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Acta Parasitologica

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Volume 60, Issue 4 (Dec 2015)

Issues

Association between immunoreactivity to Anisakis spp. antigens and high-risk pregnancy

Israel Figueiredo Jr
  • Corresponding author
  • Departamento Materno-Infantil, Faculdade de Medicina; Hospital Universitário Antônio Pedro, Universidade Federal Fluminense; Av. Marques do Paraná, 303; CEP: 24030-210, Centro, Niterói, Rio de Janeiro, Brasil
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Mauricio Vericimo / Luciana Terra
  • Departamento Tecnologia de Produtos de Origem Animal, Faculdade de Veterinária; Universidade Federal Fluminense, Brasil
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Taylane Ferreira / Sergio Carmona São Clemente
  • Departamento Tecnologia de Produtos de Origem Animal, Faculdade de Veterinária; Universidade Federal Fluminense, Brasil
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Gerlinde Teixeira
Published Online: 2015-09-25 | DOI: https://doi.org/10.1515/ap-2015-0085

Abstract

Numerous factors contribute to perinatal risk, many of which remain undefined. This study sought to determine the frequency of fish intake in postpartum women, and to establish a relationship between the rates of immunoreactivity for antigens from Anisakis spp. and high-risk pregnancy. In this prospective noninterventional study, a structured questionnaire was administered and serum was collected from postpartum women at two perinatal centers (a high-risk birth unit [HRBU] and a low-risk birth unit [LRBU]) in the Niteroi municipality of Brazil. Anisakis species-specific IgG and IgE were measured by ELISA. The chisquared test was performed, and odds ratios (ORs) with their 95% confidence intervals were estimated. The t-test or Mann-Whitney test was applied to continuous, normally distributed variables. In total, 309 women (170 from HRBU, 139 from LRBU) between 24.8 and 26.7 years old with a median of 6 to 8 prenatal visits were enrolled. Women in the two units exhibited differences in some variables, including prenatal care (p = 0.01), maternal and fetal risk (p = 0.00; OR = 6.17), and gestational age (p = 0.00), but no differences in fish consumption (p = 0.29), frequency of fish intake (p = 0.40), allergic symptoms (p = 0.51), or frequency of anti-Anisakis reactivity (p = 0.22). Logistic regression analysis revealed that only age was independently associated with postpartum anti-Anisakis reactivity. This study confirmed a low prevalence of fish intake and suggested that Anisakis spp. had no impact on high-risk pregnancies among this postpartum study population.

Keywords: Anisakis spp.; fish; puerperium; ELISA

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About the article

Received: 2014-09-12

Revised: 2015-03-20

Accepted: 2015-04-28

Published Online: 2015-09-25

Published in Print: 2015-12-01


Citation Information: Acta Parasitologica, ISSN (Online) 1896-1851, ISSN (Print) 1230-2821, DOI: https://doi.org/10.1515/ap-2015-0085.

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