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https://www.arca.fiocruz.br/handle/icict/7565
POPULATION-BASED CASE-CONTROL INVESTIGATION OF RISK FACTORS FOR LEPTOSPIROSIS DURING AN URBAN EPIDEMIC.
População Urbana/estatística & dados numéricos
Adolescente
Adulto
Animais
Brasil/epidemiologia
Estudos de Casos e Controles
Surtos de Doenças
Reservatórios de Doenças
Emprego
Feminino
Humanos
Masculino
Ratos
Valores de Referência
Fatores de Risco
Saneamento/normas
Estações do Ano
Author
Affilliation
School of Public Health. University of California. Berkeley, CA
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
School of Public Health. University of California. Berkeley, CA
School of Public Health. University of California. Berkeley, CA
School of Public Health. University of California. Berkeley, CA
Secretaria da Saúde do Estado da Bahia. Departamento de Vigilância Epidemiológica. Salvador, BA, Brasil
School of Public Health. University of California. Berkeley, CA
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil / Division of International Medicine and Infectious Diseases. Weill Medical College of Cornell University. New York, NY
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
School of Public Health. University of California. Berkeley, CA
School of Public Health. University of California. Berkeley, CA
School of Public Health. University of California. Berkeley, CA
Secretaria da Saúde do Estado da Bahia. Departamento de Vigilância Epidemiológica. Salvador, BA, Brasil
School of Public Health. University of California. Berkeley, CA
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil / Division of International Medicine and Infectious Diseases. Weill Medical College of Cornell University. New York, NY
Abstract
Between March and October 2000, 157 suspected cases of leptospirosis hospitalized with complications of
Weil’s syndrome and a mortality of 8% were identified in Salvador, Brazil. We conducted a population-based casecontrol
study to identify risk factors for acquisition of leptospirosis in neighborhoods with high endemicity during the
rainy season-associated urban epidemic. Sixty-six (65%) of 101 laboratory-confirmed cases and 125 age and sex-matched
healthy neighborhood controls were interviewed. Residence in proximity to an open sewer (matched odds ratio [OR]
5.15, 95% confidence interval [CI] 1.80–14.74), peri-domiciliary sighting of rats (OR 4.49, 95% CI 1.57–12.83),
sighting groups of five or more rats (OR 3.90, 95% CI 1.35–11.27), and workplace exposure to contaminated
environmental sources (OR 3.71, 95% CI 1.35–10.17) were found to be independent risk factors for acquiring
disease. Some of these risk factors are amenable to focused interventions, which include provision of closed drainage
systems for sewage and reduction of rodent populations in the peri-domicilary environment. Environmental control of
transmission may help to greatly reduce the incidence of severe leptospirosis.
DeCS
Leptospirose/epidemiologiaPopulação Urbana/estatística & dados numéricos
Adolescente
Adulto
Animais
Brasil/epidemiologia
Estudos de Casos e Controles
Surtos de Doenças
Reservatórios de Doenças
Emprego
Feminino
Humanos
Masculino
Ratos
Valores de Referência
Fatores de Risco
Saneamento/normas
Estações do Ano
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