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Prekuženost nosečnic s parazitom Toxoplasma gondii v Sloveniji
ID Puš, Tjaša (Author), ID Šoba Šparl, Barbara (Mentor) More about this mentor... This link opens in a new window, ID Lusa, Lara (Comentor)

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Abstract
Toxoplasma gondii je parazit, ki povzroča bolezen toksoplazmozo. Okužba je navadno asimptomatska, pri imunokompromitiranih posameznikih pa se lahko pojavijo hujše oblike bolezni. Posebno problematična je okužba v nosečnosti, ko nosečnica prvič pride v stik s parazitom, saj le-ta lahko povzroči splav ali pa kongenitalno okužbo pri plodu. V Sloveniji imamo od leta 1995 vzpostavljen presejalni program serološkega testiranja nosečnic, katerega namen je zgodnje ugotavljanje okužb v nosečnosti in pravočasno zdravljenje, s katerim lahko uspešno preprečimo prenos parazita na plod. V magistrski nalogi smo želeli za obdobje od leta 2008 do leta 2019 opredeliti prekuženost nosečnic s T. gondii v Sloveniji in ugotoviti pogostost akutne toksoplazmoze pri nosečnicah. Podatke smo pridobili iz računalniške baze podatkov Inštituta za mikrobiologijo in imunologijo Medicinske fakultete Univerze v Ljubljani. Nosečnice so bile testirane na protitoksoplazemska protitelesa IgG in IgM, po potrebi je bila določena tudi avidnost protiteles IgG. V našo raziskavo smo vključili 61.598 nosečnosti. Podatke smo statistično obdelali s pomočjo programa R verzija 4.0.2. Ugotovili smo, da je delež seroprevalence toksoplazmoze pri nosečnicah v obdobju od leta 2008 do leta 2019 upadel z 0,316 (95 % CI: 0,290-0,342) na 0,168 (95 % CI: 0,148-0,187). Intragravidna incidenca je v tem obdobju znašala 0,54 %. V primerjavi s prejšnjimi raziskavami v Sloveniji smo ugotovili, da se število oz. odstotek akutnih okužb z leti znižuje. Intergravidna incidenca je v naši raziskavi znašala 0,43 %. Statistično značilnih razlik med inter- in intragravidno incidenco nismo zaznali. Ugotovitve naše raziskave kažejo, da je program serološkega presejalnega testiranja nosečnic na toksoplazmozo v Sloveniji učinkovit.

Language:Slovenian
Keywords:Toxoplasma gondii, kongenitalna toksoplazmoza, paraziti, nosečnice, Slovenija
Work type:Master's thesis/paper
Typology:2.09 - Master's Thesis
Organization:BF - Biotechnical Faculty
Place of publishing:Ljubljana
Publisher:[T. Puš]
Year:2022
PID:20.500.12556/RUL-136577 This link opens in a new window
UDC:616.993.1-055.26:618.2
COBISS.SI-ID:107554307 This link opens in a new window
Publication date in RUL:12.05.2022
Views:1069
Downloads:66
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Secondary language

Language:English
Title:Seroprevalence of Toxoplasma gondii in pregnant women in Slovenia
Abstract:
Toxoplasma gondii is a parasite that causes toxoplasmosis. Immunocompetent people who become infected often do not have symptoms, however people with compromised immune systems may experience more severe symptoms. Pregnant women that become infected fort he first time during pregnancy present special problem, because it may result in miscarriage or congenital infection of fetus. In Slovenia there is a national serological screening programme of pregnant women since 1995. The purpose of this programme is detection of infection in pregnant women early enough so the transmission to the fetus can be prevented. With our master thesis we wanted to determine the seroprevalnce of toxoplasmosis amongst pregnant women in Slovenia from 2008 until 2019. We collected the data from the database of Institute of microbiology and immunology. Pregnant women were tested for the IgG and IgM anti-Toxoplasma gondii antibodies. In some cases avidity of IgG antibodies was also tested. In our study we covered 61.598 pregnancies. For statistical analysis we used R programme version 4.0.2. We observed that seroprevalence dropped from 0,316 (95 % CI: 0,290-0,342) to 0,168 (95 % CI: 0,148-0,187). Intergravid incidence in this preriod was 0,54 %. In relation to previous studies done in Slovenia we observed the decline of accute infections in pregnant women. Intragravid incidence was 0,43 %. We did not notice statistically distinguishable difference between intra- and intergravid incidence. Our study suggests that serological screening programme of pregnant women in Slovenia is effective.

Keywords:Toxoplasma gondii, congenital toxoplasmosis, parasites, pregnant women, Slovenia

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