Chlamydia psittaci Screening of Animal Workers from Argentina Exposed to Carrier Birds.

Autor: Favier P; Infectious Diseases Division, Hospital General de Agudos Dr. Juan A. Fernández, Avenida Cerviño 3365, MO C1425AGP, City of Buenos Aires, Argentina., Wiemeyer GM; Animal Welfare Department, Ecoparque de la Ciudad de Buenos Aires, República de la India 3000, MO C12425FGC, City of Buenos Aires, Argentina. gwiemeyer@gmail.com.; CONICET, Facultad de Ciencias Veterinarias, Universidad Nacional de La Pampa, Calle 5 esq. 116, MO L6360, General Pico, La Pampa, Argentina. gwiemeyer@gmail.com., Arias MB; Service of Clinical Bacteriology, Instituto Nacional de Enfermedades Infecciosas-Administración Nacional de Laboratorios e Institutos de Salud Dr. Carlos G. Malbrán, Avenida Vélez Sarsfield 563, MO C1282AFF, City of Buenos Aires, Argentina., Lara CS; Service of Clinical Bacteriology, Instituto Nacional de Enfermedades Infecciosas-Administración Nacional de Laboratorios e Institutos de Salud Dr. Carlos G. Malbrán, Avenida Vélez Sarsfield 563, MO C1282AFF, City of Buenos Aires, Argentina., Vilar G; Service of Clinical Bacteriology, Instituto Nacional de Enfermedades Infecciosas-Administración Nacional de Laboratorios e Institutos de Salud Dr. Carlos G. Malbrán, Avenida Vélez Sarsfield 563, MO C1282AFF, City of Buenos Aires, Argentina., Crivelli AJ; Infectious Diseases Division, Hospital General de Agudos Dr. Juan A. Fernández, Avenida Cerviño 3365, MO C1425AGP, City of Buenos Aires, Argentina., Ludvik HK; Infectious Diseases Division, Hospital General de Agudos Dr. Juan A. Fernández, Avenida Cerviño 3365, MO C1425AGP, City of Buenos Aires, Argentina., Ardiles MI; Prevention and Control of Zoonoses Department, Instituto de Zoonosis Luis Pasteur, Avenida Díaz Vélez 4821, MO C1405DCD, City of Buenos Aires, Argentina., Teijeiro ML; Department of Biological Products Diagnosis, Serology and Molecular Biology Section, Instituto de Zoonosis Luis Pasteur, Avenida Díaz Vélez 4821, MO C1405DCD, City of Buenos Aires, Argentina., Madariaga MJ; Department of Biological Products Diagnosis, Serology and Molecular Biology Section, Instituto de Zoonosis Luis Pasteur, Avenida Díaz Vélez 4821, MO C1405DCD, City of Buenos Aires, Argentina., Rolón MJ; Infectious Diseases Division, Hospital General de Agudos Dr. Juan A. Fernández, Avenida Cerviño 3365, MO C1425AGP, City of Buenos Aires, Argentina., Cadario ME; Service of Clinical Bacteriology, Instituto Nacional de Enfermedades Infecciosas-Administración Nacional de Laboratorios e Institutos de Salud Dr. Carlos G. Malbrán, Avenida Vélez Sarsfield 563, MO C1282AFF, City of Buenos Aires, Argentina.
Jazyk: angličtina
Zdroj: EcoHealth [Ecohealth] 2024 Mar; Vol. 21 (1), pp. 38-45. Date of Electronic Publication: 2024 Apr 18.
DOI: 10.1007/s10393-024-01683-w
Abstrakt: Different syndromes are involved in human psittacosis (flu-like syndrome, atypical pneumonia up to lacrimal gland lymphoma). Diagnostic methods include serology, culture, and PCR. The rate of Chlamydia psittaci (Cp) positive tests among exposed workers is still unknown. Our study aimed to assess the rate of positive tests among workers who have contact with carrier birds in natural reserves from Buenos Aires, Argentina. Secondary aims were to analyze risk factors linked to these outcomes and the occurrence of signs that suggest psittacosis. Nasopharyngeal swabs and serum pairs were collected from employees who had interacted with confirmed carrier birds. Those with detectable DNA of Cp and/or anti-Chlamydia spp. antibody baseline titer ≥ 160 mUI/ml, or at least quadruplicating, were considered positive. Activities performed with or near birds, personal protective equipment use, and previous chronic conditions were assessed. Possible Cp-related pathologies were evaluated during follow-up. A total of 63 exposed workers (71.4% men) with a median age of 35.7 years (IQR 26-39) were evaluated to detect 28.6% positives. Respiratory chronic conditions were the unique factor associated with positive tests (OR 5.2 [1.5-18.5] p < .05). Surprisingly, about a third of the workers resulted positive and all responded to medical treatment, none developing an acute atypical pneumonia syndrome associated with classical presentation of psittacosis. Active testing for early diagnosis and proper treatment in zoological workers exposed to carrier or potentially carrier birds is strongly suggested as part of zoonotic diseases preventive measures.
(© 2024. EcoHealth Alliance.)
Databáze: MEDLINE
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