Investigation of a Q fever outbreak in a rural area of The Netherlands

被引：108

作者：

Karagiannis, I. ^{[1
]}

Schimmer, B. ^{[1
]}

van Lier, A. ^{[1
]}

Timen, A. ^{[1
]}

Schneeberger, P. ^{[1
,2
]}

van Rotterdam, B. ^{[1
]}

de Bruin, A. ^{[1
]}

Wijkmans, C. ^{[3
]}

Rietveld, A. ^{[3
]}

van Duynhoven, Y. ^{[1
]}

机构：

[1] Natl Inst Publ Hlth & Environm, NL-3720 BA Bilthoven, Netherlands

[2] Jeroen Bosch Hosp, Shertogenbosch, Netherlands

[3] Municipal Hlth Serv Hart Brabant, Shertogenbosch, Netherlands

来源：

EPIDEMIOLOGY AND INFECTION | 2009年 / 137卷 / 09期

关键词：

Aerosols; disease outbreaks; Q fever; weather; COXIELLA-BURNETII;

D O I：

10.1017/S0950268808001908

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

A Q fever outbreak occurred in the Southeast of The Netherlands in spring and summer 2007. Risk factors for the acquisition of a recent Coxiella burnetii infection were Studied. In total, 696 inhabitants in the cluster area were invited to complete a questionnaire and provide a blood sample for serological testing of IgG and IgM phases I and 11 antibodies against C. burnetii, in order to recruit seronegative controls for a case-control study. Questionnaires were also sent to 35 previously identified clinical cases. Limited environmental sampling focused on two goat farms in the area. Living in the east of the cluster area, in which a positive goat farm, cattle and small ruminants were situated, smoking and contact with agricultural products were associated with a recent infection. Information leaflets were distributed on a large scale to ruminant farms, including hygiene measures to reduce the risk of spread between animals and to humans.

引用

页码：1283 / 1294

页数：12

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