A seroprevalence and relationship survey of brucellosis between pregnant women and women with spontaneous abortion in Iran

Authors

  • Amjad Ahmadi Zoonoses Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran & Department of Microbiology, Faculty of Medicine, Kurdistan Univer-sity of Medical Sciences, Sanandaj, Iran.
  • Aram Mokarizadeh Cellular and Molecular Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
  • Behzad Mohsenpour Department of Infectious Diseases, School of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
  • Daem Roshani Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
  • Fariba Farhadifar Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
  • Fariba Seyedoshohadaei Department of Gynecology, Faculty of Medicine, Kurdistan Universi-ty of Medical Sciences, Sanandaj, Iran.
  • Farnaz Zandvakili Department of Gynecology, Faculty of Medicine, Kurdistan Universi-ty of Medical Sciences, Sanandaj, Iran.
  • Pari Doroudian Laboratory of Besat Hospital, Kurdistan University of Medical Sci-ences, Sanandaj, Iran.
  • Shole Shahgheibi Department of Gynecology, Faculty of Medicine, Kurdistan Universi-ty of Medical Sciences, Sanandaj, Iran.
Abstract:

Background: Brucellosis is one of the most prevalent diseases common between humans and animals. It is also called Malta fever, Undulant fever and Mediterranean fever. This disease is spread by consuming milk and its unpasteurized derivatives. Clinical symptoms of brucellosis in humans are fever, chills, headache, muscular pain, tiredness, loss of appetite, joint pain, weight loss, constipation, sore throat, and dry cough. The present study aimed at surveying the seroprevalence of brucellosis in pregnant women and those women who suffered from spontaneous abortion.    Methods: This case- control study was conducted in Sanandaj (Iran) in 2016 and included 2 groups of pregnant women: one group included 160 pregnant women and the other included 160 women who suffered from spontaneous abortion. Then, the participants were asked to fill out the questionnaire. After receiving permission from an obstetrician, a 10-cc blood sample was taken from each person to be used in the Rose Bengal, Wright, 2ME, and Coombs tests. Independent samples t test and Chi-square test were used to analyze the data and compare the groups.    Results: Mean±SD age of women in the case group was 30.9±7.3 years, while it was 27.74±5.41 years in control women. The Rose Bengal, Wright, and 2ME prevalence for both groups was negative, but the Coombs and Wright tests score was 33 (20.6%) in pregnant women and it was 27 (16.9%) in women who experienced spontaneous abortion. No meaningful relationship was observed between spontaneous abortion and brucellosis (p= 0.39).    Conclusion: Even though the present study did not find a meaningful relationship between spontaneous abortion and brucellosis (p=0.39), high brucella seroprevalence rates between both groups of women indicated that screening tests should be considered before gestation as an appropriate therapeutic strategy.    

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Journal title

volume 31  issue 1

pages  241- 244

publication date 2017-01

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