medigraphic.com
SPANISH

Revista de la Facultad de Medicina UNAM

  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2011, Number 4

<< Back Next >>

Rev Fac Med UNAM 2011; 54 (4)

Leptospirosis in the state of Tabasco. Study of a breakout in a prison, 2010

Arias LVG
Full text How to cite this article

Language: Spanish
References: 9
Page: 4-9
PDF size: 174.38 Kb.


Key words:

Leptospirosis, outbreak study, prison, Indre, serovar.

ABSTRACT

Leptospirosis is a zoonotic worldwide distributive disease, produced by spirochete of pathogenic strains of the genus Leptospira, has a wide clinical polymorphism, but generally occurs in two different ways: non icteric, considered as a more (85-90% of cases) and the hepatic nefrótic, clinical serious and that occurs in 5 to 10% (Weil’s disease). In situations of disaster, have an increase, Leptospirosis outbreaks have been linked with the rains, for example during weather events that promote the presentation of cases.
Material and methods: an observational cross-sectional study and reviewed where the samples from all health courts and all other institutions in the health sector to the epidemiological week 40 of the year 2010 in Tabasco, analyzed by MAT, in accordance with the algorithm and criteria proposed by the Institute for diagnostic and epidemiological reference (InDRE).
Results: A sample of 271 were processed for Leptospira up to epidemiological week 40, in studied samples, 30% were caused by a serovar and the remainder (70%) by more than. The attack rate is low given the high infectivity 0.52%, however the fatality rate is extremely high with 50% case fatality ratio.
Conclusions: always it’s important to take in mind pathologies related to zoonoses regardless of the region in which we find ourselves and the study of symptoms and signs, as well as an appropriate medical history we can be useful in the prevention of mortality.


REFERENCES

  1. Adler B, De la Peña Moctezuma A. Leptospira and leptospirosis. Vet Microbiol. 2010 Ene 27;140(3-4):287-96.

  2. Vanasco NB, Schmeling MF, Lottersberger J, Costa F, Ko AI, Tarabla HD. Clinical characteristics and risk factors of human leptospirosis in Argentina (1999-2005). Acta Trop. 2008 Sep;107(3):255-8.

  3. Zaki SA, Shanbag P. Clinical manifestations of dengue and leptospirosis in children in Mumbai: an observational study. Infection. 2010 Ago;38(4):285-91.

  4. Lau CL, Smythe LD, Craig SB, Weinstein P. Climate change, flooding, urbanisation and leptospirosis: fuelling the fire? Trans. R. Soc. Trop Med Hyg. 2010 Oct;104(10):631-8.

  5. Masali KA, Pulare MV, Kachare VK, Patil MB, Reddi S. Control and prevention of rat fever (Leptospirosis) outbreak in six villages of Raichur district, Karnataka. J Indian Med Assoc. 2007 Nov;105(11):632, 634-6.

  6. Brett-Major DM, Lipnick RJ. Antibiotic prophylaxis for leptospirosis. Cochrane Database Syst Rev. 2009;(3):CD007342.

  7. Sehgal SC, Sugunan AP, Vijayachari P. Outbreak of leptospirosis after the cyclone in Orissa. Natl Med J India. 2002 Feb;15(1):22-3.

  8. Maruschak LM, Sabol WJ, Potter RH, Reid LC, Cramer EW. Pandemic influenza and jail facilities and populations. Am J Public Health. 2009 Oct;99 Suppl 2:S339-44.

  9. Schwartz RD. The impact of correctional institutions on public health during a pandemic or emerging infection disaster. Am J Disaster Med. 2008 Jun;3(3):165-70.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Fac Med UNAM . 2011;54