| Autor: |
Wagner S, Tassinari, Debora C P, Pellegrini, Claudio B P, Sá, Renato B, Reis, Albert I, Ko, Marilia S, Carvalho |
| Rok vydání: |
2008 |
| Předmět: |
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| Zdroj: |
Tropical medicineinternational health : TMIH. 13(4) |
| ISSN: |
1365-3156 |
| Popis: |
To analyse the epidemiological profile of 488 cases of leptospirosis in Rio de Janeiro, Brazil between 1997 and 2002, using a variety of methods of spatial epidemiology, to establish alert guidelines in general hospitals, which might be a tool to improve diagnosis and treatment of leptospirosis to reduce lethality rates.Scan statistics identified six space-time clusters, which comprised a range of 2 to 28 cases per cluster. Generalized linear mixed models were used to evaluate risk factors for a cluster case which incorporated individual characteristics and spatial information on environmental and climactic factors in a single model frame.Cluster case events were associated with heavy rainfall (OR 3.71; 95% CI 1.83-7.51). The model did not identify socioeconomic or environmental covariates that significantly influence the risk of developing a cluster rather than non-cluster case.Clustering of leptospirosis in this urban setting appears to be due to transmission during heavy rainfall. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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