DIAGNOSIS OF TICK-BORNE INFECTIONS IN PREGNANT WOMEN

Authors

  • A. V. Boychuk I. Horbachevsky Ternopil National Medical University
  • Yu. B. Yakymchuk I. Horbachevsky Ternopil National Medical University
  • M. A. Andreychyn I. Horbachevsky Ternopil National Medical University
  • M. I. Skilna I. Horbachevsky Ternopil National Medical University
  • O. L. Ivakhiv I. Horbachevsky Ternopil National Medical University
  • I. M. Klishch I. Horbachevsky Ternopil National Medical University
  • M. M. Korda I. Horbachevsky Ternopil National Medical University
  • S. Yo. Zaporozhan I. Horbachevsky Ternopil National Medical University
  • M. T. Huk I. Horbachevsky Ternopil National Medical University
  • I. H. Sydorenko O. Bohomolets National Medical University, Kyiv

DOI:

https://doi.org/10.11603/24116-4944.2020.2.11837

Keywords:

tick-borne infections, antibodies and nucleic acids of pathogens, pregnant women, pathology of pregnancy

Abstract

The aim of the study – to determine the frequency of infection with B. burgdorferi sensu lato (s. l.), A. phagocytophilum, Babesia spp. and tick-borne encephalitis virus (ТВEV) of pregnant women in Ternopil region.

Materials and Methods. 43 pregnant women at 22–27 weeks of pregnancy, who had pathology of pregnancy, were examined. Specific IgM and IgG antibodies to B. burgdorferi s.l. were determined in blood serum by ELISA test, as well as DNA of: B. burgdorferi s. l. and A. phagocytophilum; RNA of: Babesia spp. and TBEV in the blood of pregnant women by real-time PCR.

Results and Discussion. Specific IgM and/or IgG antibodies to B. burgdorferi s. l. (B. burgdorferi sensu stricto, B. afzeli, B. garinii) by ELISA test were detected in the sera of 41.9 % of pregnant women. By PCR method DNA of B. burgdorferi s. l. found in the blood of 9.3 % in pregnant women; DNA of A. phagocytophilum – in 6.9 %, RNA of Babesia spp. – in 4.7 %, RNA TBEV – in 4.7 %.

Сonclusion. Detection of nucleic acids of tick-borne infections in pregnant women with pathology of pregnancy probably indicates the possible involvement of these pathogens in the occurrence of this pathology. Pregnant women can become infected by consuming uncooked goat's and cattle milk.

Author Biographies

A. V. Boychuk, I. Horbachevsky Ternopil National Medical University

Doctor of Medical Sciences, Professor, Head Department of Obstetrics and Gynaecology, Institute of Postgraduate Education I. Horbachevsky Ternopil National Medical University

Yu. B. Yakymchuk, I. Horbachevsky Ternopil National Medical University

Master of Medicine, Assistant Department of Obstetrics and Gynecology, Institute of Postgraduate Education I. Horbachevsky Ternopil National Medical University

M. A. Andreychyn, I. Horbachevsky Ternopil National Medical University

Doctor of Medical Sciences, Professor, academician of the National Academy of Medical Sciences of Ukraine, Head Department of Infectious Diseases and Epidemiology, Dermatology and Venereology, I. Horbachevsky Ternopil National Medical University

M. I. Skilna, I. Horbachevsky Ternopil National Medical University

PhD, associate professor of the Departmentof Infectious Diseases and Epidemiology, Dermatology and Venereology, I. Horbachevsky Ternopil National Medical University

O. L. Ivakhiv, I. Horbachevsky Ternopil National Medical University

PhD, аssociate рrofessor of Department of Infectious Diseases with Epidemiology, Dermatology and Venereology, I. Horbachevsky Ternopil Nacional Medical University

I. M. Klishch, I. Horbachevsky Ternopil National Medical University

Merited Figure of Science and Technology of Ukraine, Doctor of Biological Sciences, Professor Department of Functional and Laboratory Diagnostics, Vice-Rector I. Horbachevsky Ternopil National Medical University

M. M. Korda, I. Horbachevsky Ternopil National Medical University

MD, Ph.D., DSc, professor Medical Biochemistry Department, Rector, I. Horbachevsky Ternopil National Medical University

S. Yo. Zaporozhan, I. Horbachevsky Ternopil National Medical University

Doctor of Medical Sciences, Professor of the Department General Surgery I. Horbachevsky Ternopil National Medical University

M. T. Huk, I. Horbachevsky Ternopil National Medical University

MD, Postgraduate Department of Infectious Diseases, Epidemiology and Dermatovenereology, I. Horbachevsky Ternopil National Medical University

I. H. Sydorenko, O. Bohomolets National Medical University, Kyiv

Candidate of Medical Sciences, Associate Professor of Therapeutic Dentistry Department, Bogomolets National Medical University, Kyiv

References

Teterin, V.Yu., Korenberg, E.I., Nefedova, V.V., Vorobiova, N.N., Frizen, V.I., Pomelova, V.G., & Kuznetsova, T.I. (2013). Kliniko-laboratornaya diagnostika infektsiy, peredayushchikhsya iksodovymi kleshchami, v permskom kraye [Clinical and laboratory diagnosis of infections transmitted by Ixodes ticks in the Perm Krai]. Epidemiologiya i infektsionnyye bolezni – Epidemiology and Infectious Diseases, 4, 11-15 [in Russian].

Michelet, L., Delannoy, S., Devillers, E., Umhang, G., Aspan, A., Juremalm, M., …, & Moutailler, S. (2014). High-throughput screening of tick-borne pathogens in Europe. Front. Cell. Infect. Microbiol., 4, 103.

Andreichyn, M.A., Kopcha, V.S., Shkilna, M.I., Korda, M.M., Klishch, I.M., Nykytiuk, S.O., ..., & Nychyk, N.A. (Сompilers) (2019). Laim-borelioz. Diahnostychni kryterii, likuvannia i profilaktyka: metod. rekomendatsii [Lyme borreliosis. Diagnostic criteria, treatment and prevention: Guidelines]. Ternopil: TDMU [in Ukrainian].

Smiyan, S., Galaychuk, I., Zhulkevych, I., Nykolyuk, V., Komorovsky, R., Gusak, S., & Bilozetsky, I. (2019). Sjögren’s syndrome and lymphadenopathy unraveling the diagnosis of Lyme diseas. Reumatologia, 57 (1), 59-62. Retrieved from: https://doi.org/10.5114/reum.2019.83242.

Klymnyuk, S.I., Romanyuk, L.B., & Shkilna, M.I. (2017). Suchasni uiavlennia pro hranulotsytarnyi anaplazmoz liudyny [Modern ideas about human granulocytic anaplasmosis]. Infektsiini khvoroby – Infectious Diseases, 3 (89), 4-9 [in Ukrainian].

Galaychuk, I.Y., Zhulkevych, I.V., Smiyan, S.I., Nykolyuk, V.D., & Komorovsky, R.R. (2019). Boreliozna limfadenopatiia u praktytsi onkoloha (klinichni sposterezhennia) [Borrelious lymphadenopathy in oncology practice (clinical observations)]. Onkolohiia – Oncology, 21, 3. DOI: 10.32471/oncology.2663-7928.t-21-3-2019-g.7896. Retrieved from: https://www.oncology.kiev.ua/article/7896/boreliozna-limfadenopatiya-u-praktici-onkologa-klinichni-sposterezhennya [in Ukrainian].

Malyy, V.P., Shepileva, N.V., & Tkachenko, L.V. (2010). Kleshchevyye infektsii v Kharkovskoy oblasti [Tick-borne infections in the Kharkov region]. Mezhdunar. Med. Zhurn. – Int. Med. J., 3, 99-102 [in Russian].

Shkilna, M.I. (2016). Laim-borelioz u pratsivnykiv lisovykh hospodarstv Ternopilʹskoi oblasti [Lyme borreliosis in forestry workers of Ternopil region]. Infektsiini khvoroby – Infectious Diseases, 1 (83), 36-40 [in Ukrainian].

Popovych, O.O. (2016). Laim-borelioz: suchasna problema infektolohii (klinichna lektsiia) [Lyme borreliosis: a modern problem of infectology (clinical lecture)]. Aktualna infektolohiia – Actual Infectology, 3 (12), 114-122 [in Ukrainian].

Selivanov, Ye.V. (2012). Iksodovyy kleshchevoy borrelioz [Ixodic tick-borne borreliosis]. Vestnik «Laboratorii DNK diagnostiki» – Bulletin of the “Laboratory of DNA Diagnostics”, 1, 18-25 [in Russian].

Bondarenko, Ye.I., Timofeyev, D.I., Fomenko, N.V., Yakimenko, V.V., Tantsev, A.K., & Rar, V.A. (2012). Kompleksnyy podkhod k vyyavleniyu vozbuditeley infektsiy, perenosimykh kleshchami, s pomoshchyu PTSR-analiza s detektsiyey v rezhime realnogo vremeni [An integrated approach to identifying tick-borne pathogens using real-time PCR analysis]. Sibirskiy meditsinskiy zhurnal – Siberian Medical Journal, 4, 33-36 [in Russian].

Svintsitskyi, A.S. (2012). Laimska khvoroba yak aktualna intehrovana problema suchasnoi vnutrishnioi medytsyny [Lyme disease as an urgent integrated problem of modern internal medicine]. Zdorovia Ukrainy. Tematychnyi nomer «Kardiolohiia. Revmatolohiia. Kardiokhirurhiia» – Health of Ukraine. Thematic issue “Cardiology. Rheumatology. Cardiac Surgery”, 5, 84-87 [in Ukrainian].

Dunaj, J., Moniuszko, A., Zajkowska, J., & Pancewicz, S. (2013). Znaczenie metody pcr w diagnostyce boreliozy z Lyme. Przegl. Epidemiol., 67, 119-123.

Melnyk, L.P., Vasylyeva, N.A., Klymnyuk, S.I., & Shkilna, M.I. (2017). Poshyrenist Laim-boreliozu sered khvorykh na tuberkuloz [Prevalence of Lyme borreliosis among patients with tuberculosis]. Infektsiini khvoroby – Infectious Diseases, 4 (90), 22-27 [in Ukrainian].

Guadalupe, G.P., Ireri, G.J., Fortino, S.S., Lidiette, C.Z., & Onofre, M.H. (2017). Serological evidence of borrelia burgdorferi infection in Mexican patients with facial palsy. Rev. Inves. Clin., 69, 344-348.

Shkilna, M.I., & Yavorska, K.B. (2018). Localized scleroderma, associated with Lyme disease. J. Dermat. Cosmetol., 2 (4), 191. DOI: 10.15406/jdc.2018.02.00075.

Teterin, V.Yu., Korenberg, E.I., Nefedova, V.V., Vorobyeva, N.N., & Frizen, V.I. (2010). Rezultaty primeneniya metoda polimeraznoy tsepnoy reaktsii dlya laboratornogo podtverzhdeniya iksodovykh kleshchevykh borreliozov [Results of the application of the polymerase chain reaction method for laboratory confirmation of ixodic tick-borne borreliosis]. Epidemiologiya i vaktsinoprofilaktika – Epidemiology and Vaccine Prophylaxis, 5 (54), 35-40 [in Russian].

Karpova, Ye.A., Doroshchenko, A.A., & Abolkina, A.Ye. (2015). Issledovaniye krovi i moloka KRS uchebnoy fermy “IrGSKhA” na nalichiye zabolevaniy, peredayushchikhsya cherez ukusy kleshchey [Testing the blood and milk of cattle at the educational farm “ISAA” for the presence of diseases transmitted through tick bites]. Klimat, ekologiya, selskoye khozyaystvo Yevrazii: Materialy IV mezhdunarodnoy nauchno-prakticheskoy konferentsii posvyashchennoy 70-letiyu Pobedy v Velikoy Otechestvennoy voyne (1941-1945 gg.) i 100-letiyu so dnya rozhdeniya A.A. Yezhevskogo (27-29 maya 2015 goda) – Climate, ecology, agriculture of Eurasia: Materials of the IV international scientific-practical conference dedicated to the 70th anniversary of Victory in the Great Patriotic War (1941-1945) and the 100th anniversary of A.A. Ezhevsky (May 27-29, 2015). Part I. Irkutsk [in Russian].

Lakos, A., & Solymosi, N. (2010). Maternal Lyme borreliosis and pregnancy outcome. Int. J. Infect. Dis., 14 (6), e494-498. Retrieved from: https://doi.org/10.1016/j.ijid.2009.07.019 PMID: 19926325.

WaddellI, L.A., Greig, J., Lindsay, L.R., Hinckley, A.F., & Ogden, N.H. (2018). A systematic review on the impact of gestational Lyme disease in humans on the fetus and newborn. PLoS One, 13 (11), e0207067.

Published

2021-03-04

How to Cite

Boychuk, A. V., Yakymchuk, Y. B., Andreychyn, M. A., Skilna, M. I., Ivakhiv, O. L., Klishch, I. M., … Sydorenko, I. H. (2021). DIAGNOSIS OF TICK-BORNE INFECTIONS IN PREGNANT WOMEN. Actual Problems of Pediatrics, Obstetrics and Gynecology, (2), 50–55. https://doi.org/10.11603/24116-4944.2020.2.11837

Issue

Section

OBSTETRICS AND GYNECOLOGY