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[Seroepidemiology of Bartonella henselae infection in a risk group]
J R Blanco Ramos1, J A Oteo Revuelta, V Martínez de Artola
1Servicio de Medicina Interna y Enfermedades Infecciosas, Hospital de La Rioja, Logroño.
Insights
Cat owners show a significantly higher prevalence of Bartonella henselae antibodies, indicating a higher risk of infection transmission from cats. This highlights the importance of understanding feline-borne diseases in public health.
Area of Science:
- Infectious Diseases
- Epidemiology
- Veterinary Medicine
Context:
- Bartonella henselae infections are increasingly recognized for their association with various clinical conditions.
- Cats serve as the primary reservoir for B. henselae, with transmission occurring mainly through bites and scratches.
- Understanding the seroepidemiology in at-risk populations is crucial for public health.
Purpose:
- To investigate the seroepidemiology of Bartonella henselae infection.
- To compare antibody titers between cat owners (risk group) and blood donors (control group).
- To identify potential risk factors associated with B. henselae infection in cat owners.
Summary:
- Antibody titers to B. henselae were measured in 83 cat owners and 85 blood donors using indirect immunofluorescence.
- A significantly higher prevalence of antibodies (titers ≥ 1:64) was found in cat owners (28.9%) compared to blood donors (5.9%).
- Logistic regression revealed associations between infection and daily alcohol intake and prior lymph node enlargement in cat owners.
Impact:
- Demonstrates a high prevalence of B. henselae antibodies among cat owners, suggesting increased exposure risk.
- Provides epidemiological data on B. henselae transmission dynamics.
- Informs public health strategies for managing and preventing Bartonella infections in communities with high cat populations.
Background:
Bartonella henselae infections are closely related to a number of clinical conditions of growing interest in our environment. As cats are the reservoir, and their bites and scratches are the main transmission mechanism, we attempted to study the seroepidemiology of the infection caused by this microorganism in a risk group of patients (cat owners) and a control group (blood donors).
Patients And Methods:
October 1977. Measurement of antibody titres to B. henselae at different dilutions (breakpoint > or = 1:64) by indirect immunofluorescence (IFI) in 83 cat owners and 85 blood donors. Also, an epidemiologic investigation was carried out (age, sex, alcohol, intake, common cat exposure, cat bite or cat scratch, number and age of cats, bite or presence of fleas, use of repellents, clinical picture consistent with cat scratch disease [CSD]).
Results:
Twenty-four cat owners (28.9%) and five blood donors (5.9%) had titres > or = 1:64 (OR: 6.51; 95% CI: 2.32 to 22.9). Also, the logistic regression analysis showed an association with daily alcohol intake and the previous antecedent of lymph node enlargement of unknown origin among cat owners.
Conclusions:
A high prevalence of antibodies to B. henselae was demonstrate among cat owners.
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