Seroepidemiology ofToxoplasmain a coastal region of Haiti: multiplex bead assay detection of immunoglobulin G antibodies that recognize the SAG2A antigen

Abstract

SUMMARYToxoplasma gondiiis a globally distributed parasitic protozoan that infects most warm-blooded animals. We incorporated a bead coupled with recombinant SAG2A protein into our Neglected Tropical Disease (NTD) multiplex bead assay (MBA) panel and used it to determineToxoplasmainfection rates in two studies in Haiti. In a longitudinal cohort study of children aged 0–11 years, the infection rate varied with age reaching a maximum of 0·131 infections/year in children aged 3 years [95% confidence interval (CI) 0·065–0·204]. The median time to seroconversion was estimated to be 9·7 years (95% CI 7·6–∞). In a cross-sectional, community-wide survey of residents of all ages, we determined an overall seroprevalence of 28·2%. The seroprevalence age curve from the cross-sectional study also suggested that the force of infection varied with age and peaked at 0·057 infections/year (95% CI 0·033–0·080) at age 2·6 years. Integration of theToxoplasmaMBA into NTD surveys may allow for better estimates of the potential burden of congenital toxoplasmosis in underserved regions.