Skip to main content

Advertisement

Log in

Seroprevalence for toxoplasmosis in individuals living in North West Tuscany: access to Toxo-test in central Italy

  • Article
  • Published:
European Journal of Clinical Microbiology & Infectious Diseases Aims and scope Submit manuscript

Abstract

This survey aimed to estimate the prevalence of anti-Toxoplasma IgG and IgM antibodies in people living in north west Tuscany (central Italy) and to investigate the adherence to antenatal screening programs and access to the Toxo-test as well. Sera from a large sample of individuals suspected to have acute infection or from pregnant women (10,352 subjects) aged between 1 day and over 70 years were analysed for both IgG and IgM anti-Toxoplasma antibodies using an immunoenzymatic method or a chemo-luminescent immunoassay. Overall, the seroprevalence of IgG antibodies was 21.4% (95% CI 20.62–22.20). A positive trend according to age was found, with low positivity observed in younger age groups. Among women of reproductive age the prevalence of IgG antibodies was 19.4% (95% CI 18.64–20.26). The overall IgM seroprevalence was 1.07% (95% CI 0.87–1.27). A low IgM prevalence was also observed in women of reproductive age (0.8%; 95% CI 0.65–1.03). Our study seems to indicate that primary prevention is widespread among women. However, an epidemiological surveillance system for toxoplasmosis should be implemented, to assess the risk of congenital toxoplasmosis and to determine the true burden of disease in adults.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Hill D, Dubey JP (2002) Toxoplasma gondii: transmission, diagnosis and prevention. Clin Microbiol Infect 8:634–640

    Article  PubMed  CAS  Google Scholar 

  2. Remington JS, McLeod R, Thulliez P, Desmonts G (2001) Toxoplasmosis. In: Remington JS, Klein J (eds) Infectious diseases of the fetus and newborn infant, 5th edn. Saunders, Philadelphia, pp 205–346

    Google Scholar 

  3. Wallon M, Kodjikian L, Binquet C, Garweg J, Fleury J, Quantin C, Peyron F (2004) Long-term ocular prognosis in 327 children with congenital toxoplasmosis. Pediatrics 113(6):1567–1572

    Article  PubMed  Google Scholar 

  4. Owen WE, Martins TB, Litwin CM, Roberts WL (2006) Performance characteristics of six Immulite 2000 TORCH assays. Am J Clin Pathol 126:900–905

    Article  PubMed  CAS  Google Scholar 

  5. Petersen E (2007) Toxoplasmosis. Semin Fetal Neonatal Med 12:214–223

    Article  PubMed  Google Scholar 

  6. Villena I, Ancelle T, Delmas C, Garcia P, Brézin AP, Thulliez P, Wallon M, King L, Goulet V (2010) Congenital toxoplasmosis in France in 2007: first results from a National surveillance system. Eur Surveill 15(25)pii: 19600

    Google Scholar 

  7. Montoya JG, Jordan R, Lingamneni S, Berry GJ, Remington JS (1997) Toxoplasmic myocarditis and polymyositis in patients with acute acquired toxoplasmosis diagnosed during life. Clin Infect Dis 24:676–683

    Article  PubMed  CAS  Google Scholar 

  8. Paspalaki PK, Mihailidou EP, Bitsori M, Tsagkaraki D, Mantzouranis E (2001) Polyomyositis and myocarditis associated with acquired toxoplasmosis in an immunocompetent girl. BMC Musculoskelet Disord 2:8

    Article  PubMed  CAS  Google Scholar 

  9. Contini C (2008) Clinical and diagnostic management of toxoplasmosis in the immunocompromised patient. Parassitologia 50(1–2):45–50

    PubMed  CAS  Google Scholar 

  10. Hassene A, Vital A, Anghel A, Guez S, Series C (2008) Acute acquired toxoplasmosis presenting as polymyositis and chorioretinitis in immunocompetent patient. Jt Bone Spine 75(5):603–605

    Article  Google Scholar 

  11. Klaeger AJ, Herbort CP (2009) Acute acquired toxoplasmic retinochoroiditis in a patient with anterior uveitis, amplified by immunosuppressive therapy. Int Ophthalmol 29(3):191–193

    Article  PubMed  Google Scholar 

  12. Neves Ede S, Kropf A, Bueno WF, Bonna IC, Curi AL, Amendoeira MR, Filho OF (2011) Disseminated toxoplasmosis: an atypical presentation in an immunocompetent patient. Trop Doct 41(1):59–60

    Article  PubMed  Google Scholar 

  13. Evengård B, Petersson K, Engman ML, Wiklund S, Ivarsson SA, Teär-Fahnehjelm K, Forsgren M, Gilbert R, Malm G (2001) Low incidence of Toxoplasma infection during pregnancy and in newborns in Sweden. Epidemiol Infect 127(1):121–127

    Article  PubMed  Google Scholar 

  14. Fan CK, Hung CC, Su KE, Chiou HY, Gil V, Ferreira Mda C, Tseng LF (2007) Seroprevalence of Toxoplasma gondii infection among inhabitants in the Democratic Republic of Sao Tome and Principe. Trans R Soc Trop Med Hyg 101(11):1157–1158

    Article  PubMed  Google Scholar 

  15. Bouhamdan SF, Bitar LK, Saghir HJ, Bayan A, Araj GF (2010) Seroprevalence of toxoplasma antibodies among individuals tested at hospitals and private laboratories in Beirut. J Med Liban 58(1):8–11

    PubMed  Google Scholar 

  16. Hofhuis A, van Pelt W, van Duynhoven YT, Nijhuis CD, Mollema L, van der Klis FR, Havelaar AH, Kortbeek LM (2010) Decreased prevalence and age-specific risk factors for Toxoplasma gondii IgG antibodies in The Netherlands between 1995/1996 and 2006/2007. Epidemiol Infect 24:1–9

    Google Scholar 

  17. Jones JL, Kruszon-Moran D, Sanders-Lewis K, Wilson M (2007) Toxoplasma gondii infection in the United States, 1999 2004, decline from the prior decade. Am J Trop Med Hyg 77(3):405–410

    PubMed  Google Scholar 

  18. Stricker R, Sitavanc R, Liassine N, de Marval F (2009) Toxoplasmosis during pregnancy and infancy. Swiss Med Wkly 139:643–644

    PubMed  Google Scholar 

  19. De Paschale M, Agrappi C, Clerici P, Mirri P, Manco MT, Cavallari S, Viganò EF (2008) Seroprevalence and incidence of Toxoplasma gondii infection in the Legnano area of Italy. Clin Microbiol Infect 14(2):186–189

    PubMed  Google Scholar 

  20. Bénard A, Petersen E, Salamon R, Chêne G, Salmi LR, European Toxo Prevention Study Group (EUROTOXO) (2008) Survey of European programmes for the epidemiological surveillance of congenital toxoplasmosis. Eur Surveill 13(15):1–13

    Google Scholar 

  21. Stagni L, Romano MA, Romano A, Magli A, Briganti F, Del Pezzo MA, Buffolano W (2009) Prenatal screening for congenital toxoplasmosis in Campania: preliminary report on activities and results. Mem Inst Oswaldo Cruz 104(2):374–377

    Article  PubMed  CAS  Google Scholar 

  22. Montoya JG, Liesenfeld O (2004) Toxoplasmosis. Lancet 363:1965–1976

    Article  PubMed  CAS  Google Scholar 

  23. ARS Toscana (2006) Nascere in Toscana – Anni 2002–2004. Documenti ARS 21: 140; www.arsanita.toscana.it

  24. Petersen E, Vesco G, Villari S, Buffolano W (2010) What do we know about risk factors for infection in humans with Toxoplasma gondii and how can we prevent infections? Zoonoses Public Health 57:8–17

    Article  PubMed  CAS  Google Scholar 

  25. Valcavi PP, Natali A, Soliani L, Montali S, Dettori G, Chezzi C (1995) Prevalence of anti-Toxoplasma gondii antibodies in the population of the area of Parma (Italy). Eur J Epidemiol 11(3):333–337

    Article  PubMed  CAS  Google Scholar 

  26. Vezzo R, Vigorè L, Goglio A, Raglio A, Vecchia L, Terenziani P, Fortina G et al (2001) Sieroprevalenza per anticorpi anti-Toxoplasma gondii in 14.186 soggetti. Microbiol Med 16:220

    Google Scholar 

  27. De Paschale M, Agrappi C, Clerici P, Mirri P, Manco MT, Cavallari S, Viganò EF (2006) Prevalence of Toxoplasma gondii infection in the Italian and foreign female population living in the area of Legnano (Milan). Microbiol Med 21:322–327

    Google Scholar 

  28. Condorelli F, Scalia G, Stivala A, Costanzo MC, Adragna AD, Franceschino C, Santagati MG, Furneri PM, Marino A, Castro A (1993) Seroprevalence to some TORCH agents in a Sicilian female population of fertile age. Eur J Epidemiol 9:341–343

    Article  PubMed  CAS  Google Scholar 

  29. Castelli F, Tomasoni L, Caligaris S, Barberis D, Laddago V, Di Candilo F, Donato F (1995) Epidemiological aspects of congenital toxoplasmosis. Riv Parassitol 12:19–23

    Google Scholar 

  30. De Paschale M, Agrappi C, Manco MT, Cerulli T, Clerici P (2010) Implementation of screening for Toxoplasma gondii infection in pregnancy. J Clin Med Res 3:112–116

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to F. Bruschi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pinto, B., Castagna, B., Mattei, R. et al. Seroprevalence for toxoplasmosis in individuals living in North West Tuscany: access to Toxo-test in central Italy. Eur J Clin Microbiol Infect Dis 31, 1151–1156 (2012). https://doi.org/10.1007/s10096-011-1422-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10096-011-1422-8

Keywords

Navigation