Background
The role of rodents in
Leptospira
epidemiology and transmission is well known worldwide. Rats are known to carry different pathogenic serovars of
Leptospir
a spp. capable of causing disease in humans and animals. Wild rats (
Rattus
spp.), especially the Norway/brown rat (
Rattus norvegicus
) and the black rat (
R
.
rattus
), are the most important sources of
Leptospira
infection, as they are abundant in urban and peridomestic environments. In this study, we compiled and summarized available data in the literature on global prevalence of
Leptospira
exposure and infection in rats, as well as compared the global distribution of
Leptospira
spp. in rats with respect to prevalence, geographic location, method of detection, diversity of serogroups/serovars, and species of rat.
Methods
We conducted a thorough literature search using PubMed without restrictions on publication date as well as Google Scholar to manually search for other relevant articles. Abstracts were included if they described data pertaining to
Leptospira
spp. in rats (
Rattus
spp.) from any geographic region around the world, including reviews. The data extracted from the articles selected included the author(s), year of publication, geographic location, method(s) of detection used, species of rat(s), sample size, prevalence of
Leptospira
spp. (overall and within each rat species), and information on species, serogroups, and/or serovars of
Leptospira
spp. detected.
Findings
A thorough search on PubMed retrieved 303 titles. After screening the articles for duplicates and inclusion/exclusion criteria, as well as manual inclusion of relevant articles, 145 articles were included in this review.
Leptospira
prevalence in rats varied considerably based on geographic location, with some reporting zero prevalence in countries such as Madagascar, Tanzania, and the Faroe Islands, and others reporting as high as >80% prevalence in studies done in Brazil, India, and the Philippines. The top five countries that were reported based on number of articles include India (
n
= 13), Malaysia (
n
= 9), Brazil (
n
= 8), Thailand (
n
= 7), and France (
n
= 6). Methods of detecting or isolating
Leptospira
spp. also varied among studies. Studies among different
Rattus
species reported a higher
Leptospira
prevalence in
R
.
norvegicus
. The serovar Icteroha...