Clinical characteristics and risk factors of human leptospirosis in Argentina (1999-2005)
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/12201 |
Resumo: | Instituto Nacional de Enfermedades Respiratorias. INER “Dr. E. Coni”. Administración Nacional de Laboratorios e Institutos de Salud. ANLIS Dr. Carlos G. Malbrán. Santa Fe, Argentina / Facultad de Bioquímica y Ciencias Biológicas. Santa Fe, Argentina |
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Vanasco, N. BSchmeling, M. FLottersberger, JCosta, FedericoKo, Albert IcksangTarablae, H. D2015-11-12T12:05:28Z2015-11-12T12:05:28Z2008VANASCO, N. B et al. Clinical characteristics and risk factors of human leptospirosis in Argentina (1999-2005). Acta Tropica, v. 107, n. 3, p. 255-258, 2008.1873-6254https://www.arca.fiocruz.br/handle/icict/1220110.1016/j.actatropica.2008.06.007engElsevierClinical characteristics and risk factors of human leptospirosis in Argentina (1999-2005)info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleInstituto Nacional de Enfermedades Respiratorias. INER “Dr. E. Coni”. Administración Nacional de Laboratorios e Institutos de Salud. ANLIS Dr. Carlos G. Malbrán. Santa Fe, Argentina / Facultad de Bioquímica y Ciencias Biológicas. Santa Fe, ArgentinaInstituto Nacional de Enfermedades Respiratorias. INER “Dr. E. Coni”. Administración Nacional de Laboratorios e Institutos de Salud. ANLIS Dr. Carlos G. Malbrán. Santa Fe, ArgentinaFacultad de Bioquímica y Ciencias Biológicas. Santa Fe, ArgentinaFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Weill Medical College of Cornell University. Division of International Medicine and Infectious Disease. NY, USAINTA. Rafaela, ArgentinaThere is scarce data on the burden of leptospirosis and its epidemiological characteristics in Argentina. This study aimed to evaluate distribution of leptospirosis cases and identify risk factors for the disease during national laboratory-based surveillance. From January 1999 to December 2005, 812 suspected cases were referred to the national reference laboratory, of which 182 and 463 had respectively, laboratory confirmed and unconfirmed diagnosis of leptospirosis. The diagnosis of leptospirosis was discarded in 167 cases. The most prevalent presumptive infecting serogroup was Icterohaemorrhagie followed by Pomona, Ballum and Canicola. The majority of cases occurred during the worm and rainy months. Confirmed cases were predominantly adults and males, who presented with fever, headache and myalgias. Severe clinical manifestations included jaundice and acute renal insufficiency. Conjunctival suffusion, a hallmark clinical sign of leptospirosis, was found in 55% of confirmed cases, and 43% of the cases with discarded diagnosis (p=0.036). After multivariate analyses, age >30 years (OR=2.16; 1.05-4.41), occupation in a rural setting (OR=3.41; 1.45-8.06), contact with contaminated surface water (OR=2.17; 1.01-4.68), and contact with floods (OR=4.49; 1.17-17.25) were significantly associated with leptospirosis. In conclusion, although activities associated with rural occupations remain important risk factors in Argentina, exposures occurring during flooding events have emerged to be the major risk factor for leptospirosis.LeptospirosisEpidemiologyRisk factorsMicroscopic agglutination testRural transmissionArgentinaLeptospira/isolamento & purificaçãoLeptospirose/epidemiologiaLeptospirose/fisiopatologiaAdultoFatores EtáriosArgentina/epidemiologiaFemininoHumanosIncidênciaLeptospira/classificaçãoLeptospirose/complicaçõesMasculinoMeis-IdadeFatores de RiscoEstações do AnoFatores Sexuaisinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/12201/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALVanasco N Clinical characteristics and risk....pdfVanasco N Clinical characteristics and 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dc.title.pt_BR.fl_str_mv |
Clinical characteristics and risk factors of human leptospirosis in Argentina (1999-2005) |
title |
Clinical characteristics and risk factors of human leptospirosis in Argentina (1999-2005) |
spellingShingle |
Clinical characteristics and risk factors of human leptospirosis in Argentina (1999-2005) Vanasco, N. B Leptospirosis Epidemiology Risk factors Microscopic agglutination test Rural transmission Argentina Leptospira/isolamento & purificação Leptospirose/epidemiologia Leptospirose/fisiopatologia Adulto Fatores Etários Argentina/epidemiologia Feminino Humanos Incidência Leptospira/classificação Leptospirose/complicações Masculino Meis-Idade Fatores de Risco Estações do Ano Fatores Sexuais |
title_short |
Clinical characteristics and risk factors of human leptospirosis in Argentina (1999-2005) |
title_full |
Clinical characteristics and risk factors of human leptospirosis in Argentina (1999-2005) |
title_fullStr |
Clinical characteristics and risk factors of human leptospirosis in Argentina (1999-2005) |
title_full_unstemmed |
Clinical characteristics and risk factors of human leptospirosis in Argentina (1999-2005) |
title_sort |
Clinical characteristics and risk factors of human leptospirosis in Argentina (1999-2005) |
author |
Vanasco, N. B |
author_facet |
Vanasco, N. B Schmeling, M. F Lottersberger, J Costa, Federico Ko, Albert Icksang Tarablae, H. D |
author_role |
author |
author2 |
Schmeling, M. F Lottersberger, J Costa, Federico Ko, Albert Icksang Tarablae, H. D |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Vanasco, N. B Schmeling, M. F Lottersberger, J Costa, Federico Ko, Albert Icksang Tarablae, H. D |
dc.subject.en.pt_BR.fl_str_mv |
Leptospirosis Epidemiology Risk factors Microscopic agglutination test Rural transmission Argentina |
topic |
Leptospirosis Epidemiology Risk factors Microscopic agglutination test Rural transmission Argentina Leptospira/isolamento & purificação Leptospirose/epidemiologia Leptospirose/fisiopatologia Adulto Fatores Etários Argentina/epidemiologia Feminino Humanos Incidência Leptospira/classificação Leptospirose/complicações Masculino Meis-Idade Fatores de Risco Estações do Ano Fatores Sexuais |
dc.subject.decs.pt_BR.fl_str_mv |
Leptospira/isolamento & purificação Leptospirose/epidemiologia Leptospirose/fisiopatologia Adulto Fatores Etários Argentina/epidemiologia Feminino Humanos Incidência Leptospira/classificação Leptospirose/complicações Masculino Meis-Idade Fatores de Risco Estações do Ano Fatores Sexuais |
description |
Instituto Nacional de Enfermedades Respiratorias. INER “Dr. E. Coni”. Administración Nacional de Laboratorios e Institutos de Salud. ANLIS Dr. Carlos G. Malbrán. Santa Fe, Argentina / Facultad de Bioquímica y Ciencias Biológicas. Santa Fe, Argentina |
publishDate |
2008 |
dc.date.issued.fl_str_mv |
2008 |
dc.date.accessioned.fl_str_mv |
2015-11-12T12:05:28Z |
dc.date.available.fl_str_mv |
2015-11-12T12:05:28Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
VANASCO, N. B et al. Clinical characteristics and risk factors of human leptospirosis in Argentina (1999-2005). Acta Tropica, v. 107, n. 3, p. 255-258, 2008. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/12201 |
dc.identifier.issn.none.fl_str_mv |
1873-6254 |
dc.identifier.doi.none.fl_str_mv |
10.1016/j.actatropica.2008.06.007 |
identifier_str_mv |
VANASCO, N. B et al. Clinical characteristics and risk factors of human leptospirosis in Argentina (1999-2005). Acta Tropica, v. 107, n. 3, p. 255-258, 2008. 1873-6254 10.1016/j.actatropica.2008.06.007 |
url |
https://www.arca.fiocruz.br/handle/icict/12201 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
dc.publisher.none.fl_str_mv |
Elsevier |
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Elsevier |
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reponame:Repositório Institucional da FIOCRUZ (ARCA) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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FIOCRUZ |
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FIOCRUZ |
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Repositório Institucional da FIOCRUZ (ARCA) |
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Repositório Institucional da FIOCRUZ (ARCA) |
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