Prevalence of brucellosis in the rural area of Kayseri, Central Anatolia, Turkey

Çetinkaya, Fevziye; Naçar, Melis; Aydın, Tülay; Koç, Nedret; Gökahmetoğlu, Selma

doi:10.1016/j.ijid.2004.10.009

Cited by 45 publications

(52 citation statements)

References 8 publications

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“…About 4.96% prevalence of brucellosis has been reported among PUO and occupationally exposed individuals in Goa [18], 24.5% in Ludhiana, India [19]. Globally several studies showed the similar seroprevalence such as 6.4% in Iran [20], 5.2% in Afghanistan [21], 3.4% in Central Anatolia [22], 19% in Saudi Arabia [23], 53.25% in Mongolia [24], 20.5% in Tanzania [25], 6.26% in Egypt [26], 16% in Kenya [27], 2.15% in Ethiopia [28], 24.1% in abbatoir workers of Abuja [29], 17% in Uganda [30] and 3.8% in Chad [31].…”

Section: Discussionmentioning

confidence: 94%

Sero Prevalence of Brucellosis in Pregnant Women Visiting Gynaecology Department of Kathmandu Model Hospital, Kathmandu, Nepal

Thapa¹,

Maharjan²

2018

Natl. j. health sci.

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Introduction: Brucellosis is a highly contagious zoonotic disease caused by ingestion of unpasteurized milk or undercooked meat from infected animals or close contact with their secretions. Subject and Methods:Sero-prevalence of brucellosis in pregnant women was conducted for the first time in Kathmandu, Nepal. A total of 80 sera samples were collected from the pregnant women visiting Kathmandu Model Hospital. The patients were categorized on the basis of age, trimester and ethnic groups. The sera samples were tested by ELISA method. Results:The sero-prevalence of brucellosis among pregnant women was found to be 11.25%. Madhesi ethnic group showed the highest (16.66%) seropositivity rates followed by Janajati (11.53%) and the lowest was in Brahmin (8.33%) ethnic group. Similarly, the age group 31-35 years showed highest prevalence (29.41%) followed by the age group 26-30 years (13.33%). There is absence of seropositivity among the age group 16-20 years and 21-25 years. The highest sero-prevalence rate (12.76%) was found in the third trimester followed by first trimester (10%) and the lowest was in second trimester (8.69%). About 3% of them consume raw milk directly from milking animals which is one of the risk factor of brucellosis in pregnant women. Conclusion:The prevalence was found to be high in pregnant women and ELISA was a sensitive and specific test for the detection of IgG antibodies against Brucella.

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Section: Discussionmentioning

confidence: 94%

Sero Prevalence of Brucellosis in Pregnant Women Visiting Gynaecology Department of Kathmandu Model Hospital, Kathmandu, Nepal

Thapa¹,

Maharjan²

2018

Natl. j. health sci.

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“…The incidence of brucellosis in Turkey has been reported to be 1% to 26.7% in various studies, with changing ratios in different regions [8][9][10][11].…”

Section: Discussionmentioning

confidence: 99%

Human brucellosis in Turkey: different clinical presentations

Güler

Kökoğlu

Uçmak

et al. 2014

J Infect Dev Ctries

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Introduction: Brucellosis is still endemic in Turkey and presents a major public health risk. The aim of this study wasto investigate the clinical and laboratory properties and complications of brucellosis cases. Methodology: The files of 370 patients (162 males, 208 females) with brucellosis between March 2006 and January 2012 were analyzed retrospectively. Results: The mean age of patients was 39, 6±18.2 years. The major risk factor was unpasteurized dairy products in 155 (41.8%) cases. The complications included hematological (58.1%), osteoarticular (48.3%), hepatobiliary (26.7%), gastrointestinal (10%), and genitourinary system involvement (4.8%). The most frequently seen symptoms were weakness (64.3%), fever (63.2%), sweating (62.7%), arthralgia (59.1%), and lack of appetite (47.8%). A total of 261 patients (70.5%) were acute, 73 patients (19.7%) were subacute, and 36 patients (9.7%) were chronic. In the laboratory tests, AST, ALT and CRP levels were found as elevated in 27.6%, 21.6%, and 69.6% of the patients, respectively. On complete blood count analysis, leukopenia (21.4%), thrombocytopenia (23%), and anemia (70%) were determined. Pancytopenia was more common in acute cases (p = 0.019). Osteoarticular complications increased significantly with increased age (p = 0.005). Conclusions: Brucellosis is a common disease that may be accompanied by serious complications. In endemic regions of brucellosis, people should be taught to avoid unpasteurized dairy products. Clinicians must be aware of multiple system involvement in brucellosis, especially hematological and musculoskeletal systems. Hematological abnormalities occurring during the course of the disease may be misdiagnosed as hematological malignancies.

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“…Bu verilere göre bruselloz olgu sayısı gerçekte Sağlık Bakanlığına bildirilenden fazladır. 5,6 Hastalığın sık görüldüğü illerden biri olan Konya'da, toplumun bulaş ve korunma yolları ile ilgili bilgilerin değerlendirildiği bir çalışmada, katılımcıların %43,6'sının bulaşma yollarından en az birini doğru olarak bildiği; %14'ünün konu hakkında bilgisi olduğunu ifade etmesine rağmen verdiği yanıtların yanlış olduğu; %32,4'ünün ise konu ile ilgili sorulara yanıt veremediği bildirilmiştir. 7 Akdeniz bölgesinde yapılan, olgu serilerinin incelendiği bir diğer çalışmada yöre halkının hastalığı ve bulaş yollarını bilmelerine karşın kaynatılmadan üretilen süt ürünlerinin tüketiminin önlenemediğini belirterek halkın eğitimi üzerinde daha titizlikle durulması gerektiği sonucuna varılmıştır.…”

Section: Discussionunclassified

“…1,[6][7][8][9][10] Bruselloz tedavisinde kombine ve uzun süreli antibiyotik kullanmak gerekmektedir. DSÖ'nün önerdiği klasik rejim, doksisiklin ve rifampisinin altı hafta kullanımıdır.…”

Section: Discussionunclassified

Brucella Sakroiliitis in a Patient Presenting with Walking Disorder

Ci̇han¹,

Karademirci²

2017

Turkish Journal of Family Medicine and Primary Care

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ÖZETBruselloz, enfekte hayvanlardan insanlara doğrudan temas, süt ve süt ürünlerinin taze olarak tüketilmesi ve/veya enfekte damlacıkların inhalasyonu ile bulaşabilen bir enfeksiyon hastalığıdır. Bu hastalık hayvancılığın yoğun, çiğ süt ve süt ürünlerinin tüketiminin yaygın olduğu ülkemizde ve gelişmekte olan ülkelerde halen önemli bir halk sağlığı sorunu olmaya devam etmektedir. Bruselloz, Türkiye'de endemik olarak görülen bildirimi zorunlu bir hastalıktır. Önlenebilir bir hastalık olduğu için, toplumu korunma yöntemleri hakkında bilgilendirmek ve komplikasyonların erken teşhisi özellikle önemlidir. Tipik olarak ateş, halsizlik, terleme, kilo kaybı, hepatosplenomegali görülür. Klinikte en sık %20−60 sıklıkla sakroileit olmak üzere kemik ve eklem komplikasyonları karşımıza çıkar. Brusella sakroileiti, aile hekimlerine ateş, bel ağrısı ve yürüme güçlüğü nedeniyle başvuran hastalarda ayırıcı tanıda akla getirilmesi gereken önemli bir sağlık problemidir. Bu yazımızda halsizlik, bel ve kalça ağrısı yakınmaları ile polikliniğimize başvuran bir brusella sakroileiti olgusu sunulmuştur. Anahtar kelimeler: Bruselloz, endemik, sakroileit ABSTRACTBrucellosis is an infectious disease that can be transmitted from infected animals through direct contact with humans, uncooked consumption of milk and milk products and / or inhalation of infected droplets. It is still a major public health problem in our country and developing countries where the consumption of raw milk and dairy products is widespread. Brucellosis is a notifiable disease that is endemic in Turkey. Since it is a preventable disease, informing the population about protection methods and early diagnosis of the complications are especially important. Typically, fever, fatigue, sweating, weight loss, hepatosplenomegaly is seen. Bone and joint complications occur frequently, with sacroiliitis most frequently occurring in 20-60% of the cases. Brucella sacroileitis is an important health problem that should be considered in the differential diagnosis of patients who are referred to family physicians due to fever, low back pain and walking stiffness. In this article, a brucella sacroileitis case who had difficulty in walking due to weakness, waist and hip pain is presented.

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Prevalence of brucellosis in the rural area of Kayseri, Central Anatolia, Turkey

Cited by 45 publications

References 8 publications

Sero Prevalence of Brucellosis in Pregnant Women Visiting Gynaecology Department of Kathmandu Model Hospital, Kathmandu, Nepal

Sero Prevalence of Brucellosis in Pregnant Women Visiting Gynaecology Department of Kathmandu Model Hospital, Kathmandu, Nepal

Human brucellosis in Turkey: different clinical presentations

Brucella Sakroiliitis in a Patient Presenting with Walking Disorder

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