Prevalence and risk factors for brucellosis in prolonged fever patients in post-conflict Northern Uganda

被引:13
作者
Muloki, Harriet N. [1 ,2 ,3 ]
Erume, Joseph [2 ,3 ]
Owiny, David O. [2 ,3 ]
Kungu, Joseph M. [4 ]
Nakavuma, Jesca [2 ,3 ]
Ogeng, Duncan [1 ]
Nasinyama, George W. [2 ,3 ]
机构
[1] Gulu Univ, Fac Agr & Environm, POB 166, Gulu, Uganda
[2] Makerere Univ, Coll Vet Med Anim Resources & Biosecur, POB 7062, Kampala, Uganda
[3] Kampala Int Univ, POB 20000, Kampala, Uganda
[4] Natl Livestock Resources Res Inst, POB 96, Tororo, Uganda
关键词
Brucellosis; human; fever; prevalence; Uganda; zoonosis; KAMPALA;
D O I
10.4314/ahs.v18i1.4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Brucellosis is a disease with significant public and economic implications but strategies for controlling this disease remain problematic. Objectives: This study sought to determine the sero-prevalence of brucellosis in prolonged fever patients and to identify modifiable risk factors for the infection in humans in post conflict Northern Uganda. Methods: The study employed a cross-sectional method among prolonged fever patients who had visited selected health facilities in the study districts in Northern Uganda. Sero-prevalence of brucellosis was calculated for i-ELISA IgG/IgM. A structured questionnaire was used to obtain data on possible risk factors for brucellosis. Associations between sero-prevalence and risk factors were measured using the Odds Ratio. Results: Brucellosis was confirmed in 18.7% of the 251 patients that tested positive for the disease, with the rapid Brucella Plate Agglutination Test, and ages 10-84 years (median age 47+0.86). Sex (p = 0.001; OR 3.79; 95% CI 1.75 - 8.24), rearing livestock (p < 0.005; OR 8.44; 95% CI 2.84-25.03) and consumption of unpasteurised milk (p = 0.023; OR 2.57; 95% CI 1.14-5.80) were factors associated with brucellosis. Conclusion: Control of brucellosis in animals, training and sensitisation of the community on brucellosis is needed to stimulate action on human brucellosis control.
引用
收藏
页码:22 / 28
页数:7
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