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Mulu Gelaw Y, Worku Dagnew G, Degu Alene G, Gangneux JP, Robert-Gangneux F. Toxoplasma gondii seroprevalence among pregnant women in Africa: A systematic review and meta-analysis. PLoS Negl Trop Dis 2024; 18:e0012198. [PMID: 38781272 DOI: 10.1371/journal.pntd.0012198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 06/05/2024] [Accepted: 05/06/2024] [Indexed: 05/25/2024] Open
Abstract
BACKGROUND Toxoplasmosis is a serious endemic zoonotic disease caused by the protozoan parasite Toxoplasma gondii. Toxoplasma infection during pregnancy can result in congenital transmission and serious fetal and neonatal complications. This systematic review and meta-analysis aimed to assess the pooled seroprevalence of T. gondii infection and its determinants among pregnant women in African countries. METHODS All articles reporting the seroprevalence of toxoplasmosis among pregnant women in African countries and published from 2010 to 2023 were searched using various databases. The pooled prevalence of toxoplasmosis was calculated using a random-effect model. The variation between the included studies was assessed using a funnel plot and I2 heterogeneity statistics. To identify the sources of heterogeneity, sub-group analysis was further conducted by country, diagnostic method, and sub-African region. The association of prevalence rates with the socio-economic level and geoclimatic parameters was also explored. RESULTS In total, 29,383 pregnant women from 60 articles were included for analysis. The pooled T. gondii seroprevalence was 42.89% with high heterogeneity (I2 = 99.4%, P < 0.001). Sub-group analysis revealed variation by country (ranging from 2.62% in Namibia to 80.28% in Congo), diagnostic method used (from 8.66% in studies using a rapid diagnostic test to 55.69% in those using an agglutination test), and sub-African region (from 4.14% in regions of Southern Africa to 53.96 in Central Africa). Cat ownership (OR = 1.58) and the consumption of raw meat (OR = 1.50) and raw vegetables (OR = 1.48) had a statistically significant combined effect on T. gondii seroprevalence. No association was found between T. gondii prevalence and the level of income of the country or geoclimatic parameters. CONCLUSION The prevalence of toxoplasmosis infection among pregnant women in Africa is high, particularly in Central and Eastern Africa. The determinants of prevalence are multifactorial. Therefore, efforts should be made to increase the awareness of women concerning the risk factors for toxoplasmosis.
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Affiliation(s)
- Yared Mulu Gelaw
- School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
- Irset (Institut de Recherche en Santé, Environnement et Travail), UMR_S 1085, Université de Rennes, CHU Rennes, Inserm, EHESP, Rennes, France
| | - Gizachew Worku Dagnew
- School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Getu Degu Alene
- School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Jean-Pierre Gangneux
- Irset (Institut de Recherche en Santé, Environnement et Travail), UMR_S 1085, Université de Rennes, CHU Rennes, Inserm, EHESP, Rennes, France
| | - Florence Robert-Gangneux
- Irset (Institut de Recherche en Santé, Environnement et Travail), UMR_S 1085, Université de Rennes, CHU Rennes, Inserm, EHESP, Rennes, France
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Pereira ELGM, Ferreira IB, Victorino RB, Lescano SAZ, Giuffrida R, Kmetiuk LB, Biondo AW, Santarém VA. Serosurvey of Toxoplasma gondii and Toxocara spp. co-infection in pregnant women in low-income areas of Brazil. Front Public Health 2024; 12:1340434. [PMID: 38333736 PMCID: PMC10850292 DOI: 10.3389/fpubh.2024.1340434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2023] [Accepted: 01/09/2024] [Indexed: 02/10/2024] Open
Abstract
Introduction Despite human toxoplasmosis and toxocariasis having been listed among the top six most neglected parasitic zoonoses worldwide, presenting similar associated risk factors and transmission routes, few studies have been conducted in pregnant women and the consequences of concurrent infection remain to be fully established. Accordingly, the present study has serologically assessed the co-infection and associated risk factors for Toxoplasma gondii and Toxocara spp. in pregnant women, assisted by the public Unified National Health System (SUS) in southeastern Brazil. Materials and Methods Blood samples were collected and tested for IgG antibodies against Toxoplasma gondii by chemiluminescence immunoassay and against Toxocara spp. by enzyme-linked immunosorbent assay (ELISA). An epidemiological questionnaire was applied to gather socioeconomic information to assess the risk factors associated with seropositivity to toxocariasis/toxoplasmosis by univariate analysis followed by logistic regression. Results Overall, seropositivity was 69/280 (24.6, 95% CI: 19.96-30.01) for T. gondii and 56/280 (20.0, 95% CI: 15.73-25.08) for Toxocara spp. Co-infection was observed in 25/280 (8.9, 95% CI: 6.12-12.85) pregnant women, with increased odds (OR: 3.3, CI 95%: 1.77-6.14, p = 0.0002). Logistic regression revealed that a higher educational level (high school or college) significantly reduced the likelihood of co-infection seropositivity, owning cats increased the odds of toxocariasis, and older pregnant women presented significantly higher T. gondii seropositivity. Conclusion Co-infection herein highlights the importance of educational programs in the prevention of toxocariasis and toxoplasmosis in pregnant women and other high-risk populations.
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Affiliation(s)
| | | | | | | | - Rogério Giuffrida
- Graduate College in Animal Sciences, University of Western São Paulo (UNOESTE), São Paulo, Brazil
| | | | - Alexander Welker Biondo
- Graduate College of Cell and Molecular Biology, Federal University of Paraná (UFPR), Curitiba, Brazil
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da Fonseca FM, Sato AP, Becker APBB, da Paz Augusto Pinto GO, de Souza GS, Perotta JH, de Barros Filho IR, Rodriguez MC, Locatelli-Dittrich R. Detection of Toxoplasma gondii DNA in milk of dairy cows from southern Brazil. Parasitol Int 2023; 95:102750. [PMID: 36925059 DOI: 10.1016/j.parint.2023.102750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Revised: 02/27/2023] [Accepted: 03/07/2023] [Indexed: 03/16/2023]
Abstract
Consumption of unpasteurized cow's milk may be a transmission route for some pathogenic microorganisms, but there is little information about the risk of Toxoplasma gondii infection. Blood and milk samples were collected in a paired and random fashion from 106 dairy cows and bulk-tank milk samples were also collected from each of the six farms, in southern Brazil. Serum anti-T.gondii antibodies (IgG) were detected by an indirect fluorescent antibody test (IFAT) with a cutoff point of 1:64. Nested PCR targeting the ITS1 was performed on milk samples to detect the Sarcocystidae family, confirmed to be T.gondii by Sanger sequencing. The occurrence of anti-T.gondii antibodies in the herds was 14.1%, (15/106) with seropositive cows in all herds. Antibody titers in positive samples ranged from 64 to 128. T.gondii DNA was detected in 2.8% (03/106) of the milk samples. The ITS1 sequences generated in this study were ON809793 - ON809794 and the sequencing revealed 98-100% identity with T. gondii DNA sequences deposited in GenBank. All cows PCR positive for T.gondii in milk were negative for IgG antibodies in serum, suggesting that naturally infected cows may shed T. gondii in milk in the acute phase of infection. The results of this study demonstrate that T. gondii DNA may be detected in raw cow's milk, so the potential risks of lactogenic infection should be considered. The presence of T. gondii DNA in milk does not confirm that the protozoa are viable and infective, and further investigations into the role of cow's milk in the epidemiology of toxoplasmosis are needed.
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Affiliation(s)
- Flávia Moreira da Fonseca
- Department of Veterinary Medicine, Federal University of Paraná, Rua dos Funcionários 1540, CEP 80035-050 Curitiba, Paraná, Brazil.
| | - Ana Paula Sato
- Department of Veterinary Medicine, Federal University of Paraná, Rua dos Funcionários 1540, CEP 80035-050 Curitiba, Paraná, Brazil
| | - Ana Paula Brenner Busch Becker
- Department of Veterinary Medicine, Federal University of Paraná, Rua dos Funcionários 1540, CEP 80035-050 Curitiba, Paraná, Brazil
| | | | | | - João Henrique Perotta
- Department of Veterinary Medicine, Federal University of Paraná, Rua dos Funcionários 1540, CEP 80035-050 Curitiba, Paraná, Brazil
| | - Ivan Roque de Barros Filho
- Department of Veterinary Medicine, Federal University of Paraná, Rua dos Funcionários 1540, CEP 80035-050 Curitiba, Paraná, Brazil
| | - Maria Constanza Rodriguez
- Marcos Enrietti Diagnostic Center, Parana State Agency for Agricultural Defense, R. Jaime Balão, 575, 80040-340 Curitiba, Paraná, Brazil
| | - Rosangela Locatelli-Dittrich
- Department of Veterinary Medicine, Federal University of Paraná, Rua dos Funcionários 1540, CEP 80035-050 Curitiba, Paraná, Brazil.
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Liu YM, Zhang YY, Wang L, Wang HY, Li CH, Jiang YH, Sun WW. Toxoplasma gondii Antibodies in Raw Milk and Sera of Cows in China. Pathogens 2022; 11:pathogens11101079. [PMID: 36297135 PMCID: PMC9611966 DOI: 10.3390/pathogens11101079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Revised: 09/07/2022] [Accepted: 09/09/2022] [Indexed: 11/17/2022] Open
Abstract
Toxoplasma gondii is a worldwide food-borne protozoa that has harmful influences on animal and human health. Raw milk containing T. gondii has been considered as one of the possible infectious sources for humans. Although China is one of the world’s leading milk consumers, there is still no study to investigate the seroprevalence of T. gondii in raw cow milk in China; especially for cows in rural areas. Thus, we conducted this study to examine the specific anti-T. gondii IgG-antibody in the raw milk and sera of domestic cows in China. In total, 894 cows were randomly selected from rural areas in northeastern China. The positive rate of T. gondii in the milk and serum samples were 6.38% (57/894) and 7.16% (64/894), respectively. Moreover, a history of abortion (OR = 2.03, 95% CI: 1.11–3.72, p = 0.022) was identified as the only risk factor for T. gondii infection in the studied cows. This study investigated the seroprevalence of T. gondii in the raw milk and sera of cows in China; it provided timely and useful data for public health and food safety, especially in rural areas.
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Affiliation(s)
- Yu-Min Liu
- College of Animal Science and Technology, Jilin Agricultural Science and Technology University, Jilin 132101, China
| | - Yang-Yang Zhang
- College of Animal Science and Technology, Jilin Agricultural Science and Technology University, Jilin 132101, China
| | - Lu Wang
- College of Animal Science and Technology, Jilin Agricultural University, Changchun 130118, China
- Intelligent Research Center of Cancer Hospital Affiliated to Chongqing University, Chongqing 400030, China
| | - Hai-Yang Wang
- College of Animal Science and Technology, Jilin Agricultural Science and Technology University, Jilin 132101, China
| | - Chun-Hua Li
- College of Animal Science and Technology, Jilin Agricultural Science and Technology University, Jilin 132101, China
| | - Yu-Hang Jiang
- College of Veterinary Medicine, Northwest A&F University, Yangling 712100, China
| | - Wu-Wen Sun
- College of Animal Science and Technology, Jilin Agricultural University, Changchun 130118, China
- Correspondence:
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Cruz SFSD, Gauch IR, Cruz MFSD, Araújo ACMD, Cruz NFSD, Bichara CNC. Ultra-wide field imaging for ophthalmological evaluation of pregnant women with positive serology for toxoplasmosis. REVISTA BRASILEIRA DE OFTALMOLOGIA 2021. [DOI: 10.37039/1982.8551.20210056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Pedraza DF, Lins ACDL. [Clinical complications during pregnancy: a systematic review of studies with pregnant Brazilian women]. CIENCIA & SAUDE COLETIVA 2021; 26:5329-5350. [PMID: 34787223 DOI: 10.1590/1413-812320212611.3.33202019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2019] [Accepted: 11/21/2019] [Indexed: 11/22/2022] Open
Abstract
The scope of this paper was to describe the main clinical complications among pregnant Brazilian women reported in the literature, identifying the most relevant exposure factors and their outcomes in maternal and child health. This is a systematic review of articles published between 2010 and 2018. Three reviews and 36 empirical articles were included; mental disorders (n=9), infectious diseases (n=9) and severe maternal morbidity (n=8) were the main clinical complications during pregnancy. In addition, four articles focused on determining the main conditions or causes of hospitalization, with a higher frequency of Urinary Tract Infection, anemia and hypertensive diseases. Maternal age at reproductive extremes, lower schooling, socioeconomic vulnerability, racial characteristics and the use of public health services were the most relevant exposure factors. Unfavorable health outcomes associated with clinical complications in pregnancy were verified in the eight articles with this profile. The frequency of pregnant women with potential life-threatening clinical complications is high in the country, highlighting the importance of primary care coverage and the implementation of interventions to reduce and prevent adverse maternal and child outcomes.
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Affiliation(s)
- Dixis Figueroa Pedraza
- Universidade Estadual da Paraíba. Av. das Baraúnas 351, Campus Universitário, Bodocongó. 58109-753 Campina Grande PB Brasil.
| | - Anahi Cézar de Lima Lins
- Universidade Estadual da Paraíba. Av. das Baraúnas 351, Campus Universitário, Bodocongó. 58109-753 Campina Grande PB Brasil.
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Yusuf AA, Hassan-Kadle AA, Ibrahim AM, Hassan-Kadle MA, Yasin AM, Khojaly M, Garcia JL, Vieira RFC. Prevalence of Anti-Toxoplasma gondii and Anti-Brucella Spp. Antibodies in Pregnant Women From Mogadishu, Somalia. FRONTIERS IN REPRODUCTIVE HEALTH 2021; 3:672885. [PMID: 36304030 PMCID: PMC9580836 DOI: 10.3389/frph.2021.672885] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Accepted: 07/06/2021] [Indexed: 11/13/2022] Open
Abstract
Toxoplasmosis and brucellosis are zoonotic diseases of worldwide distribution. They both cause abortion and infertility in human and animals. Limited data are available about these pathogens in Somali people and their animals. Hence, this study has evaluated the prevalence of anti-Toxoplasma gondii and anti-Brucella spp. antibodies in pregnant women in Mogadishu, Somalia. Serum samples from 307 pregnant women from Mogadishu, Somalia were tested for anti-T. gondii antibodies by Latex Agglutination Test (LAT) and anti-Brucella spp. antibodies by Rose Bengal Plate Test (RBPT) and a commercial competitive-ELISA (cELISA). A total of 119/307 (38.76%) pregnant women had a prior history of abortion. A total of 159/307 (51.79%; 95% CI: 46.2–57.35%) pregnant women were seroreactive for T. gondii by LAT at different stages of pregnancy. For Brucella spp., when RBPT and cELISA were combined 4/307 (1.30%; 95% CI: 0.36–3.30%) pregnant women were seroreactive to anti-Brucella spp. antibodies, being 2/307 (0.65%; 95% CI: 0.18–2.34%) by RBPT and 3/307 (0.98%; 95% CI: 0.33–2.83%) by cELISA. Two women were seroreactive for both agents. A high seropositivity to T. gondii and low seropositivity to Brucella spp. have been found in pregnant women from Mogadishu, Somalia. Considering the high number of abortions in the country associated to the fact that awareness on other zoonotic abortifacient pathogens in Somalis is very low, further studies should be conducted to evaluate the potential causes of abortions.
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Affiliation(s)
- Abdulkarim A. Yusuf
- Vector-Borne Diseases Laboratory, Department of Veterinary Medicine, Universidade Federal Do Paraná, Curitiba, Brazil
- Abrar Research and Training Centre, Abrar University, Mogadishu, Somalia
- *Correspondence: Abdulkarim A. Yusuf
| | - Ahmed A. Hassan-Kadle
- Vector-Borne Diseases Laboratory, Department of Veterinary Medicine, Universidade Federal Do Paraná, Curitiba, Brazil
- Abrar Research and Training Centre, Abrar University, Mogadishu, Somalia
| | - Abdalla M. Ibrahim
- Vector-Borne Diseases Laboratory, Department of Veterinary Medicine, Universidade Federal Do Paraná, Curitiba, Brazil
- Abrar Research and Training Centre, Abrar University, Mogadishu, Somalia
- College of Medicine and Health Science, Abrar University, Mogadishu, Somalia
| | | | - Abdullahi M. Yasin
- College of Medicine and Health Science, Abrar University, Mogadishu, Somalia
| | - Maha Khojaly
- Central Veterinary Research Laboratory, Khartoum, Sudan
| | - João L. Garcia
- Department of Veterinary Preventive Medicine, Londrina State University, Londrina, Brazil
| | - Rafael F. C. Vieira
- Vector-Borne Diseases Laboratory, Department of Veterinary Medicine, Universidade Federal Do Paraná, Curitiba, Brazil
- Global One Health Initiative, The Ohio State University, Columbus, OH, United States
- Rafael F. C. Vieira
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Sahimin N, Mohd Hanapi IR, Nurikhan ZA, Behnke JM, Mohd Zain SN. Seroprevalence and Associated Risk Factors for Toxoplasma gondii Infections Among Urban Poor Communities in Peninsular Malaysia. Acta Parasitol 2021; 66:524-534. [PMID: 33219942 DOI: 10.1007/s11686-020-00304-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 10/22/2020] [Indexed: 11/29/2022]
Abstract
PURPOSE Toxoplasmosis is a zoonotic infection linked to compromised hygiene and sanitation via the handling of infected cat faeces, eating undercooked contaminated meat or transplacental transmission. We conducted a study to determine seroprevalence and risk factors associated with toxoplasmosis among the urban poor communities in Malaysia. METHODS The demographic profiles for each participant were obtained through a questionnaire survey prior to blood collection. A total of 389 participants were recruited and blood samples screened for the presence of anti-Toxoplasma IgG and IgM antibody using an ELISA commercial kit, SERION ELISA classic Toxoplasma gondii IgG and IgM. RESULTS The overall T. gondii seroprevalence was 69.6% with 56.8% seropositive for anti-Toxoplasma IgG, 7.7% seropositive for anti-Toxoplasma IgM and 5.1% seropositive for both IgG and IgM antibodies. The presence of both antibody classes in blood samples indicated high avidity, suggesting latent infection. Univariate analysis revealed significant associations that included; age, ethnicity, location and employment status while, significant lifestyle factors included source of drinking water and eating style. A multifactorial statistical model that incorporated all the significant effects from the first-stage univariate analyses listed above revealed that age and ethnicity were the two dominant and independent effects on IgG seroprevalence. For seroprevalence of IgM, the multifactorial model revealed a significant interaction between work and accommodation. IgM seroprevalence was higher among the unemployed inhabitants of PPR (Program Perumahan Rakyat) than those living in non-PPR accommodation, and higher than among the employed irrespective of their accommodation. CONCLUSION High seroprevalence of Toxoplasmosis in the community calls for increased awareness of disease transmission and improvements in hygiene and sanitation.
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Affiliation(s)
- Norhidayu Sahimin
- Tropical Infectious Diseases Research and Education Centre (TIDREC), Universiti Malaya, 50603, Kuala Lumpur, Malaysia
| | - Izzah Ruzana Mohd Hanapi
- Institute of Biological Sciences, Faculty of Science, Universiti Malaya, 50603, Kuala Lumpur, Malaysia
| | - Zarin Amalina Nurikhan
- Institute of Biological Sciences, Faculty of Science, Universiti Malaya, 50603, Kuala Lumpur, Malaysia
| | - Jerzy M Behnke
- School of Life Sciences, University of Nottingham, University Park, Nottingham, NG7 2RD, UK
| | - Siti Nursheena Mohd Zain
- Institute of Biological Sciences, Faculty of Science, Universiti Malaya, 50603, Kuala Lumpur, Malaysia.
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Apicomplexan Protozoa Responsible for Reproductive Disorders: Occurrence of DNA in Blood and Milk of Donkeys ( Equus asinus) and Minireview of the Related Literature. Pathogens 2021; 10:pathogens10020111. [PMID: 33499205 PMCID: PMC7912328 DOI: 10.3390/pathogens10020111] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Revised: 01/12/2021] [Accepted: 01/19/2021] [Indexed: 02/07/2023] Open
Abstract
Donkeys may be susceptible to many pathological agents and may act as carriers of pathogens for other animal species and humans. This study evaluated the occurrence of potentially abortifacient apicomplexan protozoa DNA in blood and milk samples collected at different time periods during lactation (1, 6, and 10 months) from 33 healthy dairy jennies. A total of 73 blood and 73 milk samples were used for DNA extraction and analysis. Blood specimens from 11/33 (33%) jennies scored positive for Theileria equi, while milk samples scored negative. Blood and milk of 3/33 jennies yielded DNA of Toxoplasma gondii at 6 months (n. 1) and 10 months (n. 2) after parturition. Neospora caninum DNA was found in four milk and in five blood samples only at one month after parturition. This study is the first report about the presence of N. caninum DNA in milk of naturally infected jennies. Moreover, the excretion of N. caninum DNA in some of these jennies at 30 days from the parturition may suggest a possible occurrence of an endogenous cycle, while the presence of T. gondii DNA in the milk collected at 6 and 10 months after parturition may be suggestive of a discontinuous excretion.
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Ducrocq J, Simon A, Lemire M, De Serres G, Lévesque B. Exposure to Toxoplasma gondii Through Consumption of Raw or Undercooked Meat: A Systematic Review and Meta-Analysis. Vector Borne Zoonotic Dis 2020; 21:40-49. [PMID: 33202167 DOI: 10.1089/vbz.2020.2639] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
Abstract
Toxoplasma gondii is a globally distributed protozoan that mainly causes health issues in the fetuses of pregnant women who have never been exposed to this parasite and patients with deficient immune systems. Except in these vulnerable populations, the primary infection generally goes unnoticed in most healthy individuals. Apart from transplant/transfusion, congenital transmission, direct contact with infected cats or their feces, and environmental contamination (i.e., oocysts in food, water, and soil) pathways, humans can acquire the parasite through consumption of animal tissues infected by T. gondii. This meta-analysis estimated the risk of acquiring T. gondii by consuming raw or undercooked meat, regardless of which animal species are eaten. Using a random-effect model, crude and adjusted pooled measures of association (risk and odds ratio) were estimated according to study design (cohort, case-control, and cross-sectional studies). The meta-analysis included measures of heterogeneity as well as quality rating scales for each study design. Our results suggest that individuals who eat raw or undercooked meat have, respectively, 1.2-1.3 times the risk and 1.7-3.0 times the odds of T. gondii infection compared to those who thoroughly cook meat, regardless of the animal species they consume. These results align with the current understanding that adequately cooking meat inactivates the parasite and decreases the risk of transmission. Seroprevalence ranged from 1.3% to 88.6%, while the proportion of individuals eating raw or undercooked meat fluctuated from 0.7% to 98.3% across the studies in the meta-analysis. These numbers reflect various preferences with regard to eating meat (i.e., eating tartar, sausages, or salamis) as well as individual, cultural and religious food habits, and personal awareness.
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Affiliation(s)
- Julie Ducrocq
- Université Laval, Department of Social and Preventive Medicine, Québec, Canada.,Axe des Populations et Pratiques Optimales en Santé, Centre Hospitalier Universitaire de Québec, Québec, Canada
| | - Audrey Simon
- Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, Canada
| | - Mélanie Lemire
- Université Laval, Department of Social and Preventive Medicine, Québec, Canada.,Axe des Populations et Pratiques Optimales en Santé, Centre Hospitalier Universitaire de Québec, Québec, Canada
| | - Gaston De Serres
- Université Laval, Department of Social and Preventive Medicine, Québec, Canada.,Axe des Populations et Pratiques Optimales en Santé, Centre Hospitalier Universitaire de Québec, Québec, Canada.,Direction de la Santé Environnementale et de la Toxicologie, Institut de Santé Publique du Québec, Québec, Canada
| | - Benoit Lévesque
- Université Laval, Department of Social and Preventive Medicine, Québec, Canada.,Axe des Populations et Pratiques Optimales en Santé, Centre Hospitalier Universitaire de Québec, Québec, Canada.,Direction des Risques Biologiques et Santé au Travail, Institut de Santé Publique du Québec, Québec, Canada
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Abstract
Toxoplasmosis is a worldwide zoonotic infectious disease caused by Toxoplasma gondii. This infection is estimated to affect about a third of the world's population. The aim of this study was to evaluate the knowledge of Italian women about toxoplasmosis and its forms of transmission, clinical manifestations, diagnosis and prevention through two different modalities (e-research and traditional research). In a cross-sectional study, 808 Italian women were interviewed, using a self-administered questionnaire, through two different modalities: an e-research or web survey and a traditional paper research and 84% reported to have heard about toxoplasmosis, but from most of the sample, it resulted that the knowledge of the protozoan disease was superficial and incomplete.The assessment of the dimensionality related to the toxoplasmosis knowledge's instrument showed that the scale is composed by two stable and reliable factors which explain 58.6% of the variance: (a) the basic knowledge (α = 0.83), which explains the 45.2% of the variance and (b) the specialist knowledge (α = 0.71), which explains the 13.4% of the variance. The variance and the multiple linear regression data analysis showed significant predictors of correct basic knowledge of toxoplasmosis: the highest age, the highest degree of study, to have previously contracted illness or to know someone who had contracted it, to be working or to be housewives. In conclusion, this study showed limited awareness of toxoplasmosis and suggested the implementation of effective education and learning programs. The results also showed that online data collection, in academic research, might be a valid alternative to more traditional (paper-and-pencil) surveys.
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Evangelista FF, Mantelo FM, de Lima KK, Marchioro AA, Beletini LF, de Souza AH, Santana PL, Riedo CDO, Higa LT, Guilherme ALF. Prospective evalution of pregnant women with suspected acute toxoplasmosis treated in a reference prenatal care clinic at a university teaching hospital in Southern Brazil. Rev Inst Med Trop Sao Paulo 2020; 62:e46. [PMID: 32667393 PMCID: PMC7359740 DOI: 10.1590/s1678-9946202062046] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2019] [Accepted: 06/18/2020] [Indexed: 11/30/2022] Open
Abstract
Infection by the protozoan Toxoplasma gondii during pregnancy demands greater attention from the health authorities due to the risk of placental transmission, which can have devastating consequences to the foetus and newborn. This study was conducted in a high-risk prenatal care outpatient clinic of a university teaching hospital. Pregnant women screened for specific IgM and IgG anti -T. gondii, attended from January 2009 to August 2018 were included. From 530 suspected patients, 218 were followed up and they presented positive IgM and IgG anti- T. gondii. From these patients, 83 (38.0%) had low IgG avidity, 39 (18%) seroconverted in the second or third trimester of pregnancy, 19 (8.7%) had no avidity test, 69 (31.6%) had high IgG avidity after 16 weeks of gestation, five had recurrent chorioretinitis (2.2%) and three (1.3%) were seropositive to HIV. Complementary diagnoses were made in 30/48 (62.5%) of the patients revealing the presence of specific IgA antibodies raised to T. gondii; 3/63 (4.8%) peripheral blood samples and 1/57 (1.8%) amniotic fluid sample. There were eight foetal deaths, one case of neonatal hepatomegaly and one case of T. gondii DNA detected in a peripheral blood sample. Of the 139 newborn deliveries at the teaching hospital, there was a 38% loss of follow-up. The prevalence of congenital toxoplasmosis was 1.2 cases/1,000 live births in this study area, according to the retrospective survey of cases. Prenatal treatment may have helped to reduce the risk of vertical transmission.
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Affiliation(s)
| | | | | | | | | | | | - Priscila Laet Santana
- Universidade Estadual de Maringá, Programa Ciências da Saúde, Maringá, Paraná, Brazil
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Duarte PO, Oshiro LM, Zimmermann NP, Csordas BG, Dourado DM, Barros JC, Andreotti R. Serological and molecular detection of Neospora caninum and Toxoplasma gondii in human umbilical cord blood and placental tissue samples. Sci Rep 2020; 10:9043. [PMID: 32493968 PMCID: PMC7271125 DOI: 10.1038/s41598-020-65991-1] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Accepted: 05/13/2020] [Indexed: 11/09/2022] Open
Abstract
Neosporosis primarily affects cattle and dogs and is not currently considered a zoonotic disease. Toxoplasmosis is a zoonosis with a worldwide distribution that is asymptomatic in most cases, but when acquired during pregnancy, it can have serious consequences. The seropositivity rates determined by the indirect fluorescent antibody test for Neospora caninum (N. caninum) and Toxoplasma gondii (T. gondii) were 24.3% (49 samples) and 26.8% (54 samples), respectively. PCR positivity for N. caninum was observed in two samples of cord blood (1%) using the Nc5 and ITS1 gene, positivity for T. gondii was observed in 16 samples using the primer for the B1 gene (5.5% positivity in cord blood and 2.5% positivity in placental tissue). None of the samples showed structures characteristic of tissue cysts or inflammatory infiltrate on histopathology. Significant associations were observed only between N. caninum seropositivity and the presence of domestic animals (p = 0.039) and presence of dogs (p = 0.038) and between T. gondii seropositivity and basic sanitation (p = 0.04). This study obtained important findings regarding the seroprevalence and molecular detection of N. caninum and T. gondii in pregnant women; however, more studies are necessary to establish a correlation between risk factors and infection.
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Affiliation(s)
- Pâmella Oliveira Duarte
- Programa de Pós-Graduação em Doenças Infecciosas e Parasitárias- Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande, MS, Brasil
| | - Leandra Marla Oshiro
- Laboratório de Biologia Molecular do Carrapato, Departamento de Sanidade Animal, Embrapa Gado de Corte, Campo Grande, MS, Brasil
| | - Namor Pinheiro Zimmermann
- Professor do Curso de Medicina Veterinária do Centro Universitário da Grande Dourados-UNIGRAN, Dourados, Brasil
| | - Bárbara Guimarães Csordas
- Bolsista de Pós-Doutorado- FUNDAPAM, Laboratório de Biologia Molecular do Carrapato, Departamento de Sanidade Animal, Embrapa Gado de Corte, Campo Grande, MS, Brasil
| | | | | | - Renato Andreotti
- Empresa Brasileira de Pesquisa Agropecuária, Embrapa Gado de Corte, Campo Grande, MS, Brasil.
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Gomes CDB, Vasconcelos LG, Cintra RMGDC, Dias LCGD, Carvalhaes MADBL. Hábitos alimentares das gestantes brasileiras:revisão integrativa da literatura. CIENCIA & SAUDE COLETIVA 2019; 24:2293-2306. [DOI: 10.1590/1413-81232018246.14702017] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2017] [Accepted: 09/04/2017] [Indexed: 12/24/2022] Open
Abstract
Resumo Os hábitos alimentares das mulheres grávidas são influenciados por diversos fatores, sendo essencial conhecê-los para poder realizar intervenções nutricionais na atenção pré-natal. O objetivo desta revisão integrativa foi analisar a produção bibliográfica sobre hábitos alimentares de gestantes brasileiras. Foram buscados artigos na Biblioteca Virtual em Saúde (BVS), PubMed, Scopus, Web of Science e na Scientific Eletronic Library Online (SciELO) utilizando os seguintes descritores: “Gestantes” OR “Grávidas” AND “Hábitos Alimentares” e os termos “Pregnant women” AND “Food habits” AND “Brazil” para busca em inglês. Após a adoção dos critérios de inclusão e exclusão foram analisados 18 estudos. Alguns estudos contemplaram populações específicas como adolescentes ou gestantes não obesas. O instrumento mais utilizado para investigação do consumo alimentar de gestantes foi o Questionário de Frequência Alimentar. A maioria mostrou que a dieta das gestantes precisa de melhorias, especialmente pelo baixo consumo de frutas, verduras e hortaliças, elevado consumo de açúcares, doces e gorduras. A maioria dos estudos concluiu e reforçou a importância e a necessidade da educação nutricional pelos profissionais atuantes no pré-natal. Mais estudos são necessários para compreensão mais acurada destes hábitos alimentares.
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Alipour M, Rahimi E, Shakerian A. Retracted:Prevalence ofToxoplasma gondiiandNeospora caninumin different types of raw milk and traditional dairy product samples. J Food Saf 2018. [DOI: 10.1111/jfs.12575] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Affiliation(s)
- Mahtab Alipour
- Department of Food Hygiene, Faculty of Veterinary MedicineShahrekord Branch, Islamic Azad University Shahrekord Iran
| | - Ebrahim Rahimi
- Department of Food Hygiene, Faculty of Veterinary MedicineShahrekord Branch, Islamic Azad University Shahrekord Iran
- Research Center of Nutrition and Organic ProductsShahrekord Branch, Islamic Azad University Shahrekord Iran
| | - Amir Shakerian
- Department of Food Hygiene, Faculty of Veterinary MedicineShahrekord Branch, Islamic Azad University Shahrekord Iran
- Research Center of Nutrition and Organic ProductsShahrekord Branch, Islamic Azad University Shahrekord Iran
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Avelar JB, Silva MGD, Rezende HHA, Storchilo HR, Amaral WND, Xavier IR, Avelino MM, Castro AMD. Epidemiological factors associated with Toxoplasma gondii infection in postpartum women treated in the public healthcare system of Goiânia, State of Goiás, Brazil. Rev Soc Bras Med Trop 2018. [PMID: 29513843 DOI: 10.1590/0037-8682-0112-2017] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Knowledge of the epidemiological profile and risk factors for Toxoplasma gondii infection among postpartum women is a relevant issue, because this protozoan can be vertically transmitted to the developing fetus, which can cause severe and debilitating disease. The aim of this study was to assess the risk factors associated with T. gondii infection in postpartum women in Goiânia, GO, Brazil. METHODS This cross-sectional study comprised 229 postpartum women, among whom 204 were chronically infected (IgG+/IgM-), and 25 were seronegative (IgG-/IgM-; control group). All the patients were asked to complete a form to provide sociodemographic, clinical, dietary, and cultural information. The data were analyzed to compare seropositivity and risk factors based on the odds ratio (OR) thereof. RESULTS The sociodemographic characteristics associated with the risk for toxoplasmosis were: education ≤ 8 years [OR: 2.521, confidence interval (CI): 1.01-6.301, p=0.049], and age ≥ 30 years (OR: 4.090; CI: 1.180-14.112, p=0.023). Clinical and behavioral characteristics related to eating raw and undercooked meat, were not found to be risk factors associated with a positive test for toxoplasmosis. CONCLUSIONS Our findings concur with the results of other studies conducted in Brazil and abroad, where variables such as low levels of schooling, and advanced age (≥ 30 years) are major risk factors for pregnant women to become infected with T. gondii.
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Affiliation(s)
| | | | | | | | | | | | | | - Ana Maria de Castro
- Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás, Goiânia, GO, Brasil
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Cisak E, Zając V, Sroka J, Sawczyn A, Kloc A, Dutkiewicz J, Wójcik-Fatla A. Presence of Pathogenic Rickettsiae and Protozoan in Samples of Raw Milk from Cows, Goats, and Sheep. Foodborne Pathog Dis 2017; 14:189-194. [DOI: 10.1089/fpd.2016.2203] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Affiliation(s)
- Ewa Cisak
- Department of Health Biohazards and Parasitology, Institute of Rural Health, Lublin, Poland
| | - Violetta Zając
- Department of Health Biohazards and Parasitology, Institute of Rural Health, Lublin, Poland
| | - Jacek Sroka
- Department of Parasitology and Invasive Diseases, National Veterinary Research Institute, Pulawy, Poland
| | - Anna Sawczyn
- Department of Health Biohazards and Parasitology, Institute of Rural Health, Lublin, Poland
| | - Anna Kloc
- Department of Health Biohazards and Parasitology, Institute of Rural Health, Lublin, Poland
| | - Jacek Dutkiewicz
- Department of Health Biohazards and Parasitology, Institute of Rural Health, Lublin, Poland
| | - Angelina Wójcik-Fatla
- Department of Health Biohazards and Parasitology, Institute of Rural Health, Lublin, Poland
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Elsafi SH, Al-Mutairi WF, Al-Jubran KM, Abu Hassan MM, Al Zahrani EM. Toxoplasmosis seroprevalence in relation to knowledge and practice among pregnant women in Dhahran, Saudi Arabia. Pathog Glob Health 2016; 109:377-82. [PMID: 26924348 DOI: 10.1080/20477724.2015.1103502] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
The epidemiological importance of the different routes of Toxoplasma gondii transmission is not known and depends largely on population behaviour and knowledge. This study was conducted to assess toxoplasmosis seropositivity and the related knowledge and preventive practices that are necessary for the prevention of the disease among pregnant women. All pregnant women attending antenatal clinic were tested for T. gondii immunoglobulins followed by a survey questionnaire that tested their knowledge and preventive practice. Statistical comparisons were made between the seropositive and negative ones. We determined a low to moderate seroprevalence of toxoplasmosis among pregnant women in Dhahran, Saudi Arabia as compared to many other parts of the world. The overall positivity rates of IgG and IgM against T. gondii among 400 pregnant women were 28.5 and 3%, respectively. 75.5% of the participants had never heard about toxoplasmosis and the associated risk factors. Lack of knowledge was associated with the higher risk of infection (OR = 4.04, p < 0.001). Keeping pet cats was not common and poorly associated with infections (OR = 1.15, p ≥ 0.64). Consumption of undercooked meat was reported frequently and only slight risk was associated with sheep/goat meat (OR = 1.39, p = 0.15). Eating outside the home at restaurants was reported for the first time to be related to a higher risk of infection (OR = 2.69, p < 0.001). Several possible risk factors were suggested through odds ratios calculation and overall knowledge of toxoplasmosis by pregnant women was poor. It is therefore vital to provide a formal education about toxoplasmosis risk factors to women of childbearing age.
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Affiliation(s)
- Salah H Elsafi
- 1 Clinical Laboratory Science Department, Prince Sultan Military College of Health Sciences , Dhahran, Saudi Arabia
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Rocha ÉMD, Lopes CWG, Ramos RAN, Alves LC. Risk factors for Toxoplasma gondii infection among pregnant women from the State of Tocantins, Northern Brazil. Rev Soc Bras Med Trop 2015; 48:773-5. [DOI: 10.1590/0037-8682-0074-2015] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2015] [Accepted: 05/04/2015] [Indexed: 11/21/2022] Open
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Gontijo da Silva M, Clare Vinaud M, de Castro AM. Prevalence of toxoplasmosis in pregnant women and vertical transmission of Toxoplasma gondii in patients from basic units of health from Gurupi, Tocantins, Brazil, from 2012 to 2014. PLoS One 2015; 10:e0141700. [PMID: 26558622 PMCID: PMC4641701 DOI: 10.1371/journal.pone.0141700] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2015] [Accepted: 10/12/2015] [Indexed: 12/21/2022] Open
Abstract
Introduction Toxoplasmosis is a parasitary disease that presents high rates of gestational and congenital infection worldwide being therefore considered a public health problem and a neglected disease. Objective To determine the prevalence of toxoplasmosis amongst pregnant women and vertical transmission of Toxoplasma gondii in their newborns attended in the Basic Units of Health (BUH) from the city of Gurupi, state of Tocantins, Brazil. Methods A prevalence study was performed, including 487 pregnant women and their newborns attended in the BUH of the urban zone of the city of Gurupi, state of Tocantins, Brazil, during the period from February 2012 to February 2014. The selection of the pregnant women occurred by convenience. In the antenatal admission they were invited to participate in this study. Three samples of peripheral blood were collected for the detection of specific anti-T. gondii IgG, IgM and IgA through ELISA, for the polimerase chain reaction (PCR) and IgG avidity during pregnancy. When IgM antibodies were detected the fetal and newborn infection investigation took place. The newborn was investigated right after birth and after one year of age through serology and PCR to confirm/exclude the vertical transmission. The analyses were performed in the Studies of the Host-Parasite Relationship Laboratory (LAERPH, IPTSP-UFG), Goiania, state of Goias, Brazil. The results were inserted in a data bank in Epi-Info 3.3.2 statistic software in which the analysis was performed with p≤5%. Results The toxoplasmosis infection was detected in 68.37% (333/487, CI95%: 64.62–72.86). The toxoplasmosis chronic infection prevalence was of 63.03% (307/487, CI95%: 58.74–67.32). The prevalence of maternal acute infection was of 5.33% (26/487; CI95%: 3.3–7.3) suspected by IgM antibodies detection in the peripheral blood. The prevalence of confirmed vertical transmission was of 28% (7/25; CI95%: 10.4–45.6). Conclusions These results show an elevated prevalence of toxoplasmosis in pregnant women and vertical transmission of T. gondii in the city of Gurupi, state of Tocantins, Brazil.
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Affiliation(s)
- Marcos Gontijo da Silva
- University Center UNIRG, Parasitology Laboratory, Av. Rio de Janeiro entre ruas 9 e 10, Centro, Gurupi—TO, Brazil
- * E-mail:
| | - Marina Clare Vinaud
- Federal University of Goias (UFG), Tropical Medicine and Public Health Institute (IPTSP), Tropical Medicine and Public Health Post-Graduation Programme, Studies of the Host-Parasite Relationship Laboratory (LAERPH), Rua 235 esq. 1a. Av. s/n Setor Leste Universitário, CEP 74605–050, Goiânia, Brazil
| | - Ana Maria de Castro
- Federal University of Goias (UFG), Tropical Medicine and Public Health Institute (IPTSP), Tropical Medicine and Public Health Post-Graduation Programme, Studies of the Host-Parasite Relationship Laboratory (LAERPH), Rua 235 esq. 1a. Av. s/n Setor Leste Universitário, CEP 74605–050, Goiânia, Brazil
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Boughattas S. Toxoplasmainfection and milk consumption: Meta-analysis of assumptions and evidences. Crit Rev Food Sci Nutr 2015; 57:2924-2933. [DOI: 10.1080/10408398.2015.1084993] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
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Boughattas S. Commentary on: "Detection of Toxoplasma gondii in raw caprine, ovine, buffalo, bovine, and camel milk using cell cultivation, cat bioassay, capture ELISA, and PCR methods in Iran". Front Microbiol 2015; 6:215. [PMID: 25852672 PMCID: PMC4364284 DOI: 10.3389/fmicb.2015.00215] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2014] [Accepted: 03/03/2015] [Indexed: 11/13/2022] Open
Affiliation(s)
- Sonia Boughattas
- Department of Environmental and Biological Chemistry, College of Agriculture, Life and Environmental Sciences, Chungbuk National University Cheongju, South Korea
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