Toxoplasmosis is caused by an obligate intracellular protozoan parasite, Toxoplasma gondii. Most of the toxoplasma infections are asymptomatic or benign, but may cause severe or fatal consequences in immunodeficient patients, transplant recipients, and in the fetus. Transmission may occur by eating uncooked meat, contaminated vegetables, blood transfusion, organ transplantation, and across the placenta from the mother to the fetus. Antibodies to T. gondii may persist in the serum at high titers for years. We screened 784 Saudi blood donors using indirect hemagglutination test and 294 (37.5%) were found to be seropositive at different titers. The highest rate of seropositivity was found in the age group 21 to 30 years in males, and after 40 years of age, the presence of antibodies declined. Among females, the higher rate of seropositivity in the age group 18 to 20 years should be confirmed by further studies. Ann Saudi Med 1994;14(3):230-232. A Yaneza, P Kumari, Prevalence of Toxoplasma Antibodies in Blood Donors in Al-Hassa. 1994; 14(3): 230-232 Toxoplasmosis caused by an obligate intracellular protozoan parasite Toxoplasma gondii is a very common infection among young adults in different parts of the world.1 Most of the toxoplasma infections are either asymptomatic or otherwise benign, but in some fetuses, patients with acquired immunodeficiency syndrome (AIDS), transplant recipients, and in patients receiving cytotoxic therapy, they may cause severe or even fatal consequences.
2Of those patients with AIDS who are seropositive, about 25% to 50% will develop toxoplasmic encephalitis. Transmission to the fetus occurs when the mother acquires acute infection during pregnancy. The disease may be transmitted by blood transfusion.2 It is difficult to distinguish between the recently acquired infection and the chronic infection because of the frequent presence of toxoplasma antibodies in the general population.4 These antibodies may persist in the serum of an asymptomatic individual for years at high titers. 5 In this study, sera from 784 Saudi blood donors at King Fahad Hofuf Hospital were screened for toxoplasma antibodies and 294 (37.5%) of them were found to have antibodies to toxoplasma at different titers.
Material and MethodBlood from Saudi donors at King Fahad Hofuf Hospital was randomly collected for the study. The sera were separated and stored in aliquots at -10°C for about a month. The total number of donors screened was 784, of which 750 were males and 34 were females. The age of the donors ranged from 18 to 50 years. The sera were inactivated at 56°C for one hour and an indirect hemagglutination test using Toxocell-IHA (Biokit, Spain) was performed according to manufacturer's instructions. Each sera was diluted from 1/16 up to 1/128. Any serum with a titer of 1/128 was further diluted up to 1/8192. Sera showing nonspecific agglutination were absorbed and retested. The absorbent reagent containing stabilized and unsensitized sheep cells at a cellular concentration of 10% and resuspended in a pH 7.2...