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Published on: August 5, 2016
Childhood brucellosis in Jordan: prevalence and analysis of risk factors
Ahmad M Al-Majali1, Mahmoud Shorman
1Department of Veterinary Clinical Sciences, Faculty of Veterinary Medicine, Jordan University of Science and Technology, PO Box 3030, Irbid 22110, Jordan. almajali@just.edu.jo
Insights
Childhood brucellosis affects 11.6% of children in Jordan, with higher rates in specific regions. Risk factors include male gender, older age, village living, and contact with small ruminants.
Area of Science:
- Infectious Diseases
- Pediatrics
- Epidemiology
Background:
- Brucellosis is a significant zoonotic disease with global health implications.
- Childhood brucellosis presents diagnostic challenges and requires epidemiological investigation.
Purpose of the Study:
- To determine the seroprevalence of Brucella antibodies in Jordanian children.
- To identify risk factors associated with childhood brucellosis seropositivity.
Main Methods:
- A cross-sectional study involving 1282 children aged 15 years or younger.
- Serological testing using Rose Bengal plate test (RBPT) and ELISA.
- Multivariate logistic regression to analyze risk factors.
Main Results:
- The true seroprevalence of childhood brucellosis was 11.6%.
- Higher seroprevalence observed in Ma'an and Mafraq governorates.
- Identified risk factors: male gender, age >10 years, village residence, and assisting with small ruminants.
Conclusions:
- Brucellosis is an important infection in children in Jordan.
- Small ruminants are a significant source of human Brucella infection.
Objectives:
To investigate the seroprevalence of childhood brucellosis in Jordan and to elucidate risk factors associated with seropositivity to Brucella.
Methods:
Between January 2001 and October 2006, a cross-sectional study of children aged < or = 15 years was conducted; a total of 1282 serum samples were collected. Serum samples were analyzed for the presence of antibodies to Brucella antigens using the Rose Bengal plate test (RBPT) and a direct enzyme-linked immunosorbent assay (ELISA). Risk factors associated with seropositivity to Brucella antigens were identified by constructing a multivariate logistic regression model.
Results:
Of the 1282 serum samples tested, 119 (9.3%) were positive by both RBPT and ELISA tests. When adjusted for the sensitivities and specificities of the two tests, the true seroprevalence was 11.6%. The seroprevalence of Brucella antibodies in Ma'an and Mafraq governorates was significantly higher than in the other governorates. The logistic regression model identified male gender (OR 2.5, 95% CI 1.4, 4.1), age older than 10 years (OR 1.8, 95% CI 1.1, 3.9), living in a village (OR 2.0, 95% CI 1.3, 2.9), and assisting in raising small ruminants (OR 1.6, 95% CI 1.1, 2.6) as risk factors for childhood Brucella seropositivity in Jordan.
Conclusion:
This study documents the importance of brucellosis in children and further emphasizes the role of small ruminants as an important source for human infection.
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