Publicação
Human leptospirosis in Portugal
| dc.contributor.author | Vieira, M L | |
| dc.contributor.author | Gama-Simões (Maria Jacinta Gama-Simões), MJ | |
| dc.contributor.author | Collares-Pereira (Margarida Collares-Pereira), M | |
| dc.contributor.institution | Instituto de Higiene e Medicina Tropical (IHMT) | |
| dc.contributor.pbl | Elsevier | |
| dc.date.accessioned | 2021-05-06T22:40:15Z | |
| dc.date.available | 2021-05-06T22:40:15Z | |
| dc.date.issued | 2006-09-01 | |
| dc.description.abstract | Leptospirosis, an under-recognized public health problem, needs to be confirmed through specific laboratory diagnosis. We describe herein a series of 4618 symptomatic patients for whom a microagglutination test (MAT) serology was available, representing a unique picture of human leptospirosis in central mainland Portugal and the Azores islands of São Miguel and Terceira, over eighteen- and twelve-year periods, respectively. The distribution of the 1024 (22%) cases identified was an average 57 cases per year, with higher frequency in males (67%). These represent the majority of leptospirosis notifications in Portugal, with a higher annual incidence rate in the islands, compared to the central mainland (11.1 and 1.7/100,000 population, respectively). Middle-aged adults (25-54 years) were most frequently infected (45%). Cases occurred mainly in December and January. Serovars from nine presumptive serogroups caused infection, with a predominance of Icterohaemorrhagiae, Pomona, and Ballum, accounting for 66% of cases. Seropositivity was associated with both anicteric and icteric leptospirosis. Several risk factors and a higher transmission risk in certain areas were emphasized. Leptospirosis was confirmed as a steadily increasing public health problem; good surveillance, communication, and laboratory support are thus necessary to reduce the impact of leptospirosis in areas at risk. | en |
| dc.description.version | publishersversion | |
| dc.description.version | published | |
| dc.format.extent | 9 | |
| dc.format.extent | 272390 | |
| dc.identifier.doi | 10.1016/j.ijid.2005.07.006 | |
| dc.identifier.issn | 1201-9712 | |
| dc.identifier.other | PURE: 3131050 | |
| dc.identifier.other | PURE UUID: 4b4bfec5-1bc9-494d-b3ba-6faff01668ce | |
| dc.identifier.other | Scopus: 33746926795 | |
| dc.identifier.other | ORCID: /0000-0002-8586-5534/work/63724250 | |
| dc.identifier.other | PubMed: 16600656 | |
| dc.identifier.uri | http://hdl.handle.net/10362/117224 | |
| dc.identifier.url | https://www.scopus.com/pages/publications/33746926795 | |
| dc.identifier.url | https://www.ijidonline.com/article/S1201-9712(06)00002-6/fulltext | |
| dc.language.iso | eng | |
| dc.peerreviewed | yes | |
| dc.subject | Human leptospirosis | |
| dc.subject | Portugal | |
| dc.subject | Public Health | |
| dc.subject | Seropositivity | |
| dc.subject | Epidemiology | |
| dc.subject | General Immunology and Microbiology | |
| dc.subject | SDG 3 - Good Health and Well-being | |
| dc.title | Human leptospirosis in Portugal | en |
| dc.title.subtitle | a retrospective study of eighteen years | en |
| dc.type | journal article | |
| degois.publication.firstPage | 378 | |
| degois.publication.issue | n.º 5 | |
| degois.publication.lastPage | 386 | |
| degois.publication.title | International Journal of Infectious Diseases | |
| degois.publication.volume | Vol. 10 | |
| dspace.entity.type | Publication | |
| rcaap.rights | openAccess |
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