000131897 001__ 131897 000131897 005__ 20240219150723.0 000131897 0247_ $$2doi$$a10.1016/j.ijregi.2023.11.010 000131897 0248_ $$2sideral$$a137165 000131897 037__ $$aART-2024-137165 000131897 041__ $$aeng 000131897 100__ $$aEncinas, Begoña 000131897 245__ $$aHTLV-1 infection among Latin American pregnant women living in Spain 000131897 260__ $$c2024 000131897 5060_ $$aAccess copy available to the general public$$fUnrestricted 000131897 5203_ $$aObjectives Human T-lymphotropic virus (HTLV) antenatal screening is not mandatory in Spain. Surveys conducted decades ago reported HTLV-1 seroprevalence rates of 0.2% among foreign pregnant women in Spain. The migrant flow to Spain from HTLV-1 endemic regions in Latin America and sub-Saharan Africa has increased during the last decade. Currently, 25% of pregnant women in Spain are foreigners. Methods From January 2021 to October 2023 a cross-sectional study was carried out in all consecutive pregnant women attended at eleven Spanish clinics. A commercial enzyme immunoassay (EIA) was used for screening of serum HTLV-1/2 antibodies. Reactive samples were confirmed by immunoblot. Results A total of 9813 pregnant women with a median age of 34 years-old were examined. Native Spaniards were 6977 (76.5%). Of 2147 foreigners (23.5%), 903566 (9.9%) were Latin Americans, 416 (4.5%) North Africans, 293 (3.2%) from Romania, and 196 (2.1%) from sub-Saharan Africa. A total of 47 samples were EIA reactive but only five were confirmed as HTLV-1 positive using immunoblot. Infected women came from Paraguay, Colombia, the Dominican Republic, Venezuela and Peru. All but one were primigravida, with ages ranging from 20 to 33 years-old. One was HIV-1 positive, and another was infected with Chlamydia trachomatis. Conclusion The overall seroprevalence for HTLV-1 among pregnant women in Spain is 0.05% but rises ten-fold (0.55%) among Latin Americans. This rate is higher than in surveys conducted decades ago. Our results support that anti-HTLV testing should be part of antenatal screening in Spain in pregnant women coming from Latin America, as it is already done with Chagas disease. 000131897 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI21-1717 000131897 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000131897 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000131897 700__ $$0(orcid)0000-0001-5134-1006$$aBenito, Rafael$$uUniversidad de Zaragoza 000131897 700__ $$aRojo, Silvia 000131897 700__ $$aReina, Gabriel 000131897 700__ $$aMontiel, Natalia 000131897 700__ $$aAguilera, Antonio 000131897 700__ $$aEiros, José María 000131897 700__ $$aGarcía-Costa, Juan 000131897 700__ $$aOrtega, Diego$$uUniversidad de Zaragoza 000131897 700__ $$aArco, Irene 000131897 700__ $$aHernánez-Batancor, Araceli 000131897 700__ $$aSoriano, Vicente 000131897 700__ $$ade-Mendoza, Carmen 000131897 700__ $$aCalderón, E. 000131897 700__ $$aRodríguez-Iglesias, M. 000131897 700__ $$aTrujillo, T. 000131897 700__ $$aViciana, Cádiz I. 000131897 700__ $$aCabezas, Málaga T. 000131897 700__ $$aLozano, Almería A. 000131897 700__ $$aFernández-Fuertes, E. 000131897 700__ $$aFernández, J.M. 000131897 700__ $$aGarcía, F. 000131897 700__ $$0(orcid)0000-0002-0036-6630$$aAlgarate, S. 000131897 700__ $$aDucons, M. 000131897 700__ $$aRoc, L. 000131897 700__ $$aCifuentes, C. 000131897 700__ $$aFernández-Baca, V. 000131897 700__ $$aFernández-Montero, J.V 000131897 700__ $$aMaciá, M.D. 000131897 700__ $$aHernández-Betancor, A. 000131897 700__ $$aMartín, A.M. 000131897 700__ $$aPena, M.J. 000131897 700__ $$aHernández, M. 000131897 700__ $$aLópez-Lirola, A.M. 000131897 700__ $$aGómez-Sirvent, J.L. 000131897 700__ $$aCopado, R. 000131897 700__ $$aCano, M.E. 000131897 700__ $$aEirós, J.M. 000131897 700__ $$aRodríguez, M. 000131897 700__ $$aGómez-Hernando, C. 000131897 700__ $$aGonzález-Praetorius, A. 000131897 700__ $$aRando, A. 000131897 700__ $$aForce, L. 000131897 700__ $$aMiró, E. 000131897 700__ $$aCebollero, A. 000131897 700__ $$aDelgado, J.F. 000131897 700__ $$aRodríguez, G. 000131897 700__ $$aFernández-Pereira, L. 000131897 700__ $$aPereira, S. 000131897 700__ $$aGarcía, J. 000131897 700__ $$aArcay, R. 000131897 700__ $$aTrigo, M. 000131897 700__ $$aDiz, J. 000131897 700__ $$aGarcía-Campello, M. 000131897 700__ $$aCortizo, S. 000131897 700__ $$aPérez, S. 000131897 700__ $$aMorano, L. 000131897 700__ $$aArazamendi, M. 000131897 700__ $$aSalicio, Y. 000131897 700__ $$aUgalde, E. 000131897 700__ $$aNieto, M.C. 000131897 700__ $$aLiendo, P. 000131897 700__ $$aGoikoetxea, A.J. 000131897 700__ $$aOcete, M.D. 000131897 700__ $$aRamos, J.M. 000131897 700__ $$aEscribano, I. 000131897 700__ $$aSauleda, S. 000131897 700__ $$aPirón, M. 000131897 700__ $$aGonzález, R. 000131897 700__ $$aRichart, A. 000131897 700__ $$aBarea, L. 000131897 700__ $$aJiménez, A. 000131897 700__ $$aBlanco, L. 000131897 700__ $$aNavarro, L. 000131897 700__ $$aAyerdi, O. 000131897 700__ $$aBaza, B. 000131897 700__ $$aRodriguez, C. 000131897 700__ $$adel-Romero, J. 000131897 700__ $$aGalar, A. 000131897 700__ $$aAldamiz, T. 000131897 700__ $$aValeiro, M. 000131897 700__ $$aPérez, L. 000131897 700__ $$aRodríguez-Avial, I. 000131897 700__ $$aMartín-Carbonero, L. 000131897 700__ $$aFernández-Ruiz, M. 000131897 700__ $$aParra, P. 000131897 700__ $$aRedondo, N. 000131897 700__ $$aRuiz-Merlo, T. 000131897 700__ $$aPozuelo, M.J. 000131897 700__ $$aBarreiro, P. 000131897 700__ $$aTreviño, A. 000131897 700__ $$ade-Jesús, F. 000131897 700__ $$aCorral, O. 000131897 700__ $$aPintos, I. 000131897 700__ $$aMoreno-Torres, V. 000131897 700__ $$aCarrizo, P. 000131897 700__ $$aHuertas, A. 000131897 700__ $$aVargas-Núñez, J.A. 000131897 7102_ $$11011$$2630$$aUniversidad de Zaragoza$$bDpto. Microb.Ped.Radio.Sal.Pú.$$cÁrea Microbiología 000131897 773__ $$g10 (2024), 146-149$$pIJID reg.$$tIJID regions$$x2772-7076 000131897 8564_ $$s324909$$uhttps://zaguan.unizar.es/record/131897/files/texto_completo.pdf$$yVersión publicada 000131897 8564_ $$s2378936$$uhttps://zaguan.unizar.es/record/131897/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000131897 909CO $$ooai:zaguan.unizar.es:131897$$particulos$$pdriver 000131897 951__ $$a2024-02-19-13:29:47 000131897 980__ $$aARTICLE