Skip to main content
Top
Published in: BMC Infectious Diseases 1/2017

Open Access 01-12-2017 | Research article

Seroprevalence and risk factors of Toxoplasma gondii infection in pregnant women from Bobo Dioulasso, Burkina Faso

Authors: Sanata Bamba, Mamoudou Cissé, Ibrahim Sangaré, Adama Zida, Souleymane Ouattara, Robert T. Guiguemdé

Published in: BMC Infectious Diseases | Issue 1/2017

Login to get access

Abstract

Background

Toxoplasmosis is one of the common worldwide parasitic zoonosis due to Toxoplasma gondii (T. gondii). Toxoplasmosis during pregnancy can result in fetal and neonatal death or various congenital defects. The aim of this study was to assess the seroprevalence and risk factors of T. gondii infection in pregnant women following antenatal care (ANC) services at Bobo Dioulasso.

Methods

A cross-sectional study was conducted enrolling a sample of 316 pregnant women attending ANC at centers for maternal and child health of Bobo-Dioulasso town from March 2013 to February 2014. Data on socio-demographic and potential risk factors were collected from each study participant using structured questionnaire through face-to-face interview. Moreover, venous blood specimens were collected and tested for IgM and IgG anti-T. gondii antibodies by enzyme-linked immunosorbent assay and enzyme linked fluorescent assay, respectively. Multivariable logistic regression modeling was used to identify the potential predictor variables for T. gondii infection.

Results

The overall seroprevalence for T. gondii infection was 31.1% (98/316). All the pregnant women were positive for IgG anti-bodies exclusively. Multivariable logistic regression analysis showed that having at least a secondary education level (AOR = 2.23; 95% CI: [1.04–4.63]); being urban resident (AOR = 2.81; 95% CI: [1.24–6.86]) and the consumption of meat combination (pork + beef + mutton + wild meat + poultry) (AOR = 4.00; 95% CI: [1.06–15.24]) were potential risk factors of T. gondii infection.

Conclusion

Toxoplasmosis is frequent in pregnant women and studies that show incidence of T. gondii among the neonates have to be done to introduce routine antenatal screening program to control congenital toxoplasmosis. There is the need for preventive measures such as education of pregnant women about the transmission routes and prevention methods of toxoplasmosis at ANC clinics.
Literature
3.
go back to reference Zemene E, Yewhalaw D, Abera S, Belay T, Samuel A, Zeynudin A. Seroprevalence of Toxoplasma gondii and associated risk factors among pregnant women in Jimma town, southwestern Ethiopia. BMC Infect Dis. 2012;12:337.CrossRefPubMedPubMedCentral Zemene E, Yewhalaw D, Abera S, Belay T, Samuel A, Zeynudin A. Seroprevalence of Toxoplasma gondii and associated risk factors among pregnant women in Jimma town, southwestern Ethiopia. BMC Infect Dis. 2012;12:337.CrossRefPubMedPubMedCentral
4.
go back to reference Wam EC, Sama LF, Ali IM, Ebile WA, Aghangu LA, Tume CB. Seroprevalence of Toxoplasma gondii IgG and IgM antibodies and associated risk factors in women of child bearing age in Njinikom. NW Cameroon BMC Res Notes. 2016;9:406.CrossRefPubMed Wam EC, Sama LF, Ali IM, Ebile WA, Aghangu LA, Tume CB. Seroprevalence of Toxoplasma gondii IgG and IgM antibodies and associated risk factors in women of child bearing age in Njinikom. NW Cameroon BMC Res Notes. 2016;9:406.CrossRefPubMed
6.
go back to reference Jones JL, Dargelas V, Roberts J, Press C, Remington JS, Montoya JG. Risk factors for Toxoplasma gondii infection in the United States. Clin Infect Dis. 2009;49(6):878–84.CrossRefPubMed Jones JL, Dargelas V, Roberts J, Press C, Remington JS, Montoya JG. Risk factors for Toxoplasma gondii infection in the United States. Clin Infect Dis. 2009;49(6):878–84.CrossRefPubMed
7.
go back to reference Lopes FM, Gonçalves DD, Mitsuka-Breganó R, Freire RL, Navarro IT. Toxoplasma gondii infection in pregnancy. Braz J Infect Dis. 2007;11:496–506.PubMed Lopes FM, Gonçalves DD, Mitsuka-Breganó R, Freire RL, Navarro IT. Toxoplasma gondii infection in pregnancy. Braz J Infect Dis. 2007;11:496–506.PubMed
8.
go back to reference Abamecha F, Awel H. Seroprevalence and risk factors of Toxoplasma gondii infection in pregnant women following antenatal care at Mizan Aman general hospital, bench Maji zone ( BMZ ),Ethiopia. BMC Infect Dis. 2016;16:460.CrossRefPubMedPubMedCentral Abamecha F, Awel H. Seroprevalence and risk factors of Toxoplasma gondii infection in pregnant women following antenatal care at Mizan Aman general hospital, bench Maji zone ( BMZ ),Ethiopia. BMC Infect Dis. 2016;16:460.CrossRefPubMedPubMedCentral
9.
go back to reference Simpore J, Savadogo A, Ilboudo D, Nadambega MC, Esposito M, Yara J, et al. Toxoplasma gondii, HCV, and HBV seroprevalence and co-infection among HIV-positive and -negative pregnant women in Burkina Faso. J Med Virol. 2006;78(6):730–3.CrossRefPubMed Simpore J, Savadogo A, Ilboudo D, Nadambega MC, Esposito M, Yara J, et al. Toxoplasma gondii, HCV, and HBV seroprevalence and co-infection among HIV-positive and -negative pregnant women in Burkina Faso. J Med Virol. 2006;78(6):730–3.CrossRefPubMed
10.
go back to reference Ouermi D, Simpore J, Belem AM, Sanou DS, Karou DS, Ilboudo D, et al. Co-infection of Toxoplasma gondii with HBV in HIV-infected and uninfected pregnant women in Burkina Faso. Pak J Biol Sci. 2009;12(17):1188–93.CrossRefPubMed Ouermi D, Simpore J, Belem AM, Sanou DS, Karou DS, Ilboudo D, et al. Co-infection of Toxoplasma gondii with HBV in HIV-infected and uninfected pregnant women in Burkina Faso. Pak J Biol Sci. 2009;12(17):1188–93.CrossRefPubMed
11.
go back to reference Bamba S, Somer DA, Chemla C, Geers R, Guigemdé TR. Analyse sérologique de la toxoplasmose pergravidique : évaluation des risques et perspectives du dépistage prénatal au Centre Hospitalier Universitaire de Bobo Dioulasso au Burkina Faso. Pan Afr Med J. 2012;12:42. Bamba S, Somer DA, Chemla C, Geers R, Guigemdé TR. Analyse sérologique de la toxoplasmose pergravidique : évaluation des risques et perspectives du dépistage prénatal au Centre Hospitalier Universitaire de Bobo Dioulasso au Burkina Faso. Pan Afr Med J. 2012;12:42.
13.
go back to reference Cimon B, Marty P, Morin O, Bessières MH, Marx-Chemla C, Gay-Andrieu F, et al. Specificity of low anti-Toxoplasma IgG titers with IMx and AxSYM Toxo IgG assays. Diagn Microbiol Infect Dis. 1998;32:65–7.CrossRefPubMed Cimon B, Marty P, Morin O, Bessières MH, Marx-Chemla C, Gay-Andrieu F, et al. Specificity of low anti-Toxoplasma IgG titers with IMx and AxSYM Toxo IgG assays. Diagn Microbiol Infect Dis. 1998;32:65–7.CrossRefPubMed
14.
go back to reference Pelloux H, Brun E, Vernet G, Marcillat S, Jolivet M, Guergour D, Fricker-Hidalgo H, Goullier-Fleuret A, Ambroise-Thomas P. Determination of anti-Toxoplasma gondii immunoglobulin G avidity: adaptation to the Vidas system (BioMerieux). Diagn Microbiol Infect Dis. 1998;32:69–73.CrossRefPubMed Pelloux H, Brun E, Vernet G, Marcillat S, Jolivet M, Guergour D, Fricker-Hidalgo H, Goullier-Fleuret A, Ambroise-Thomas P. Determination of anti-Toxoplasma gondii immunoglobulin G avidity: adaptation to the Vidas system (BioMerieux). Diagn Microbiol Infect Dis. 1998;32:69–73.CrossRefPubMed
15.
go back to reference Ayi I, Edu A, Apea-Kubi K, Boamah D, Bosompem K, Edoh D. Sero-epidemiology of toxoplasmosis amongst pregnant women in the greater Accra region of Ghana. Gh Med J. 2009;43:107–14. Ayi I, Edu A, Apea-Kubi K, Boamah D, Bosompem K, Edoh D. Sero-epidemiology of toxoplasmosis amongst pregnant women in the greater Accra region of Ghana. Gh Med J. 2009;43:107–14.
16.
go back to reference Gelaye W, Kebede T, Hailu A. High prevalence of anti-toxoplasma antibodies and absence of Toxoplasma gondii infection risk factors among pregnant women attending routine antenatal care in two hospitals of Addis Abeba, Ethiopia. Int J Infect Dis. 2015;34:41–5.CrossRefPubMed Gelaye W, Kebede T, Hailu A. High prevalence of anti-toxoplasma antibodies and absence of Toxoplasma gondii infection risk factors among pregnant women attending routine antenatal care in two hospitals of Addis Abeba, Ethiopia. Int J Infect Dis. 2015;34:41–5.CrossRefPubMed
17.
go back to reference Agmas B, Tesfaye R, Koye DN. Seroprevalence of Toxoplasma gondii infection and associated risk factors among pregnant women in Debre Tabor, Northwest Ethiopia. BMC Res Notes. 2015;8:107.CrossRefPubMedPubMedCentral Agmas B, Tesfaye R, Koye DN. Seroprevalence of Toxoplasma gondii infection and associated risk factors among pregnant women in Debre Tabor, Northwest Ethiopia. BMC Res Notes. 2015;8:107.CrossRefPubMedPubMedCentral
18.
go back to reference Pappas G, Roussos NFM. Toxoplasmosis snapshots: global status of Toxoplasma gondii seroprevalence and implications for pregnancy and congenital toxoplasmosis. Int J Parasitol. 2009;39:1385–94.CrossRefPubMed Pappas G, Roussos NFM. Toxoplasmosis snapshots: global status of Toxoplasma gondii seroprevalence and implications for pregnancy and congenital toxoplasmosis. Int J Parasitol. 2009;39:1385–94.CrossRefPubMed
19.
go back to reference Jose GM, Remington JS. Management of Toxoplasma gondii infection during pregnancy. Clin Infect Dis. 2008;47:554–66.CrossRef Jose GM, Remington JS. Management of Toxoplasma gondii infection during pregnancy. Clin Infect Dis. 2008;47:554–66.CrossRef
20.
go back to reference Bittencourt LHFB, Lopes-Mori FMR, Mitsuka-Breganó R, Valentim-Zabott M, Freire RL, Pinto SB, et al. Seroepidemiology of toxoplasmosis in pregnant women since the implementation of the surveillance program of toxoplasmosis acquired in pregnancy and congenital in the western region of Paraná, Brazil. Rev Bras Ginecol Obs. 2012;34(2):63–8. Bittencourt LHFB, Lopes-Mori FMR, Mitsuka-Breganó R, Valentim-Zabott M, Freire RL, Pinto SB, et al. Seroepidemiology of toxoplasmosis in pregnant women since the implementation of the surveillance program of toxoplasmosis acquired in pregnancy and congenital in the western region of Paraná, Brazil. Rev Bras Ginecol Obs. 2012;34(2):63–8.
21.
go back to reference Kortbeek LM, De Melker HE, Veldhuijzen IK, Conyn-van Spaendonck MA. Population-based Toxoplasma seroprevalence study in The Netherlands. Epidemiol Infect. 2004;138:839–45.CrossRef Kortbeek LM, De Melker HE, Veldhuijzen IK, Conyn-van Spaendonck MA. Population-based Toxoplasma seroprevalence study in The Netherlands. Epidemiol Infect. 2004;138:839–45.CrossRef
22.
go back to reference Isaac-Renton JL, Bowie WR, King A, Irwin GS, Ong CS, Fung CP, et al. Detection of Toxoplasma gondii oocysts in drinking water. Appl Env Microbiol. 1998;64:2278–80. Isaac-Renton JL, Bowie WR, King A, Irwin GS, Ong CS, Fung CP, et al. Detection of Toxoplasma gondii oocysts in drinking water. Appl Env Microbiol. 1998;64:2278–80.
23.
go back to reference Rahman H, Murugkar HV, Kumar A, Islam M, Mukherjee S. Seroprevalence of toxoplasmosis in a district of Assam, India. Indian J Public Health. 2008;52(1):48–9.PubMed Rahman H, Murugkar HV, Kumar A, Islam M, Mukherjee S. Seroprevalence of toxoplasmosis in a district of Assam, India. Indian J Public Health. 2008;52(1):48–9.PubMed
24.
go back to reference El-Gozamy BR, Mohamed SA, Mansour HA. La toxoplasmose chez les femmes enceintes Qualyobia gouvernorat, en Egypte. J Soc Egypt Parasitol. 2009;39(2):389–401. El-Gozamy BR, Mohamed SA, Mansour HA. La toxoplasmose chez les femmes enceintes Qualyobia gouvernorat, en Egypte. J Soc Egypt Parasitol. 2009;39(2):389–401.
25.
go back to reference Bamba S, Cissé M, Tarnagda Z, Villena I, Guiguemdé TR. Enquête sérologique sur la toxoplasmose bovine à Bobo- Dioulasso, Burkina Faso. RASPA. 2013;11(3–4):193–7. Bamba S, Cissé M, Tarnagda Z, Villena I, Guiguemdé TR. Enquête sérologique sur la toxoplasmose bovine à Bobo- Dioulasso, Burkina Faso. RASPA. 2013;11(3–4):193–7.
26.
go back to reference Bamba S, Faye B, Tarnagda Z, Boly N, Guiguemdé RT, Villena I. Séroprévalence de la toxoplasmose chez les ovins à Bobo-Dioulasso, Burkina Faso. Rev Elev Méd Vété Pays Trop. 2012;65(3–4):63–6.CrossRef Bamba S, Faye B, Tarnagda Z, Boly N, Guiguemdé RT, Villena I. Séroprévalence de la toxoplasmose chez les ovins à Bobo-Dioulasso, Burkina Faso. Rev Elev Méd Vété Pays Trop. 2012;65(3–4):63–6.CrossRef
Metadata
Title
Seroprevalence and risk factors of Toxoplasma gondii infection in pregnant women from Bobo Dioulasso, Burkina Faso
Authors
Sanata Bamba
Mamoudou Cissé
Ibrahim Sangaré
Adama Zida
Souleymane Ouattara
Robert T. Guiguemdé
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Infectious Diseases / Issue 1/2017
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/s12879-017-2583-6

Other articles of this Issue 1/2017

BMC Infectious Diseases 1/2017 Go to the issue