Noah D L, Kramer C M, Verbsky M P, Rooney J A, Smith K A, Childs J E
Viral and Rickettsial Zoonoses Branch, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
J Am Vet Med Assoc. 1997 Feb 1;210(3):342-4.
To determine serologic and epidemiologic characteristics of an occupational group potentially at risk for Bartonella sp infection.
Epidemiologic survey.
351 veterinarians, veterinary technicians, and other individuals attending a veterinary conference in Ohio.
A serum sample was obtained from each individual and tested for antibodies to Bartonella henselae or B quintana. A 24-question survey also was administered regarding demographic, occupational, and exposure information.
25 (7.1%) individuals were seropositive for B henselae or B quintana. Forty-seven, of whom 5 were seropositive, reported a history of illness consistent with cat-scratch disease and 18, of whom 3 were seropositive, reported a previous diagnosis of cat-scratch disease. Of the variables analyzed, only years of experience with cats was correlated with seropositivity.
The overall seroprevalence for 2 species of Bartonella in this occupational group was only slightly higher than that reported from other surveys. Seroprevalences among veterinarians, veterinary technicians, hospital staff, and others were essentially identical. Small sample groups, high percentage of cat ownership among participants, unknown duration of seropositivity, and unknown prevalence of infection among cats were potential confounders.
确定一个可能有巴尔通体属感染风险的职业群体的血清学和流行病学特征。
流行病学调查。
351名兽医、兽医技术人员以及参加俄亥俄州兽医会议的其他人员。
采集每位个体的血清样本,检测针对亨氏巴尔通体或五日热巴尔通体的抗体。还进行了一项包含24个问题的调查,内容涉及人口统计学、职业和暴露信息。
25名(7.1%)个体对亨氏巴尔通体或五日热巴尔通体血清学呈阳性。47人报告有与猫抓病相符的疾病史,其中5人血清学呈阳性;18人报告曾被诊断为猫抓病,其中3人血清学呈阳性。在分析的变量中,只有与猫接触的年限与血清学阳性相关。
该职业群体中两种巴尔通体的总体血清阳性率仅略高于其他调查所报告的水平。兽医、兽医技术人员、医院工作人员及其他人员的血清阳性率基本相同。样本量小、参与者中养猫比例高、血清阳性持续时间未知以及猫群中感染患病率未知均为潜在的混杂因素。