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. 2019 Jul 4;19(1):581.
doi: 10.1186/s12879-019-4234-6.

Sero-prevalence of Toxoplasma gondii and associated risk factors among psychiatric outpatients attending University of Gondar Hospital, Northwest Ethiopia

Barnabas Achaw  1 , Habtie Tesfa  2 , Ayalew Jejaw Zeleke  2 , Ligabaw Worku  2 , Ayenew Addisu  2 , Niguse Yigzaw  3 , Yalewayker Tegegne  4
Affiliations

Sero-prevalence of Toxoplasma gondii and associated risk factors among psychiatric outpatients attending University of Gondar Hospital, Northwest Ethiopia

Barnabas Achaw et al. BMC Infect Dis. .

Abstract

Background: Toxoplasmosis is caused by an obligatory intracellular coccidian protozoan organism, Toxoplasma gondii. It has a worldwide distribution, affecting one-third of the world population. Psychiatric patients have a higher risk of exposure to Toxoplasma gondii infection due to lack of good personal hygiene. The burden of toxoplasmosis among psychiatric patients in Ethiopia has not been studied extensively. Thus, the study aimed to determine the seroprevalence of Toxoplasma gondii and associated risk factors among psychiatric outpatients at the University of Gondar Comprehensive and Specialized Hospital Psychiatric clinic.

Methods: A cross-sectional study was conducted at the University of Gondar Comprehensive and Specialized Hospital from February to May 2018. Venous blood was collected from 304 study participants (152 psychiatric outpatients and 152 control groups). Anti-toxoplasma antibodies were determined using Onsite Toxo immunoglobulin G (IgG) and immunoglobulin M (IgM) Rapid Test. A Chi-square test was carried out to compare the two groups and a logistic regression analysis was conducted to check the association between variables. P-value less than 0.05 was taken as statistically significant.

Results: The seroprevalence rate of anti-Toxoplasma gondii IgG antibodies was 33.6, and 16.4% in the psychiatric outpatients and the control samples, respectively. Anti-Toxoplasma gondii IgM sero-prevalence was 1.3% in the former patients and 3.9% in the latter group. Owing cat (AOR = 2.862 95% CI = 1.445-5.666 P = 0.003), cleaning cat excreta (AOR = 2.966 95% CI = 1.317-2.652 P = 0.007), and farming (AOR = 2.058 95% CI = 1.018-4.163 P = 0.045) were found to be significantly associated with the sero-prevalence of anti-Toxoplasma gondii IgG antibody.

Conclusions: This study highlighted that, the prevalence of anti-Toxoplasma gondii IgG antibodies was significantly higher in psychiatric outpatients than the control group (p = 0.001). Cat ownership, cleaning of cat excreta, and farming were found to be statistically significantly associated with the seroprevalence of anti-Toxoplasma gondii IgG antibody.

Keywords: Ethiopia; Prevalence; Psychiatric; Toxoplasmosis.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Sero-prevalence for T. gondii antibodies in psychiatric patients at University of Gondar psychiatric clinic, Northwest Ethiopia, February to May 2018
See this image and copyright information in PMC

References

    1. Goldstein EJ, Montoya JG, Remington JS. Management of Toxoplasma gondii infection during pregnancy. Clin Infect Dis. 2008;47(4):554–566. doi: 10.1086/590149. - DOI - PubMed
    1. Abu-Madi MA, Al-Molawi N, Behnke JM. Seroprevalence and epidemiological correlates of toxoplasma gondii infections among patients referred for hospital-based serological testing in Doha, Qatar. Parasit Vectors. 2008;1(1):39. doi: 10.1186/1756-3305-1-39. - DOI - PMC - PubMed
    1. Alvarado-Esquivel C, Mercado-Suarez MF, Rodríguez-Briones A, Fallad-Torres L, Ayala-Ayala JO, Nevarez-Piedra LJ, et al. Seroepidemiology of infection with toxoplasma gondii in healthy blood donors of Durango, Mexico. BMC Infect Dis. 2007;7(1):75. doi: 10.1186/1471-2334-7-75. - DOI - PMC - PubMed
    1. Flegr J. How and why toxoplasma makes us crazy. Trends Parasitol. 2013;29(4):156–163. doi: 10.1016/j.pt.2013.01.007. - DOI - PubMed
    1. Hamidinejat H, Ghorbanpoor M, Hosseini H, Alavi SM, Nabavi L, Jalali MHR, et al. Toxoplasma gondii infection in first-episode and inpatient individuals with schizophrenia. Int J Infect Dis. 2010;14(11):e978–ee81. doi: 10.1016/j.ijid.2010.05.018. - DOI - PubMed