medigraphic.com
ISSN 1727-897X (Electronic)

2014, Number 4

<< Back Next >>

Medisur 2014; 12 (4)

Clinical and epidemiological aspects of leptospirosis patients in Cienfuegos. 2001–2010

Duany BLE, Achón GM, Varen ÁA, Badell TE, Morales PNF, Bolaños VT

Language: Spanish
References: 20
Page: 601-608
PDF size: 184.40 Kb.


ABSTRACT

Background: leptospirosis has been historically considered the major zoonotic disease worldwide, which holds true for the municipality and province of Cienfuegos.
Objective: to characterize patients with leptospirosis clinically and epidemiologically.
Methods: a descriptive, retrospective study was conducted in 83 patients with leptospirosis reported in the municipality of Cienfuegos from 2001-2010. Variables analyzed included: age, sex, risk group, time of exposure to risk tasks, use of protective equipment, immunization, chemoprophylaxis, signs and symptoms and serology.
Results: a rate of 76,0 per 100 000 inhabitants was obtained for males; 55.4% were agricultural workers. Seventy four point five percent of temporarily exposed patients improperly used the protective equipment. Seventy eight point one percent of those diagnosed and constantly exposed to risk was not immunized and only 9.8% of the patients temporarily exposed to risk received chemoprophylaxis. Fever and headache were the symptoms developed in all cases.
Conclusion: using personal protection at work decreased the likelihood of contracting this disease. Predominant symptoms were fever and headache; the increase in morbidity coincided with the last two quarters of the year, which are the main harvest seasons.


REFERENCES

  1. Rodríguez Olivera Y, Rodríguez González I, Zamora Martínez Y, Verdasquera Corcho D, Fernández Molina C. Detección de ADN de leptospiras en tejidos frescos de fallecidos en Cuba, 2008-2011. Rev Cubana Med Trop [revista en Internet]. 2013 [ cited 8 Feb 2013 ] ; 65 (2): [aprox. 16p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S0375-07602013000200008.

  2. Llul Díaz M, Lojo Rosado S, Zerquera Rodríguez D, López Regueiro MT, Rubio Pérez JO, Portell del Sol J. Leptospirosis. Finlay. 2007 ; 12 (1): 94-8.

  3. Rodríguez Alonso B, Gómez de Haz HH, Cruz PR. Leptospirosis Humana ¿Un problema de salud?. Rev Cubana Salud Pública [revista en Internet]. 2008 [ cited 8 Feb 2013 ] ; 26 (1): [aprox. 9p]. Available from: http://bvs.sld.cu/revistas/spu/vol26_1_00/spu051 00.htm.

  4. Verdasquera Corcho D. Factores climáticos y transmisión de la leptospirosis en Cuba. Rev Biomed [revista en Internet]. 2007 [ cited 8 Feb 2013 ] ; 18 (1): [aprox. 2p]. Available from: http://new.medigraphic.com/cgi-bin/resumen.cgi? IDREVISTA=90&IDARTICULO=21398&IDPUBLICA CION=2176.

  5. Ministerio de Salud Pública. Anuario estadístico de Salud. La Habana: Ministerio de Salud Pública; 2008. p. 15-9.

  6. Hernández Cabezas M, García Franco V, Mauri Pérez JL. Leptospirosis en humanos en el municipio Playa La Habana 2000-2010. Rev haban cienc méd [revista en Internet]. 2012 [ cited 15 Dic 2012 ] ; 11 (1): [aprox. 12p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1729-519X2012000100012&lang=pt.

  7. Schelotto F, Hernández E, González S, Del Monte A, Ifran S, Flores K, et al. Diez años de seguimiento de la leptospirosis humana en Uruguay: un problema de salud no resuelto. Rev Inst Med trop S Paulo [revista en Internet]. 2012 [ cited 3 Ene 2013 ] ; 54 (2): [aprox. 22p]. Available from: http://www.scielo.br/scielo.php?script=sci_arttext &pid=S0036-46652012000200003&lng=en&nrm =iso&tlng=en.

  8. Levett PN. Leptospirosis. Clin Microbiol Rev. 2001 ; 14 (2): 296-326.

  9. Keenan J, Ervin G, Aung M, McGwin G, Jolly P. Risk factors for clinical leptospirosis from Western Jamaica. Am J Trop Med Hyg. 2010 ; 83 (3): 633-6.

  10. Belmaker I, Alkan M, Barnea A, Dukhan L, Yitzhaki S, Gross E. Risk of Transmission of Leptospirosis from Infected Cattle to Diary Workers in Southern Israel. Isr Med Assoc J. 2004 ; 6 (1): 24-7.

  11. Terrazas S, Olea A, Riedemann S, Torres M. Prevalencia de leptospirosis en adultos Chile, 2003. Rev Chil Infectol [revista en Internet]. 2012 [ cited 18 Sep 2013 ] ; 29 (6): [aprox. 16p]. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext &pid=S0716-10182012000700009&lng=en&nrm =iso&tlng=en.

  12. Núñez JF, Fajardo EM, Pérez E, Ontivero I, Silva D, Muñoz P. Evaluation of two different potency tests for leptospirosis vaccine vax-SPIRAL®. Rev Cubana Med Trop [revista en Internet]. 2005 [ cited 18 May 2011 ] ; 57 (1): [aprox. 6p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S0375-07602005000100020&lng=es&nrm=i so&tlng=en.

  13. Platts Mills JA, LaRochelle P, Campos K, Vinetz JM, Gotuzzo E, Ricaldi JN. Seroprevalencia de Leptospirosis en Puente Piedra, Lima en el año 2006. Rev Perú Med Exp Salud Publica [revista en Internet]. 2011 [ cited 18 May 2011 ] ; 28 (2): [aprox. 6p]. Available from: http://www.scielosp.org/scielo.php?script=sci_art text&pid=S1726-46342011000200014&lng=es& nrm=iso&tlng=es.

  14. Pérez González R, Santin Peña M, Justis González R, Galindo Sardiñas MA, Delgado González G, Torres Peña R, et al. Controles de foco en Atención Primaria de Salud. Guía práctica 2001 [Internet]. La Habana: MINSAP; 2001. [ c i t e d 2 0 D i c 2 0 1 3 ] A v a i l a b l e f r o m : http://files.sld.cu/sida/files/2012/01/programa-decontrol- de-focos.pdf.

  15. Jiménez G, Cuevas IE. Perfil de seguridad de la vacuna antileptospirósica trivalente vax-SPIRAL®. Vaccimonitor [revista en Internet]. 2010 [ cited 18 Jun 2010 ] ; 19 (3): [aprox. 15p]. A v a i l a b l e f r o m : http://scielo.sld.cu/scielo.php?pid=S1025-028X20 10000300001&script=sci_arttext.

  16. Ávila González JL, Escalona Gómez R, Rodríguez Albentero Y. Método práctico para el control de leptospirosis. Correo Científico Médico de Holguín [revista en Internet]. 2010 [ cited Jun 18 ] ; 14 (2): [aprox. 30p]. Available from: http://www.cocmed.sld.cu/no142/pdf/no142ori10. pdf.

  17. Suárez Olivares AT. Caracterización clinicoepidemiológica de pacientes con leptospirosis. MEDISAN [revista en Internet]. 2009 [ cited 18 Jun 2013 ] ; 13 (1): [aprox. 8p]. A v a i l a b l e f r o m : http://bvs.sld.cu/revistas/san/vol13_1_09/san041 09.htm.

  18. Adler B, Peña Moctezuma A. Leptospira and leptospirosis. Vet Microbiol. 2010 ; 140 (3-4): 287-96.

  19. Schelotto F, Hernández E, González S, Del Monte A, Ifran S, Flores K, et al. Diez años de seguimiento de la leptospirosis humana en Uruguay: un problema de salud no resuelto. Rev Inst Med trop [revista en Internet]. 2012 [ cited 3 Ene 2012 ] ; 54 (2): [aprox. 21p]. Available from: http://www.scielo.br/scielo.php?script=sci_arttext &pid=S0036-46652012000200003&lng=en&nrm =iso&tlng=en.

  20. Manet Lahera LR, Rivera Sandoval V, Ropero Poveda E, Zayas Martínez GI, Infante del Rey S. Características clinicoepidemiológicas y microbiológicas de pacientes con leptospirosis. MEDISAN [revista en Internet]. 2011 [ cited 3 Ene 2012 ] ; 15 (1): [aprox. 8p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192011000100006.




2020     |     www.medigraphic.com