title: Stillbirth history and Toxoplasma gondii infection in women attending public health centers in a northern Mexican City.
abstract: Through a cross-sectional study design, 150 women attending public health centers with a history of stillbirths were examined for anti-Toxoplasma gondii IgG and IgM antibodies in Durango City, Mexico. Bivariate and multivariate analyses were used to assess the association of T. gondii seropositivity with the characteristics of the women with stillbirth history. Of the 150 women (mean age: 32.09 ± 9.16 years) studied, 14 (9.3%) had anti-T. gondii IgG antibodies and six (42.9%) of them were also positive for anti-T. gondii IgM antibodies. Multivariate analysis showed that T. gondii seropositivity was associated with high frequency (4-7 days a week) of eating meat (OR = 5.52; 95% CI: 1.48-20.59; P = 0.01), history of lymphadenopathy (OR = 4.52; 95% CI: 1.14-17.82; P = 0.03), and history of surgery (OR = 8.68; 95% CI: 1.04-72.15; P = 0.04). This is the first study on the seroepidemiology of T. gondii infection in women with a history of stillbirths in Mexico. The association of T. gondii exposure with a history of surgery warrants for further research. Risk factors for T. gondii infection found in the present survey may help to design optimal educational programs to avoid T. gondii infection.
authors.affiliation: Biomedical Research Laboratory, Faculty of Medicine and Nutrition, Juárez University of Durango State , Avenida Universidad S/N, 34000 Durango, Mexico.
authors.forename: C
authors.initials: C
authors.lastname: Alvarado-Esquivel
authors.affiliation: Biomedical Research Laboratory, Faculty of Medicine and Nutrition, Juárez University of Durango State , Avenida Universidad S/N, 34000 Durango, Mexico.
authors.forename: S J
authors.initials: SJ
authors.lastname: Pacheco-Vega
authors.affiliation: Biomedical Research Laboratory, Faculty of Medicine and Nutrition, Juárez University of Durango State , Avenida Universidad S/N, 34000 Durango, Mexico.
authors.forename: M
authors.initials: M
authors.lastname: Salcedo-Jaquez
authors.affiliation: Institute for Scientific Research "Dr. Roberto Rivera-Damm", Juárez University of Durango State , Avenida Universidad S/N, 34000 Durango, Mexico.
authors.forename: L F
authors.initials: LF
authors.lastname: Sánchez-Anguiano
authors.affiliation: Institute for Scientific Research "Dr. Roberto Rivera-Damm", Juárez University of Durango State , Avenida Universidad S/N, 34000 Durango, Mexico.
authors.forename: J
authors.initials: J
authors.lastname: Hernández-Tinoco
authors.affiliation: Mothers and Children's Hospital, Secretary of Health , Durango, Mexico.
authors.forename: E
authors.initials: E
authors.lastname: Rábago-Sánchez
authors.affiliation: Health Center 450, Secretary of Health , Toma de Zacatecas 129, 34000 Durango, Mexico.
authors.forename: M M
authors.initials: MM
authors.lastname: Centeno-Tinoco
authors.affiliation: Mothers and Children's Hospital, Secretary of Health , Durango, Mexico.
authors.forename: I D
authors.initials: ID
authors.lastname: Flores-Garcia
authors.affiliation: Clínica de Medicina Familiar, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado , Predio Canoas S/N, 34079 Durango, Mexico.
authors.forename: A
authors.initials: A
authors.lastname: Ramos-Nevarez
authors.affiliation: Clínica de Medicina Familiar, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado , Predio Canoas S/N, 34079 Durango, Mexico.
authors.forename: S M
authors.initials: SM
authors.lastname: Cerrillo-Soto
authors.affiliation: Clínica de Medicina Familiar, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado , Predio Canoas S/N, 34079 Durango, Mexico.
authors.forename: C A
authors.initials: CA
authors.lastname: Guido-Arreola
authors.affiliation: Faculty of Nursing and Obstetrics, Juárez University of Durango State , Avenida Cuauhtémoc 223, 34000 Durango, Mexico.
authors.forename: I
authors.initials: I
authors.lastname: Beristain-García
authors.affiliation: Institute for Microbiology and Hygiene, Campus Benjamin Franklin, Charité Medical School , Hindenburgdamm 27, D-12203 Berlin, Germany.
authors.forename: O
authors.initials: O
authors.lastname: Liesenfeld
authors.affiliation: Biomedical Research Laboratory, Faculty of Medicine and Nutrition, Juárez University of Durango State , Avenida Universidad S/N, 34000 Durango, Mexico.
authors.forename: L O
authors.initials: LO
authors.lastname: Berumen-Segovia
authors.affiliation: Clínica de Medicina Familiar, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado , Predio Canoas S/N, 34079 Durango, Mexico.
authors.forename: L
authors.initials: L
authors.lastname: Saenz-Soto
authors.affiliation: Mothers and Children's Hospital, Secretary of Health , Durango, Mexico.
authors.forename: A
authors.initials: A
authors.lastname: Sifuentes-Álvarez
keywords: Mexico; Toxoplasma; cross-sectional study; epidemiology; risk factors; seroprevalence; stillbirths