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Toxoplasmosis in pregnancy
Abstract
Toxoplasmosis is one of the common chronic infections caused by the
parasite Toxoplasma gondii. Even though its infection in healthy non-
pregnant women is self-limited and largely asymptomatic, the main
concern is the risk to the fetus by vertical transmission in pregnancy.
Congenital toxoplasmosis can result in permanent neurological
damage and even serious morbidity such as blindness. Screening
programs are implemented in various countries depending on the
prevalence and virulence of the parasite in the respective regions.
Upon diagnosis of infection, appropriate antibiotic therapy should be
initiated as it has been proven to reduce the risk of fetal transmission.
Primary prevention remains the key intervention to avoid the infection
and hence patient education is an important aspect of the
management.
Keywords: Congenital toxoplasmosis; Mother-to-child transmission;
Toxoplasmosis.
Copyright © 2020 Elsevier B.V. All rights reserved.
Ahmed M, Sood A, Gupta J. Toxoplasmosis in pregnancy. Eur J Obstet Gynecol Reprod Biol. 2020
Dec;255:44-50. doi: 10.1016/j.ejogrb.2020.10.003. Epub 2020 Oct 8. PMID: 33075679.
Toxoplasmosis diagnostic techniques: Current developed methods and
biosensors
Abstract
Toxoplasma gondii infection is a usual worldwide issue since a broad range
of vertebrate hosts are infected by this famous parasite. However fetuses
and immuno-compromised patients infected by parasite is of specific
concern. Developing the easy-to-use, accurate, real time and selective
methods for detection of toxoplasma infection has a key role in the
treatment and management of patients. In this regard, rapid detection
methods with reproducible outcomes during short period are highly
interested. In this review, we discussed the recent developed molecular-
based laboratory methods for detecting of Toxoplasma infection and also
rapid diagnostic methods, especially optic and electrochemical based
biosensors with point-of-care features.
Keywords: Biomarker; Biosensors; Detection; Toxoplasmosis.
Copyright © 2022 Elsevier B.V. All rights reserved.
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Conflict of interest statement
Declaration of competing interest The authors declare that they have no
known competing financial interests or personal relationships that could
have appeared to influence the work reported in this paper.
Molaei S, Masoomeh Dadkhah, Fathi F. Toxoplasmosis diagnostic techniques: Current developed methods and biosensors. Talanta.
2023 Jan 15;252:123828. doi: 10.1016/j.talanta.2022.123828. Epub 2022 Aug 13. PMID: 35987125.
Kolören Z, Dubey JP. A review of toxoplasmosis in humans and animals in Turkey. Parasitology. 2020 Jan;147(1):12-28. doi: 10.1017/
S0031182019001318. Epub 2019 Sep 30. PMID: 31554526; PMCID: PMC10317629.
The One Health Approach to Toxoplasmosis: Epidemiology, Control,
and Prevention Strategies
Abstract
One Health is a collaborative, interdisciplinary effort that seeks optimal health for people,
animals, plants, and the environment. Toxoplasmosis, caused by Toxoplasma gondii, is an
intracellular protozoan infection distributed worldwide, with a heteroxenous life cycle that
practically affects all homeotherms and in which felines act as definitive reservoirs. Herein,
we review the natural history of T. gondii, its transmission and impacts in humans, domestic
animals, wildlife both terrestrial and aquatic, and ecosystems. The epidemiology, prevention,
and control strategies are reviewed, with the objective of facilitating awareness of this
disease and promoting transdisciplinary collaborations, integrative research, and capacity
building among universities, government agencies, NGOs, policy makers, practicing
physicians, veterinarians, and the general public.
Keywords: Integrative research; One Health; Toxoplasma gondii; Toxoplasmosis;
Transdisciplinarity.
Aguirre AA, Longcore T, Barbieri M, Dabritz H, Hill D, Klein PN, Lepczyk C, Lilly EL, McLeod R, Milcarsky J, Murphy CE, Su C, VanWormer E,
Yolken R, Sizemore GC. The One Health Approach to Toxoplasmosis: Epidemiology, Control, and Prevention Strategies. Ecohealth. 2019
Jun;16(2):378-390. doi: 10.1007/s10393-019-01405-7. Epub 2019 Apr 3. Erratum in: Ecohealth. 2019 Jun 5;: PMID: 30945159; PMCID:
PMC6682582.
Summary
2. Toxoplasmosis in pregnancy
Toxoplasmosis, caused by Toxoplasma gondii, is a common chronic infection. While it's often
asymptomatic in healthy non-pregnant women, the main concern is fetal risk through vertical
transmission during pregnancy. Congenital toxoplasmosis can lead to permanent neurological
damage and blindness. Screening programs vary by region. Antibiotic therapy upon diagnosis
reduces fetal transmission risk. Primary prevention through patient education is crucial.
In Turkey, Toxoplasma gondii infections are prevalent in both humans and animals, yet the
burden of clinical toxoplasmosis remains poorly understood due to limited access to early
Turkish publications. This review covers the prevalence, clinical spectrum, epidemiology,
and diagnosis of T. gondii in Turkey, providing valuable insights for biologists, public health
workers, veterinarians, and physicians. Although one-third of the population is seropositive,
data on congenital toxoplasmosis and children under 12 are scarce. A significant outbreak
occurred among school children aged 14-18. Notably, a high rate of T. gondii tissue cysts
was found in meats intended for human consumption, requiring further confirmation.
Genetic analysis revealed prevalent strains similar to those in Europe, with a distinct
genotype isolated from congenitally infected individuals and domestic cats in Turkey.