Evidence map›Paper›PMID 40628254›Full record

ArticleThe American journal of tropical medicine and hygiene2025

Seroprevalence and Factors Associated with Infection with Toxoplasma gondii in Iquitos and Lima, Peru.

Carlos Alonso Flores B, Cusi Ferradas, Edith S Málaga-Machaca, Andrea Diestra, Hannah E Steinberg, Jaeson Calla, Guillermo Salvatierra, Catherine Apaza, Juan Jiménez, Natalie M Bowman and 2 more

Abstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Seroprevalence of IgG Antibodies AgainstPathogens (Basel, Switzerland) · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Carlos Alonso Flores BLaboratorio de Enfermedades Infecciosas, Laboratorios de Investigación y Desarrollo, Universidad Peruana Cayetano Heredia, Lima, Peru.
Cusi FerradasLaboratorio de Enfermedades Infecciosas, Laboratorios de Investigación y Desarrollo, Universidad Peruana Cayetano Heredia, Lima, Peru.
Edith S Málaga-MachacaLaboratorio de Enfermedades Infecciosas, Laboratorios de Investigación y Desarrollo, Universidad Peruana Cayetano Heredia, Lima, Peru.
Andrea DiestraLaboratorio de Enfermedades Infecciosas, Laboratorios de Investigación y Desarrollo, Universidad Peruana Cayetano Heredia, Lima, Peru.
Hannah E SteinbergLaboratorio de Enfermedades Infecciosas, Laboratorios de Investigación y Desarrollo, Universidad Peruana Cayetano Heredia, Lima, Peru.
Jaeson CallaLaboratorio de Enfermedades Infecciosas, Laboratorios de Investigación y Desarrollo, Universidad Peruana Cayetano Heredia, Lima, Peru.
Guillermo SalvatierraSchool of Veterinary Medicine, Health Sciences Faculty, Universidad Peruana de Ciencias Aplicadas, Lima, Peru.
Catherine ApazaLaboratorio de Enfermedades Infecciosas, Laboratorios de Investigación y Desarrollo, Universidad Peruana Cayetano Heredia, Lima, Peru.
Juan JiménezLaboratorio de Parasitología Molecular y Celular, Facultad de Ciencias Biológicas, Universidad Nacional Mayor de San Marcos, Lima, Peru.
Natalie M BowmanDivision of Infectious Diseases, Faculty of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Robert H GilmanDepartment of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
Maritza CalderónLaboratorio de Enfermedades Infecciosas, Laboratorios de Investigación y Desarrollo, Universidad Peruana Cayetano Heredia, Lima, Peru.

Funding

UJMT – ORWH – Gazzetta, Issa-BoubeD43TW009340 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI William Checkley, Benjamin H. Chi · 2017 to 2026
$14.8M
Peru Infectious Diseases Epidemiology Research Training ConsortiumD43TW007393 · FIC · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI Andres G Lescano · 2005 to 2026
$5.9M
Infectious Diseases Training program in Bolivia: South-South Training with PeruD43TW010074 · FIC · JOHNS HOPKINS UNIVERSITY · PI ROBERT H GILMAN, Jeffrey Tornheim · 2015 to 2026
$3.5M
Novel nanoparticular diagnostics for cerebral toxoplasmosis and Chagas in HIV patients living in Latin AmericaR01AI136722 · NIAID · JOHNS HOPKINS UNIVERSITY · PI GILMAN, ROBERT H · 2018 to 2022
$3.3M
FIC NIH HHS D43 TW007393FIC NIH HHS D43 TW009340FIC NIH HHS D43 TW010074NIAID NIH HHS R01 AI136722
6 · The paper itself

Abstract

Toxoplasma gondii infection can pose a significant health risk, particularly among immunocompromised individuals, such as people living with HIV (PLHIV). This study aimed to evaluate the seroprevalence of T. gondii and associated factors among PLHIV and individuals who are HIV negative in two distinct regions of Peru: Iquitos and Lima. We conducted a cross-sectional study, enrolling 281 participants (100 PLHIV and 181 HIV-negative participants). An in-house ELISA was used to detect IgG antibodies against T. gondii after ensuring that its performance was comparable with the commercially available Vircell ELISA kit. Our in-house ELISA demonstrated high reliability, with a positive agreement of 98.3% and a negative agreement of 100% with the Vircell ELISA kit. The overall seroprevalence of T. gondii was 62.3%, with significantly higher rates observed in Iquitos (88.0%) than in Lima (29.3%). People living with HIV showed a notably higher prevalence ratio (PR) for T. gondii seropositivity in both cities, with PRs of 1.18 (95% CI, 1.07-1.29) in Iquitos and 2.29 (95% CI, 1.30-4.05) in Lima. This study highlights the significant regional disparities in T. gondii seroprevalence between Iquitos and Lima, which may be driven by environmental and socioeconomic factors. Our findings underscore the need for region-specific public health interventions to mitigate the impact of T. gondii infections in PLHIV in Peru. Enhanced public health strategies, including improved access to clean water and sanitation in high-risk areas like Iquitos, may be important to reduce the burden of T. gondii and prevent severe complications in vulnerable populations.

Indexed as

Antibodies, ProtozoanHIV InfectionsToxoplasmaToxoplasmosisAdolescentAdultCross-Sectional StudiesEnzyme-Linked Immunosorbent AssayFemaleHumansImmunoglobulin GMaleMiddle AgedPeruPrevalenceRisk FactorsAntibodies, ProtozoanImmunoglobulin G

Identifiers

PMID40628254
PMCPMC12410235

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.