Seroprevalence of Toxoplasma gondii infection among Iranian pregnant women: a systematic review and meta-analysis

被引:8
作者
Malary, Mina [1 ]
Hamzehgardeshi, Zeinab [2 ]
Moosazadeh, Mahmood [3 ]
Afshari, Mahdi [5 ]
Ahmadi, Imaneh [4 ]
Moghaddasifar, Iman [1 ]
Kheradmand, Motahareh [3 ]
机构
[1] Mazandaran Univ Med Sci, Student Res Comm, Sari, Iran
[2] Mazandaran Univ Med Sci, Sch Nursing & Midwifery, Dept Reprod Hlth & Midwifery, Sari, Iran
[3] Mazandaran Univ Med Sci, Fac Hlth, Hlth Sci Res Ctr, Sari, Iran
[4] Mazandaran Univ Med Sci, Emam Hosp, Dept Obstet & Gynaecol, Sari, Iran
[5] Zabol Univ Med Sci, Sch Med, Dept Community Med, Zabol, Iran
关键词
Toxoplasmosis; Toxoplasma gondii; infection; pregnancy; Iran; RISK-FACTORS; PREVALENCE; PROVINCE; EPIDEMIOLOGY; POPULATION; ANIMALS; HUMANS; BURDEN;
D O I
10.26719/2018.24.5.488
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Toxoplasmosis is a great public health concern due to its capacity for prenatal transmission. Serologic studies have reported various estimates for seroprevalence of toxoplasmosis among Iranian pregnant women. Estimation of the pooled prevalence of this infection is necessary for policy-making. Aims: The aim of this study was to estimate the prevalence of Toxoplasma gondii infection in Iranian pregnant women using systematic review and meta-analysis. Methods: We searched national and international databases to identify relevant studies. To enhance the search sensitivity, we evaluated all references and interviewed relevant researchers and research centres. The final studies for meta-analysis were selected according to the quality assessment as well as inclusion/exclusion criteria. Because of the heterogeneity of the primary results, random effects models were used to estimate the pooled prevalence of T. gondii. We included 43 studies with a total sample size of 22 644 in the meta-analysis. Results: The pooled seroprevalence of overall toxoplasma infection, IgG antibody and IgM antibody was estimated at 41.3% (95% CI: 35.8-46.8), 39.2% (95% CI: 33.3-45.1) and 4.0% (95% CI: 3.1-4.9) respectively. Conclusions: Our study showed that a considerable proportion of Iranian pregnant women are at high risk for toxoplasmosis.
引用
收藏
页码:488 / 496
页数:9
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