Epidemiological trends of notified human brucellosis in Germany, 2006–2018

Enkelmann, Julia; Stark, Klaus; Faber, Mirko

doi:10.1016/j.ijid.2020.02.019

Cited by 24 publications

(18 citation statements)

References 19 publications

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“…Similarly, a previous research study showed that contact with infected animals and consumption of raw milk and milk products were the main risk factors associated with brucellosis in Saudi Arabia 25 . In Germany, unpasteurized milk products were most frequently identified as sources of brucellosis infection during 2006–2018 26 . Similarly, outbreaks of brucellosis related to the consumption of unpasteurized camel milk were reported in a rural area in Qatar 27 .…”

Section: Discussionmentioning

confidence: 99%

Changes in the epidemiological characteristics of human brucellosis in Shaanxi Province from 2008 to 2020

Chen

Liu

Nie

et al. 2021

Sci Rep

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In the present study, surveys of case numbers, constituent ratios, conventional biotyping, and multilocus sequence typing (MLST) were applied to characterize the incidence rate and epidemiological characteristics of human brucellosis in Shaanxi Province, China. A total of 12,215 human brucellosis cases were reported during 2008–2020, for an annual average incidence rate of 2.48/100,000. The most significant change was that the county numbers of reported cases increased from 36 in 2008 to 84 in 2020, with a geographic expansion trend from northern Shaanxi to Guanzhong, and southern Shaanxi regions; the incidence rate declined in previous epidemic northern Shaanxi regions while increasing each year in Guanzhong and southern Shaanxi regions such as Hancheng and Xianyang. The increased incidence was closely related to the development of large-scale small ruminants (goats and sheep) farms in Guanzhong and some southern Shaanxi regions. Another significant feature was that student cases (n = 261) were ranked second among all occupations, accounting for 2.14% of the total number of cases, with the majority due to drinking unsterilized goat milk. Three Brucella species were detected (B. melitensis (bv. 1, 2, 3 and variant), B. abortus bv. 3/6, and B. suis bv. 1) and were mainly distributed in the northern Shaanxi and Guanzhong regions. Three known STs (ST8, ST2, and ST14) were identified based on MLST analysis. The characteristics that had not changed were that B. melitensis strains belonging to the ST8 population were the dominant species and were observed in all nine regions during the examined periods. Strengthened human and animal brucellosis surveillance and restriction of the transfer of infected sheep (goats) as well as students avoiding drinking raw milk are suggested as optimal control strategies.

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Section: Discussionmentioning

confidence: 99%

Changes in the epidemiological characteristics of human brucellosis in Shaanxi Province from 2008 to 2020

Chen

Liu

Nie

et al. 2021

Sci Rep

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“… 18 , 19 Brucellosis spondylitis, characterized by changes in intervertebral disc inflammation, is one of the complications of brucellosis, with an incidence of up to 60%. 20 , 21 In the early stage of the disease, conservative treatment with drugs is the mainstay of treatment. When the pain cannot be relieved by the conservative treatment, surgical treatment can be a option for those who meet the surgical indications.…”

Section: Discussionmentioning

confidence: 99%

Clinical Effect of Doxycycline Combined with Compound Sulfamethoxazole and Rifampicin in the Treatment of Brucellosis Spondylitis

Yang¹,

Jia²,

Zhang³

et al. 2021

DDDT

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“…Brucellosis is considered among travelers to the Middle East. 21 , 22 Ongoing outbreak should be considered during assessment. Consultation with online resources such as CDC website may be helpful in this regard.…”

Section: Initial Evaluationmentioning

confidence: 99%

Fever in the Returned Pediatric Traveler

Abdel‐Haq

Asmar

2021

Global Pediatric Health

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Global mobility has been steadily increasing in recent years. The assessment of the febrile child returning from international travel is a diagnostic challenge. The COVID-19 pandemic has profoundly affected international travel and made evaluation and management of the sick returned traveler more challenging. Children visiting friends and relatives abroad remain at higher risk of infection compared to tourists. This review presents a guidance on the initial assessment of a traveling febrile child including interpretation of medical history, physical examination, and laboratory findings. Important clues to etiology include exposure to different infectious agents, incubation periods of pathogens, and prophylaxis regimens and vaccines received. Early identification of potentially life-threatening and highly contagious infections is essential. In this article, we discuss the epidemiology, evaluation, and management of specific travel related infections such as malaria, typhoid fever, dengue fever, viral hemorrhagic fever, rickettsiosis, leptospirosis, schistosomiasis, gastrointestinal, and respiratory infections.

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Epidemiological trends of notified human brucellosis in Germany, 2006–2018

Cited by 24 publications

References 19 publications

Changes in the epidemiological characteristics of human brucellosis in Shaanxi Province from 2008 to 2020

Changes in the epidemiological characteristics of human brucellosis in Shaanxi Province from 2008 to 2020

Clinical Effect of Doxycycline Combined with Compound Sulfamethoxazole and Rifampicin in the Treatment of Brucellosis Spondylitis

Fever in the Returned Pediatric Traveler

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