From the discovery of the Malta fever's agent to the discovery of a marine mammal reservoir, brucellosis has continuously been a re-emerging zoonosis

被引:401
作者
Godfroid, J
Cloeckaert, A
Liautard, JP
Kohler, S
Fretin, D
Walravens, K
Garin-Bastuji, B
Letesson, JJ
机构
[1] Ctr Etud & Rech Vet & Agrochim, Dept Bacteriol & Immunol, B-1180 Uccle, Belgium
[2] INRA, Unite Bioagresseurs, F-37380 Nouzilly, France
[3] Univ Montpellier 2, INSERM, U431, F-34095 Montpellier, France
[4] AFSSA, Ctr Natl Reference Brucella, Lab Natl, F-94706 Maisons Alfort, France
[5] AFSSA, OIE FAO Reference Brucellose Anim, Unite Zoonoses Bacteriennes, F-94706 Maisons Alfort, France
[6] Fac Univ Notre Dame Paix, Dept Biol, URBM, Lab Immunol & Microbiol, B-5000 Namur, Belgium
关键词
Brucella; animal and human brucellosis; zoonoses; domestic and wildlife reservoir;
D O I
10.1051/vetres:2005003
中图分类号
S85 [动物医学(兽医学)];
学科分类号
0906 ;
摘要
Brucellosis is not a sustainable disease in humans. The source of human infection always resides in domestic or wild animal reservoirs. The routes of infection are multiple: foodborne, occupational or recreational, linked to travel and even to bioterrorism. New Brucella strains or species may emerge and existing Brucella species adapt to changing social, cultural, travel and agricultural environment. Brucella melitensis is the most important zoonotic agent, followed by Brucella abortus and Brucella suis. This correlates with the fact that worldwide, the control of bovine brucellosis ( due to B. abortus) has been achieved to a greater extent than the control of sheep and goat brucellosis ( due to B. melitensis), these latter species being the most important domestic animals in many developing countries. The long duration and high cost of treatment of human brucellosis reduces the efficacy of the therapy. There is no human vaccine for brucellosis and the occurrence of brucellosis is directly linked to the status of animal brucellosis in a region. In this context, the Word Health Organization has defined the development of a human vaccine, besides the implementation of control and eradication programs in animals, as a high priority. The pathogenicity for humans of B. suis biovars 1, 3 and 4 is well established, whereas B. suis biovar 2 seems to be less pathogenic. Indeed, although hunters and pig farmers have repeatably experienced infectious contact with B. suis biovar 2 ( found in wild boar and outdoor-rearing pigs in Europe), isolation of B. suis biovar 2 from human samples have only been seldom reported. Marine mammal brucellosis, due to two new proposed Brucella species i.e. B. cetaceae and B. pinnipediae, represents a new zoonotic threat but the pathogenicity for humans of the different Brucella species found in cetaceans and pinnipeds still has to be clearly established.
引用
收藏
页码:313 / 326
页数:14
相关论文
共 79 条
[1]   A review of camel brucellosis [J].
Abbas, B ;
Agab, H .
PREVENTIVE VETERINARY MEDICINE, 2002, 55 (01) :47-56
[2]  
Abou-Eisha A. M., 2000, Assiut Veterinary Medical Journal, V44, P54
[3]   Importance of screening household members of acute brucellosis cases in endemic areas [J].
Almuneef, MA ;
Memish, ZA ;
Balkhy, HH ;
Alotaibi, B ;
Algoda, S ;
Abbas, M ;
Alsubaie, S .
EPIDEMIOLOGY AND INFECTION, 2004, 132 (03) :533-540
[4]  
ALTON G. G., 1988, TECHNIQUES BRUCELLOS
[5]  
Andersen F. M., 1995, Dansk Veterinartidsskrift, V78, P408
[6]  
[Anonymous], EPIDEMIOLOGIE SANTE
[7]  
[Anonymous], 1986, 6 JOINT FAO WHO EXP
[8]  
[Anonymous], 2001, CLIN INFECT DIS
[9]   Current understanding and management of chronic hepatosplenic suppurative brucellosis [J].
Ariza, J ;
Pigrau, C ;
Cañas, C ;
Marrón, A ;
Martínez, F ;
Almirante, B ;
Corredoira, JM ;
Casanova, A ;
Fabregat, J ;
Pahissa, A .
CLINICAL INFECTIOUS DISEASES, 2001, 32 (07) :1024-1033
[10]  
Awad R., 1998, Eastern Mediterranean Health Journal, V4, P225