{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:02:56Z","timestamp":1704326576587},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"2","license":[{"start":{"date-parts":[[2016,6,1]],"date-time":"2016-06-01T00:00:00Z","timestamp":1464739200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["EuJMI"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:p>Medical certificates are documents that state the health status of a person. This study aimed to determine the seroprevalence and risk factors for <jats:italic>Toxoplasma gondii<\/jats:italic> infection in applicants of medical certificates and to investigate seroprevalence association with characteristics of these individuals. We examined 404 applicants in a public health center in Durango City, Mexico for the presence of anti-<jats:italic>Toxoplasma<\/jats:italic> IgG and IgM antibodies using enzyme-linked immunoassays. Of the 404 subjects (mean age of 35.94 \u00b1 13.01) studied, 29 (7.2%) were positive for anti-<jats:italic>T. gondii<\/jats:italic> IgG antibodies and 9 (31.0%) of them were also positive for anti-<jats:italic>T. gondii<\/jats:italic> IgM antibodies. IgG and IgM seropositivities were associated with vision impairment (<jats:italic>P<\/jats:italic> = 0.04) and a history of surgery (<jats:italic>P<\/jats:italic> = 0.03), respectively. Prevalence of high (&gt;150 IU\/ml) IgG antibody levels was associated with hearing impairment (<jats:italic>P<\/jats:italic> = 0.03), and histories of lymphadenopathy (<jats:italic>P<\/jats:italic> = 0.04) and miscarriages (<jats:italic>P<\/jats:italic> = 0.03). Multivariate analysis showed that <jats:italic>T. gondii<\/jats:italic> seropositivity was associated with being born out of Durango State (odds ratio [OR] = 4.65; 95% confidence interval [CI]: 1.25\u2013 17.29; <jats:italic>P<\/jats:italic> = 0.02) and soil contact (OR = 4.27; 95% CI: 1.71\u201310.67; <jats:italic>P<\/jats:italic> = 0.002) and negatively associated with consumption of sheep meat (OR = 0.12; 95% CI: 0.02\u20130.65; P = 0.01). These results could be used for the design of optimal preventive measures against toxoplasmosis and its sequelae.<\/jats:p>","DOI":"10.1556\/1886.2016.00001","type":"journal-article","created":{"date-parts":[[2016,4,1]],"date-time":"2016-04-01T02:17:49Z","timestamp":1459477069000},"page":"90-98","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["Seroepidemiology of Toxoplasma Gondii Infection in People Applying for Medical Certificates"],"prefix":"10.1556","volume":"6","author":[{"given":"Cosme","family":"Alvarado-Esquivel","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Nutrition, Ju\u00e1rez University of Durango State, Avenida Universidad S\/N, 34000 Durango, Dgo, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Francisco","family":"S\u00e1nchez-Anguiano","sequence":"additional","affiliation":[{"name":"Institute for Scientific Research \u201cDr. Roberto Rivera Damm\u201d, Ju\u00e1rez University of Durango State, Avenida Universidad S\/N, 34000 Durango, Durango, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jes\u00fas","family":"Hern\u00e1ndez-Tinoco","sequence":"additional","affiliation":[{"name":"Institute for Scientific Research \u201cDr. Roberto Rivera Damm\u201d, Ju\u00e1rez University of Durango State, Avenida Universidad S\/N, 34000 Durango, Durango, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosa Ang\u00e9lica","family":"Pulido-Montoya","sequence":"additional","affiliation":[{"name":"Facultad de Enfermer\u00eda y Obstetricia, Ju\u00e1rez University of Durango State, Cuauht\u00e9moc 223 norte, 34000 Durango, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guadalupe","family":"Acosta-Rojas","sequence":"additional","affiliation":[{"name":"Facultad de Enfermer\u00eda y Obstetricia, Ju\u00e1rez University of Durango State, Cuauht\u00e9moc 223 norte, 34000 Durango, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Estrada-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Institute for Scientific Research \u201cDr. Roberto Rivera Damm\u201d, Ju\u00e1rez University of Durango State, Avenida Universidad S\/N, 34000 Durango, Durango, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alma Rosa","family":"P\u00e9rez-\u00c1lamos","sequence":"additional","affiliation":[{"name":"Institute for Scientific Research \u201cDr. Roberto Rivera Damm\u201d, Ju\u00e1rez University of Durango State, Avenida Universidad S\/N, 34000 Durango, Durango, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raquel","family":"Vaquera-Enriquez","sequence":"additional","affiliation":[{"name":"Health Center No. 2 \u201cDr. Carlos Santamar\u00eda\u201d, Servicios de Salud de Durango, Durango, Mexico, Talpa S\/N, 34170 Durango, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arturo","family":"D\u00edaz-Herrera","sequence":"additional","affiliation":[{"name":"Health Center No. 2 \u201cDr. Carlos Santamar\u00eda\u201d, Servicios de Salud de Durango, Durango, Mexico, Talpa S\/N, 34170 Durango, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ra\u00fal","family":"Segura-Moreno","sequence":"additional","affiliation":[{"name":"Health Center No. 2 \u201cDr. Carlos Santamar\u00eda\u201d, Servicios de Salud de Durango, Durango, Mexico, Talpa S\/N, 34170 Durango, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda de Lourdes","family":"Guerrero-Carbajal","sequence":"additional","affiliation":[{"name":"Health Center No. 2 \u201cDr. Carlos Santamar\u00eda\u201d, Servicios de Salud de Durango, Durango, Mexico, Talpa S\/N, 34170 Durango, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Liesenfeld","sequence":"additional","affiliation":[{"name":"Institute for Microbiology and Hygiene, Campus Benjamin Franklin, Charit\u00e9 Medical School, Hindenburgdamm 27, D-12203 Berlin, Germany"},{"name":"Chief Medical Officer, Medical and Scientific Affairs, Roche Molecular Systems, Pleasanton, CA 94588, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel Beristain","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Facultad de Enfermer\u00eda y Obstetricia, Ju\u00e1rez University of Durango State, Cuauht\u00e9moc 223 norte, 34000 Durango, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Guadalupe","family":"Renter\u00eda-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Health Center No. 2 \u201cDr. Carlos Santamar\u00eda\u201d, Servicios de Salud de Durango, Durango, Mexico, Talpa S\/N, 34170 Durango, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["European Journal of Microbiology and 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