Seroprevalence and distribution of leptospirosis serovars among wet market workers in northeastern, Malaysia: a cross sectional study

被引:26
作者
Ab Rahman, Mas Harithulfadhli Agus [1 ]
Hairon, Suhaily Mohd [1 ]
Hamat, Rukman Awang [2 ]
Jamaluddin, Tengku Zetty Maztura Tengku [2 ]
Shafei, Mohd Nazri [1 ]
Idris, Norazlin [1 ]
Osman, Malina [2 ]
Sukeri, Surianti [1 ]
Wahab, Zainudin A. [3 ]
Mohammad, Wan Mohd Zahiruddin Wan [1 ]
Idris, Zawaha [4 ]
Daud, Aziah [1 ]
机构
[1] Univ Sains Malaysia, Sch Med Sci, Dept Community Med, Kubang Kerian 16150, Kelantan, Malaysia
[2] Univ Putra Malaysia, Fac Med & Hlth Sci, Dept Med Microbiol & Parasitol, Serdang 43400, Selangor, Malaysia
[3] Hlth Dept Fed Terr Kuala Lumpur & Putrajaya, Jalan Cenderasari, Kuala Lumpur 50590, Malaysia
[4] Penang State Hlth Dept, Hlth Promot Unit, Floor 7,Jalan Anson, George Town 10400, Malaysia
关键词
Leptospirosis; Seroprevalence; Wet market workers; High risk group; WATER;
D O I
10.1186/s12879-018-3470-5
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background: Leptospirosis is a zoonotic disease associated with occupations which exposed workers to environments contaminated with urine of infected animals. The objective of this study was to determine the seroprevalence of leptospirosis among wet market workers in Kelantan. Methods: A cross sectional study was conducted in two main wet markets in Kelantan and 232 wet market workers were randomly selected. Blood samples were analysed for microscopic agglutination test (MAT) against 20 live leptospirosis reference serovars. MAT titres of 1:100 or more were considered as seropositive. Results: It was found that the overall seroprevalence for leptospirosis among the respondents was 33.6% (95% CI = 27.5, 39.7). The samples were tested positive against serovars Melaka (IMR LEP 1), Terengganu (IMR LEP 115), Sarawak (IMR LEP 175), Copenhageni (IMR LEP 803/11), Hardjobovis (IMR LEP 27), Australis, Autumnalis, Bataviae, Canicola, Grippotyphosa, Hardjoprajitno, Icterohaemorrhagiae, Javanica, Pyrogenes, Terrasovi, Djasiman, Patoc and Pomona. The predominant serovars was Autumnalis (18.2%). Conclusion: Wet markets workers were at risk for leptospirosis infection evidenced by high seroprevalence of leptospirosis in this study. Further research need to be conducted to determine factors that favours infection in this groups.
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