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乌干达中部瓦基索区疟疾阴性发热门诊患者中布鲁氏菌病的血清流行率及相关危险因素

Sero-prevalence and associated risk factors of Brucellosis among Malaria negative febrile out-patients in Wakiso district, Central Uganda.

作者信息

Majalija Samuel, Luyombo Patrick, Tumwine Gabriel

机构信息

Department of Biosecurity, Ecosystem and Veterinary Public Health, College of Veterinary Medicine, Animal Resources and Biosecurity, Makerere University, P.O. Box 7062, Kampala, Uganda.

Department of Biomolecular Resources and Biolab Sciences, College of Veterinary Medicine, Animal Resources and Biosecurity, Makerere University, P.O. Box 7062, Kampala, Uganda.

出版信息

BMC Res Notes. 2018 Nov 8;11(1):803. doi: 10.1186/s13104-018-3907-3.

Abstract

OBJECTIVE

Brucellosis is a zoonotic disease usually acquired through direct contact with the infected animals and consumption of contaminated milk and meat products. In humans Brucellosis presents similar signs with other febrile diseases like Malaria, typhoid and other febrile conditions. This study was carried out to determine the prevalence of Brucella abortus among patients with fever but were negative for Malaria.

RESULTS

A cross-sectional study was carried out in Namayumba Health Centre IV, Wakiso district involving 200 participants. Blood samples was screened for B. abortus using Serum Agglutination Test and confirmed with Tube Agglutination test. A questionnaire was used to collect data on socio-demographic characteristics and human Brucellosis related risk factors. Human B. abortus sero-prevalence was at 7.5% (n = 200). The prevalence was high among participants aged 18-35 years (13.3%), muslims 12 (14.0%), those with no formal education (33.3%) and divorced 2 (14.3%). Consuming of raw milk (OR 2.162, 95% CI 0.021-1.379) and being a Muslim (OR 6.101, 95% CI 1.601-23.248) were associated with increased risk of Brucella abortus. It was concluded that human Brucella infection due to Brucella abortus is commonly associated with consumers of raw milk products and muslims in Wakiso district.

摘要

目的

布鲁氏菌病是一种人畜共患疾病,通常通过直接接触受感染动物以及食用受污染的牛奶和肉类产品而感染。在人类中,布鲁氏菌病表现出与疟疾、伤寒等其他发热性疾病相似的症状。本研究旨在确定发热但疟疾检测呈阴性的患者中流产布鲁氏菌的患病率。

结果

在瓦基索区纳马云巴第四健康中心开展了一项横断面研究,涉及200名参与者。使用血清凝集试验对血液样本进行流产布鲁氏菌筛查,并通过试管凝集试验进行确认。使用问卷收集社会人口学特征和人类布鲁氏菌病相关危险因素的数据。人类流产布鲁氏菌血清阳性率为7.5%(n = 200)。在18至35岁的参与者中患病率较高(13.3%),穆斯林为12人(14.0%),未受过正规教育者为(33.3%),离婚者为2人(14.3%)。饮用生牛奶(比值比2.162,95%置信区间0.021 - 1.379)和身为穆斯林(比值比6.101,95%置信区间1.601 - 23.248)与流产布鲁氏菌感染风险增加有关。研究得出结论,在瓦基索区,因流产布鲁氏菌导致的人类布鲁氏菌感染通常与生奶制品消费者和穆斯林有关。

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