) from those with a recent past history of a spontaneous miscarriage. The difference in seropositivity for Toxoplasma gondii between the two selected groups was not statistically significant (X 2 =3.47; p=0.063). There were no significant associations between sero-positivity and known risk factors either (p>0.05). Although the study did not reveal any evidence for association between exposure to Toxoplasma gondii infection and spontaneous miscarriage, the presence of more than 75% non-immune women of child bearing age is a cause for concern considering the potential risks posed by this parasite, emphasizing the importance of an organized educational programme targeting this high risk group to prevent infection during pregnancy.