Toxoplasmosis-Serological Evidence and Associated Risk Factors among Pregnant Women in Southern Thailand

Veeranoot Nissapatorn Department of Parasitology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand; Department of Microbiology, Faculty of Science, Prince of Songkla University, Hat Yai, Songkhla, Thailand

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Chitkasaem Suwanrath Department of Parasitology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand; Department of Microbiology, Faculty of Science, Prince of Songkla University, Hat Yai, Songkhla, Thailand

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Nongyao Sawangjaroen Department of Parasitology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand; Department of Microbiology, Faculty of Science, Prince of Songkla University, Hat Yai, Songkhla, Thailand

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Lau Yee Ling Department of Parasitology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand; Department of Microbiology, Faculty of Science, Prince of Songkla University, Hat Yai, Songkhla, Thailand

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Verapol Chandeying Department of Parasitology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand; Department of Microbiology, Faculty of Science, Prince of Songkla University, Hat Yai, Songkhla, Thailand

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Toxoplasma gondii is an important parasite in pregnant women. This case-controlled study assessed the seroprevalence of toxoplasmosis in 640 pregnant women in southern Thailand and identified their associated risk factors. The overall seroprevalence of toxoplasmosis was 181 (28.3%). Of this, 138 (21.6%) were positive for only anti-Toxoplasma immunoglobulin G (IgG) antibody, 43 (6.7%) were positive for both IgG and IgM antibodies, and none were positive for IgM antibody. Multivariate analysis revealed that increasing age (adjusted odds ratio [OR] = 1.64, 95% confidence interval [CI] = 1.01–2.67), living outside Songkhla province (adjusted OR = 1.56, 95% CI = 1.08–2.24), parity (adjusted OR = 1.65, 95% CI = 1.01–2.68), contact with cats (adjusted OR = 1.70, 95% CI = 1.20–2.43), and drinking of unclean water (adjusted OR = 1.70, 95% CI = 1.08–2.68) were factors associated with Toxoplasma seroprevalence. On the basis of the results obtained, a health surveillance program should be initiated as a primary preventive measure for congenital toxoplasmosis and focus on educating women of the child-bearing age group to avoid contact with cats and to strictly practice personal hygiene.

Author Notes

*Address correspondence to Veeranoot Nissapatorn, Department of Parasitology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia. E-mails: nissapat@gmail.com or veeranoot@um.edu.my

Financial support: This study was supported by the University of Malaya Research Grant (UMRG 094/09HTM), Kuala Lumpur, Malaysia and Faculty of Medicine Research Foundation (no.: 01/2553), Prince of Songkla University, Songkhla province, Thailand.

Disclosure: This work was presented in part at the XIIth International Congress on Parasitology (ICOPA XII), Melbourne, Australia, 15–20 August 2010.

Authors' addresses: Veeranoot Nissapatorn and Lau Yee Ling, Department of Parasitology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia, E-mails: veeranoot@um.edu.my and lauyeeling@um.edu.my. Chitkasaem Suwanrath and Verapol Chandeying, Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand, E-mails: schitkas@yahoo.co.uk and verapol.c@psu.ac.th. Nongyao Sawangjaroen, Department of Microbiology, Faculty of Science, Prince of Songkla University, Hat Yai, Songkhla, Thailand, E-mail: nongyao.s@psu.ac.th.

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