Seroepidemiology of Toxoplasma gondii Infection among Healthy Blood Donors in Taiwan 英文参考文献.docVIP

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Seroepidemiology of Toxoplasma gondii Infection among Healthy Blood Donors in Taiwan 英文参考文献.doc

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Seroepidemiology of Toxoplasma gondii Infection among Healthy Blood Donors in Taiwan 英文参考文献

SeroepidemiologyofToxoplasmagondiiInfection amongHealthyBloodDonorsinTaiwan Ting-YiChiang1,2,Hwei-HoHsieh3,Ming-ChuKuo1,Kai-TseChiu1,Wei-ChenLin1,Chia-KwungFan4 ,Chi- TaiFang2,5,6*,Dar-DerJi1,7 * 1ResearchandDiagnosticCenter,CentersforDiseaseControl,Taipei,Taiwan,2InstituteofEpidemiologyandPreventiveMedicine,CollegeofPublicHealth,National Taiwan University, Taipei, Taiwan, 3Taipei Blood Center, Taiwan Blood Services Foundation, Taipei, Taiwan, 4Department of Parasitology, Taipei Medical University CollegeofMedicine,Taipei,Taiwan,5DepartmentofInternalMedicine,NationalTaiwanUniversityHospital,Taipei,Taiwan,6InfectiousDiseasesResearchandEducation Center,DepartmentofHealthandNationalTaiwanUniversity,Taipei,Taiwan,7DepartmentofTropicalMedicine,NationalYang-MingUniversity,Taipei,Taiwan Abstract Toxoplasmagondiiisanopportunistic,zoonoticpathogenwithaworldwidedistribution.Therearelargevariationsinthe seroprevalence of T. gondii infection in different regions of the world. Although toxoplasmosis became a notifiable communicablediseaseinTaiwanin2007,littleisknownaboutitsepidemiologyamongthegeneralpopulation.Thiscross- sectionalstudyaimedtosurveytheseroprevalenceofT.gondiiinfectionanditsriskfactorsamonghealthyblooddonorsin Taiwan.ThroughcollaboratingwiththeTaiwanBloodServicesFoundation,atotalof1,783healthyblooddonorsfromall six-branch blood service centers participated in this study. The blood samples were tested for the presence of T. gondii antibodiesandDNAusingenzymeimmunoassaysandreal-timePCR,respectively.Structuredquestionnaireswereusedto gather information on risk factors for T. gondii infection. Of the 1,783 participants, 166 (9.3%) tested positive for anti- Toxoplasma IgG, while 5 (0.28%) tested positive for anti-Toxoplasma IgM. The five IgM positive donors had high avidity antibodiessuggestiveofpastinfection.Noactiveparasitemiawasdetectedbyreal-timePCRassays.Multivariatelogistic regressionshowedthatundercookedporkmeatconsumption(adjustedoddsratio[OR]=2.9;95%confiden