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Analysis of Preventable Risk Factors for Toxoplasma gondii Infection in Pregnant Women: Case-Control Study
Carlo Bieńkowski1,2,3, Małgorzata Aniszewska2,3, Monika Kowalczyk4
1Doctoral School, Medical University of Warsaw, Żwirki i Wigury 61, 02-091 Warsaw, Poland.
Toxoplasma gondii (TG) infection in pregnant women is linked to living in rural areas and consuming raw meat. Early diagnosis and physician education are key to preventing congenital toxoplasmosis.
Area of Science:
- Medical Parasitology
- Infectious Diseases
- Obstetrics and Gynecology
Background:
- Toxoplasma gondii (TG) infection during pregnancy poses risks of miscarriage and birth defects.
- Understanding risk factors is crucial for preventing congenital toxoplasmosis.
Purpose of the Study:
- To identify risk factors associated with Toxoplasma gondii infection in pregnant women.
- To evaluate the prevalence of TG infection in a cohort of pregnant women.
Main Methods:
- Retrospective analysis of medical charts for 273 pregnant women with suspected TG infection.
- Serologic assessment of IgM and IgG titers, and IgG affinity tests for diagnosis verification.
Main Results:
- Primary TG infection confirmed in 27.1% of women; past infection in 41.8%.
- Living in rural areas (OR 2.89) and eating raw meat (OR 2.07) were independent risk factors for TG infection.
- Correct testing for other fetal-risk infections was performed in 62% of cases.
Conclusions:
- Living in rural areas and consuming raw meat are significant risk factors for TG infection in pregnancy.
- Physician education is vital for effective prevention of congenital toxoplasmosis.
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