Author | Sarkar, Urmimala | |
Author | Nascimento, Simone F | |
Author | Barbosa, Rosan | |
Author | Martins, Ridalva | |
Author | Nuevo, Hector | |
Author | Kalafanos, Ippolytos | |
Author | Grunstein, Itamar | |
Author | Flannery, Brendan | |
Author | Dias, Juarez Pereira | |
Author | Riley, Lee Woodland | |
Author | Reis, Mitermayer Galvão dos | |
Author | Ko, Albert Icksang | |
Access date | 2014-04-30T19:45:46Z | |
Available date | 2014-04-30T19:45:46Z | |
Document date | 2002 | |
Citation | SARKAR, U. et al.Population-based case-control investigation of risk factors for leptospirosis during an urban epidemic. American Journal of Tropical Medicine and Hygiene, v. 66, n. 5, p. 605-610, 2002. | pt_BR |
ISSN | 0002-9637 | |
URI | https://www.arca.fiocruz.br/handle/icict/7565 | |
Language | eng | pt_BR |
Publisher | American Society of Tropical Medicine and Hygiene | pt_BR |
Rights | open access | pt_BR |
Title | Population-based case-control investigation of risk factors for leptospirosis during an urban epidemic. | pt_BR |
Type | Article | pt_BR |
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. | pt_BR |
Affilliation | School of Public Health. University of California. Berkeley, CA | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil | pt_BR |
Affilliation | School of Public Health. University of California. Berkeley, CA | pt_BR |
Affilliation | School of Public Health. University of California. Berkeley, CA | pt_BR |
Affilliation | School of Public Health. University of California. Berkeley, CA | pt_BR |
Affilliation | Secretaria da Saúde do Estado da Bahia. Departamento de Vigilância Epidemiológica. Salvador, BA, Brasil | pt_BR |
Affilliation | School of Public Health. University of California. Berkeley, CA | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil | pt_BR |
Affilliation | 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 | pt_BR |
DeCS | Leptospirose/epidemiologia | pt_BR |
DeCS | População Urbana/estatística & dados numéricos | pt_BR |
DeCS | Adolescente | pt_BR |
DeCS | Adulto | pt_BR |
DeCS | Animais | pt_BR |
DeCS | Brasil/epidemiologia | pt_BR |
DeCS | Estudos de Casos e Controles | pt_BR |
DeCS | Surtos de Doenças | pt_BR |
DeCS | Reservatórios de Doenças | pt_BR |
DeCS | Emprego | pt_BR |
DeCS | Feminino | pt_BR |
DeCS | Humanos | pt_BR |
DeCS | Masculino | pt_BR |
DeCS | Ratos | pt_BR |
DeCS | Valores de Referência | pt_BR |
DeCS | Fatores de Risco | pt_BR |
DeCS | Saneamento/normas | pt_BR |
DeCS | Estações do Ano | pt_BR |