Background
Toxoplasmosis caused by Toxoplasma gondii is well-known as one of the most widespread parasitic diseases, which has now infected nearly a third of the world's population. Among the infectious agents, T. gondii is considered as one of the main causes of spontaneous abortion (SA). The present study aimed to use the loop-mediated isothermal amplification (LAMP) technique in comparison with serological tests to determine the rate of T. gondii infection in women suffering from SA in Lorestan Province, Western Iran.
Methods
A total of 140 women suffering from their first spontaneous abortion and who had been referred to the Obstetrics and Gynecology Department, Asalian hospital (Khorramabad, Iran) were included in this study. The collected aborted fetal remains and blood samples (5 ml) from each patient were examined in sterilized conditions using the LAMP technique and ELISA commercial kits to determine the specific IgM and IgG anti-Toxoplasma antibodies respectively. Moreover, a questionnaire about some demographic and risk factors, such as the mother’s age, gestational age, and contact with cats was completed for each patient.
Results
Of the 140 women, 80 (57.1%) tested seropositive for anti-T. gondii antibodies by ELISA, 72 (51.4%) women tested seropositive for the IgG antibody, 8 (5.7%) tested seropositive for the IgM antibody. Among the 8 women who’d had their first spontaneous abortion who tested seropositive for IgM antibody by ELISA, only 5 cases (62.5%) reported positively to the LAMP test. The difference in the frequency distribution of the LAMP results for measuring the Toxoplasma infection in pregnant women under study was statistically significant (P <0.001) from the results of the serological test (ELISA). Although there was a significant difference between age and positivity in the LAMP test (P = 0.017), no significant difference was observed between positivity in the LAMP test and residence, education, job, and contact with cats.
Conclusion
The findings of the present investigation suggest that LAMP is a preferred method for determining Toxoplasma infection in pregnant women suffering from spontaneous abortion compared with other routine serological tests.