Human brucellosis: Seroprevalence and associated exposure factors among the rural population in Nagpur, Maharashtra, India.

Autor: Ghugey SL; Department of Community Medicine, Mahatma Gandhi Institute of Health Sciences, Mahatma Gandhi Mission University, GM Campus, Sector 1, Kamothe, Navi Mumbai, Maharashtra, India., Setia MS; Mahatma Gandhi Mission Institute of Health Sciences, Mahatma Gandhi Mission University, GM Campus, Sector 1, Kamothe, Navi Mumbai, India., Deshmukh JS; Indira Gandhi Government Medical College and Hospital, Central Ave, Mominpura, Nagpur, Maharashtra, India.
Jazyk: angličtina
Zdroj: Journal of family medicine and primary care [J Family Med Prim Care] 2021 Feb; Vol. 10 (2), pp. 1028-1033. Date of Electronic Publication: 2021 Feb 27.
DOI: 10.4103/jfmpc.jfmpc_1153_20
Abstrakt: Introduction: Brucellosis is a recognised occupational threat among animal handler and raw animal product consumers. In India, there is a likelihood of missed diagnoses and under-reporting cases by physicians causing an extended debilitating illness. We steered research to conclude the seroprevalence and risk factors allied with Human Brucellosis (HB) among the rural population in Nagpur District, Maharashtra, India.
Methods: Closed-ended questionnaires used for a cross-sectional study to collect data for demographics and risk exposure variables. 382 subjects' serum-samples were tested by using Rose-Bengal (RBPT) and ELISA technique. An odd ratio calculated for risk factors for HB reported positive or negative. Data were analysed by using SPSS.
Results: The brucellosis seroprevalence in rural Nagpur was 1.83%. The mean age was 42.32 years, 78.5% were male, and 21.5% were female. Prevalence was higher among males [85.7%] than females [14.3%]. The risk for brucellosis among males (OR = 1.65, 95% CI = 0.19-13.92, P = 0.64) was more than females. Handling raw meat had more risk (OR = 3.14, 95% CI = 0.40 - 28.6, P = 0.23) than those not handling raw meat. Milking animal was protective (OR = 0.88, 95% CI = 0.80 - 0.96, P < 0.001) for brucellosis than those not milking animal. Subjects reported more likely to be a seropositive to human brucellosis those involved in assisted animal delivery ( P = 0.001), drinking unpasteurised milk ( P <0.001), consuming milk products made from raw milk ( P <0.001) and eating raw meat ( P = 0.001).
Conclusion: Health education program is essential to generate awareness for brucellosis in the rural community to prevent animal to human disease transmission.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2021 Journal of Family Medicine and Primary Care.)
Databáze: MEDLINE
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