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Anti-Anisakis antibodies in human umbilical cord blood

Israel Figueiredo Jr1, Mauricio Afonso Vericimo2, Sergio Carmona São Clemente3, Gerlinde Platais Brasil Teixeira2
Affiliation and address for correspondence
Pediatr Med Rodz 2018, 14 (3), p. 310–313
DOI: 10.15557/PiMR.2018.0036
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Abstract

Introduction: Little is known about the influence of seroreactivity to fish nematode antigens on the unborn child. Aim: The objective of this study was to ascertain whether infants born to women with Anisakis spp. seroreactivity had problems with growth at birth, or during neonatal care. Methods: We conducted a retrospective database search of puerperal women interviewed at two perinatal facilities in Niterói, Brazil. Neonates were selected by the presence of anti-Anisakis IgG antibodies in cord blood and categorised, by analysis of maternal blood results, as reactive or nonreactive. The Mann–Whitney U test was used for hypothesis testing in continuous variables. A generalised linear model was used for binary logistic regression. Results: Of the 147 neonates studied, 121 were labelled as nonreactive and 26, as reactive. There were no significant betweengroup differences in maternal age (p = 0.193), number of prenatal visits (p = 0.362), presence of prenatal conditions (p = 0.980), mode of delivery (p = 0.193), gestational age (p = 0.266), birth weight (p = 0.294), need for resuscitation (p = 0.675), development of conditions during hospital stay (p = 0.201), or length of hospital stay (p = 0.528). There was also no significant association between IgG positivity in cord blood in raw fish intake (p = 1.000) or intake >2 times/week (p = 0.729). Conclusions: The presence of anti-Anisakis IgG in cord blood of infants born to women seroreactive to Anisakis did not pose a hazard to this neonatal population and did not influence growth, conditions at birth, or development of any clinical conditions before hospital discharge.

Keywords
Anisakis spp., cord blood, ELISA, fish, newborn

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