دورية أكاديمية

RESEARCH Investigating an Airborne Tularemia Outbreak, Germany

التفاصيل البيبلوغرافية
العنوان: RESEARCH Investigating an Airborne Tularemia Outbreak, Germany
المؤلفون: Anja M. Hauri, Iris Hofstetter, Erik Seibold, Philip Kaysser, Juergen Eckert, Heinrich Neubauer, Wolf D. Splettstoesser
المساهمون: The Pennsylvania State University CiteSeerX Archives
المصدر: http://wwwnc.cdc.gov/eid/article/16/2/pdfs/08-1727.pdfTest.
سنة النشر: 2005
المجموعة: CiteSeerX
مصطلحات موضوعية: A.M. Hauri, Public Health Authority Darmstadt-Dieburg, Darmstadt
الوصف: among 39 participants in a hare hunt in Hesse, Germany. Previously reported tularemia outbreaks in Germany dated back to the 1950s. We conducted a retrospective cohort study among participants and investigated the environment to identify risk factors for infection. Ten participants had serologic evidence of acute Francisella tularensis infection; 1 other participant died before laboratory confi rmation was obtained. Presence within 5 meters of the place where disemboweled hares were rinsed with a water hose was the risk factor most strongly associated with infection (risk ratio 22.1; 95 % confi dence interval 13.2–154.3). Swabs taken at the game chamber and water samples were PCR negative for F. tularensis. Eleven of 14 hare parts showed low-level concentrations of F. tularensis, compatible with cross-contamination. More than half of case-patients may have acquired infection through inhalation of aerosolized droplets containing F. tularensis generated during rinsing of infected hares. In the last 50 years, few laboratory-confirmed outbreaks of airborne tularemia have been described. They include outbreaks in workers in sugar cane factories in Ukraine, the Czech Republic, and Austria (1–3); farmers in Sweden and Finland (4,5); and residents of the island of Martha’s Vineyard, Massachusetts, USA (6). Small clusters and outbreaks with probable common source exposure may have been associated with disturbance of contaminated animal carcasses (7–9) and dogs with contaminated fur shaking themselves inside houses (10,11). In Germany, tularemia is
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
العلاقة: http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.306.7930Test; http://wwwnc.cdc.gov/eid/article/16/2/pdfs/08-1727.pdfTest
الإتاحة: http://wwwnc.cdc.gov/eid/article/16/2/pdfs/08-1727.pdfTest
حقوق: Metadata may be used without restrictions as long as the oai identifier remains attached to it.
رقم الانضمام: edsbas.4EB95CED
قاعدة البيانات: BASE