Journal of Microbiology Research 2015, 5(3): 118-121
DOI: 10.5923/j.microbiology .20150503.06
Sero Prevalence of Salmonella typhi among
Pregnant Women in Niger State
Adogo Liilian
*
, Samuel Graba, Abalaka Moses
Department of Microbiology, Federal University of Technology, Minna, Nigeria
Abstract This study reports the prevalence of typhoid fever among pregnant women in Niger state. The study was
carried out among pregnant women at the antenatal care unit of nine General Hospitals, in Niger State. Questionnaires were
issued to obtain demographic information. Two milliliters of blood sample was collected from each pregnant woman and
centrifuged at 1,500 rpm for 5 minutes. Widal test was used to detect the antibody titers in sera were in a titre of 1:80 was
considered significant and the result of each patient was recorded. Nine hundred pregnant women were examined from the
three zones of the state, out of which 610 (67.8%) were infected. Prevalence of Salmonella typhi in relation to age group
shows that women between the ages of 35–44 had the highest rate of infection (71.8%). Those within the age groups of
25-34, 15-24 also had a prevalence of 68.1% and 66.7% respectively. The relationship between typhoid fever infection and
age group was statistically significant (P = < 0.05). Prevalence of Salmonella typhi in relation to gestation period shows that
pregnant women in their third trimester had the highest infection rate (71.5%) while those in their first and second trimester
had a prevalence of 66.1%, 65.5% respectively. The relationship between typhoid fever infection and gestation period was
statistically insignificant (P = > 0.05). The highest percentage (69.9%) of significant titre of antibodies to Salmonella was
detected among subjects who utilize borehole water while the least was detected among subjects who utilize tap water.
Well water users recorded a prevalence of 68.5%. There was a significance difference between Salmonella typhi infection
and water supply (P < 0.05). Four hundred and fifty one women (50.0%) were positive to the somatic (O) antigen indicating
acute infection. Typhoid fever is a dangerous infection among pregnant women and is common in Nigeria. Pregnancy
makes the host more vulnerable to typhoid fever. Public awareness, early and prompts diagnosis is of great importance in
curbing the menace of the diseases.
Keywords Salmonella typhi, Pregnant women, Typhoid fever, Widal test
1. Introduction
Typhoid fever is a global infection [1] and is responsible
for acute life threatening febrile illness. Typhoid fever is one
of the major bacterial infections worldwide. It has an
estimated case of twenty two million with two hundred
thousand interrelated deaths world-wide annually [2].
Although, typhoid fever is widespread in various regions of
the world, the genuine burden of the infection is weakly
defined within most endemic countries. The well-known
occurrence of multidrug-resistant typhoid fever also
complicates the problem [3] [4].
The disease is a major challenge and an essential health
setback in some continents such as Asia and Africa
particularly in Nigeria owing to poor hygienic environment
and the absence of or insufficient clean water supply [5].
Typhoid fever is amongst the major prevalent disease in
* Corresponding author:
adogolillian@ymail.com (Adogo Liilian)
Published online at http://journal.sapub.org/microbiology
Copyright © 2015 Scientific & Academic Publishing. All Rights Reserved
Nigeria due to various interconnected factors such as scarce
amenities for handling unwanted products and abuse of
antibiotics; these amongst other factors are responsible for
the widespread of typhoid fever affecting both little children
and young adults [6].
Infection of pregnant women with Salmonella occurs as
frequently as its infection in the general populace, with a
prevalence of 0.2% positive rectal cultures at the point of
delivery [7]. It has been projected that the incidence of foetal
loss which occurs from untreated typhoid cases all through
pregnancy might be as high as 80% [7].
Special concern arises as soon as pregnancy is
complicated by S. typhi [8]. Diverse severe outcomes and
morbidity connected with typhoid fever in pregnancy include
maternal mortality, premature labor, spontaneous abortion
and infection of the fetus.
Due to the hormonal changes that suppress immunity,
pregnant women are at an increased risk for getting
food-borne infections [9]. Hormonal changes which occur
during pregnancy impair the cell mediated immune response
and they increase the susceptibility of pregnant women to
various infections. Pregnancy is considered as a high risk