2018
DOI: 10.4269/ajtmh.17-0734
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Epidemiology of Human Leptospirosis in French Guiana (2007–2014): A Retrospective Study

Abstract: Leptospirosis is a worldwide zoonotic bacterial infection with a rising incidence. French Guiana is mostly covered by Amazonian rain forest. Despite a potentially favorable environment, leptospirosis has been barely studied in French Guiana. The objective of this study was to describe the current trends of leptospirosis epidemiology in French Guiana. A cross-sectional study was performed in the two main hospitals of French Guiana. Cases of leptospirosis from 2007 to 2014 were retrospectively identified with a … Show more

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Cited by 20 publications
(23 citation statements)
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“…Seventy-two patients diagnosed with leptospirosis were included as cases [14]. The median age was 39 years (interquartile, 29–50 years; range, 16–82).…”
Section: Resultsmentioning
confidence: 99%
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“…Seventy-two patients diagnosed with leptospirosis were included as cases [14]. The median age was 39 years (interquartile, 29–50 years; range, 16–82).…”
Section: Resultsmentioning
confidence: 99%
“…A probable leptospirosis case did not match the previouscriteria but had one of the following: MAT seroconversion with lowtiter (MAT = 100); a MAT titer = 200 without seroconversion;a positive MAT titer with immunoglobulin with IgM seroconversion or IgM elevated titer (IgM test performed at the French National Reference Center for Leptospirosis). Only patients aged ≥ 15 years were included [14]. An ancillary retrospective case-control study was conducted.…”
Section: Methodsmentioning
confidence: 99%
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“…ulcerans ’s presence in aquatic sites was more related to drought (Fig 3, Fig 4). Previous findings indicated that leptospirosis outbreaks frequently occurred during periods of seasonal rainfall and flooding events in endemic areas [5,15,16,17]. Moreover, seasonal (i.e.…”
Section: Discussionmentioning
confidence: 99%
“…Urbanization, associated with increased population density and inadequate sanitation (precarious sewer systems and trash accumulation), favours rodent populations expansion and thus increases leptospirosis risk [5]. Also, local weather patterns are important drivers for both diseases transmission since Buruli ulcer cases are associated to rainfall patterns, with cases occurring during the dry season following a flooding event [9], and leptospirosis outbreaks frequently occur during periods of seasonal rainfall and flooding [15,16,17]. Therefore, Amazonian environmental conditions are highly favorable for the persistance of both bacteria in aquatic systems [18,19] and disease cases are notably reported in French Guiana (South America) [13,20].…”
Section: Introductionmentioning
confidence: 99%