Epidemiological, laboratory, diagnostic and public health aspects of human brucellosis in western Iran
10.1016/S2221-1691(13)60121-5
- Author:
Hamid KASSIRI
;
Hamid AMANI
;
Massoud LOTFI
- Publication Type:Journal Article
- Keywords:
Human brucellosis;
Epidemiology;
Laboratory;
Diagnosis;
Public health;
Iran
- From:Asian Pacific Journal of Tropical Biomedicine
2013;(8):589-594
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To determine brucellosis's epidemiologic, laboratory, diagnostic and public health features considering brucellosis is endemic in Azna County, western Iran.
Methods: This descriptive cross-sectional study was investigated on 43 patients with brucellosis in Azna County. The subjects were the patients with symptoms correspondent with brucellosis and positive Wright and 2ME tests. A questionnaire about demographic, epidemiological and laboratory findings was filled in. Afterwards, patients were treated using usual antimicrobial drugs regimen. The collected data were analyzed by SPSS software version 16.
Results:Forty-three subjects were found to be positive in laboratory tests. Incidence of Brucellosis was 59.31 per hundred thousand population. About 34.9% of patients were female and 65.1% male. Nearly 95.2 % of human cases were living in rural and 4.8 % in urban areas. Around 20.9% of patients had history of animal contact. The commonest transmission was unpasteurized dairy products (79.1%). The most contagious seasons were summer and spring (60.3%). The most common age group was 15-24 (27.9%), and about 60.5% of the patients were between 15-44 years old. Disease was more common among housewives (30.2%) and farmers (20.9%). The majority of the patients had Wright test titre=1:320 (54.1%) and 2ME test titre=1:160 (56.1%) in serological titration. Doxycycline with Rifampin was used for treatment of the greatest of patients (60.4%).
Conclusions:In order to control this zoonotic disease, close cooperation of health and veterinary organizations is necessary.
