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Seroprevalence and risk factors for infection with Bartonella bacilliformis in Loja province, Ecuador

Emerging microbes & infections, 2018-06, Vol.7 (1), p.1-10 [Peer Reviewed Journal]

The Author(s) 2018 2018 ;Copyright Nature Publishing Group Jun 2018 ;The Author(s) 2018. This work is licensed under the Creative Commons Attribution License https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2018 ;ISSN: 2222-1751 ;EISSN: 2222-1751 ;DOI: 10.1038/s41426-018-0110-5 ;PMID: 29941982

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Title:
Seroprevalence and risk factors for infection with Bartonella bacilliformis in Loja province, Ecuador
Author: Lydy, Shari L. ; Lascano, Mauricio S. ; Garcia-Perez, Josselyn E. ; Williams-Newkirk, Amanda J. ; Grijalva, Mario J.
Subjects: Adolescent ; Age Factors ; Antibodies, Bacterial - blood ; Antibodies, Bacterial - immunology ; Bartonella bacilliformis - immunology ; Bartonella Infections - epidemiology ; Bartonella Infections - immunology ; Bartonella Infections - microbiology ; Child ; Child, Preschool ; Ecuador - epidemiology ; Epidemiology ; Female ; Humans ; Immunoglobulin G - blood ; Immunoglobulin G - immunology ; Infant ; Infections ; Investigations ; Male ; Odds Ratio ; Population Surveillance ; Risk Factors ; Seroepidemiologic Studies
Is Part Of: Emerging microbes & infections, 2018-06, Vol.7 (1), p.1-10
Description: The seroprevalence and epidemiology of Bartonella bacilliformis infection in the Andean highlands of Ecuador is largely unknown. We conducted a sero-epidemiologic survey of 319 healthy children aged 1-15 years living in six rural, mountain communities in Loja Province, Ecuador. Blood was collected by finger stick onto filter paper and dried, and the eluted sera analyzed for antibodies to B. bacilliformis by rPap31 ELISA. Demographic, entomologic, and household variables were assessed to investigate associated risk factors for antibody seropositivity to B. bacilliformis. Seroprevalence of 28% was found among children in the study communities. Increased risk of seropositivity was associated with the presence of lumber piles near houses. Decreased risk of seropositivity was observed with the presence of animal waste and incremental 100 meter increases in elevation. Although investigation of clinical cases of Carrion's disease was not within the scope of this study, our serology data suggest that infection of children with B. bacilliformis is prevalent in this region of Ecuador and is largely unrecognized and undiagnosed. This study highlights the need to further investigate the prevalence, pathogenesis, epidemiology, and disease impact of this pathogen in Ecuador.
Publisher: United States: Taylor & Francis
Language: English
Identifier: ISSN: 2222-1751
EISSN: 2222-1751
DOI: 10.1038/s41426-018-0110-5
PMID: 29941982
Source: Taylor & Francis Open Access
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Seroprevalence and risk factors for infection with Bartonella bacilliformis in Loja province, Ecuador

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