Characteristics of Rural Leptospirosis Patients Admitted to Referral Hospitals during the 2008 Leptospirosis Outbreak in Sri Lanka: Implications for Developing Public Health Control Measures

被引：6

作者：

Agampodi, Suneth B. ^{[3
]}

Nugegoda, Dhanaseela B. ^{[3
]}

Thevanesam, Vasanthi ^{[1
]}

Vinetz, Joseph M. ^{[2
]}

机构：

[1] Univ Peradeniya, Fac Med, Dept Microbiol, Peradeniya, Sri Lanka

[2] Univ Calif San Diego, Dept Med, La Jolla, CA 92093 USA

[3] Rajarata Univ Sri Lanka, Dept Community Med, Fac Med & Allied Sci, Saliyapura, Sri Lanka

来源：

AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE | 2015年 / 92卷 / 01期

关键词：

RISK-FACTORS; CANINE LEPTOSPIROSIS; SEROLOGICAL EVIDENCE; INFECTION; BARBADOS; EXPOSURE; DISEASE; CATTLE;

D O I：

10.4269/ajtmh.14-0465

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

To determine the exposure risk factors of highly endemic rural leptospirosis in tropical setting, we conducted a prospective, hospital-based case control study in Sri Lanka. A conceptual hierarchy of variables was used to analyze the data. Case patients included 38 (34%) females and 73 (66%) males with a mean age of 36 yr (SD 12.7 yr). Using piped, chlorinated water for drinking/general purposes (odds ratio [OR] 0.33, 95% confidence interval [CI] 0.16- 0.67), paddy fields in the vicinity of home (OR 1.77, 95% CI 1.06-2.97), sighting dogs at home yard/dog ownership (OR 1.79, 95% CI 1.11-2.91), sighting cattle at home yard/cattle ownership (OR 1.69, 95% CI 1.00-2.84), and work in a paddy field (OR 3.02, 95% CI 1.68, 5.41) were the main predictors of leptospirosis among febrile patients. In high endemic tropical settings with rural leptospirosis, risk factors in residential environments, rather than individual exposures, seemed to play a major role in leptospirosis disease transmission.

引用

页码：139 / 144

页数：6