Masali K A, Pulare Madhukar Vaghavan, Kachare Vijay Kumar, Patil M B, Reddi Somnath
Department of Community Medicine, Navodaya Medical College, Raichur.
J Indian Med Assoc. 2007 Nov;105(11):632, 634-6.
The study describes an attempt to record leptospirosis in Raichur taluk/district, in Karnataka, by serological test such as microscopic test and IgM by ELISA. A house to house survey was done in six villages of Krishna river basin. Cases were interviewed regarding chief complaints like, fever, headache and oliguria, age, sex and treatment given with diclofenac, doxycycline, tetracycline and vitamin B complex. A total of 1516 cases were treated. The age of the patients ranged between 10 and 71 years. Most of them were agricultural workers. Out of 15 blood samples 12 samples sent to DHO Office, 3 were negative for leptospirosis, the density of rats were increased in all villages, the mode of transmission was food and water contamination, duration of incubation period was 5 to 10 days. Health education, for the community was undertaken to take measures against rats. Causative agent may be Leptospirosis interrogans, 3 cases were referred to Civil Hospital, Raichur and Navodaya Medical College, Raichur. Community participation was excellent. This study showed the presence of leptospirosis among the community of 6 villages, the disease is posing health hazards for agricultural workers in Raichur taluka villages.
该研究描述了一项通过显微镜检查和酶联免疫吸附测定法（ELISA）检测 IgM 等血清学试验，在卡纳塔克邦赖丘尔县/区记录钩端螺旋体病的尝试。在克里希纳河流域的六个村庄进行了挨家挨户的调查。就发热、头痛和少尿等主要症状、年龄、性别以及是否使用双氯芬酸、强力霉素、四环素和复合维生素 B 进行治疗等情况对病例进行了访谈。总共治疗了 1516 例病例。患者年龄在 10 至 71 岁之间。他们大多数是农业工人。在 15 份血液样本中，12 份样本被送往地区卫生官员办公室，3 份钩端螺旋体病检测呈阴性，所有村庄的老鼠密度都有所增加，传播途径是食物和水污染，潜伏期为 5 至 10 天。对社区开展了健康教育，以采取灭鼠措施。病原体可能是问号钩端螺旋体，3 例病例被转诊至赖丘尔市民医院和赖丘尔纳沃代亚医学院。社区参与度很高。这项研究表明，在这六个村庄的社区中存在钩端螺旋体病，该病正在对赖丘尔县各村的农业工人构成健康危害。
