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Castro-Scholten S, Caballero-Gómez J, Martínez R, Nadales-Martín BJ, Cano-Terriza D, Jiménez-Martín D, Remesar S, Jiménez-Ruiz S, Gómez-Guillamón F, García-Bocanegra I. Occurrence of Coxiella burnetii in wild lagomorphs and their ticks in Spanish Mediterranean ecosystems. Zoonoses Public Health 2024; 71:549-559. [PMID: 38773699 DOI: 10.1111/zph.13155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Revised: 04/25/2024] [Accepted: 05/10/2024] [Indexed: 05/24/2024]
Abstract
BACKGROUND Coxiella burnetii, the causative agent of Q fever, is a zoonotic multi-host vector-borne pathogen of major public health importance. Although the European Food Safety Authority has recently made the monitoring of this bacterium in wildlife a priority, the role of wild lagomorphs in the transmission and maintenance of C. burnetii is poorly understood. AIMS The aims of this study were to determine the prevalence and risk factors associated with C. burnetii circulation in European wild rabbits (Oryctolagus cuniculus) and Iberian hares (Lepus granatensis) and to assess the presence of this pathogen in ticks that feed on them in Mediterranean ecosystems in Spain, the country with the highest number of reported cases of Q fever in Europe. METHODS A total of 574 spleen samples were collected from 453 wild rabbits and 121 Iberian hares, and 513 ticks (processed in 120 pools) between the 2017/2018 and 2021/2022 hunting seasons. RESULTS C. burnetii DNA was detected in 103 (17.9%; 95% CI: 14.8-21.1) of the 574 wild lagomorphs tested. By species, prevalence was 16.3% (74/453; 95% CI: 12.9-19.7) in the European wild rabbit and 24.0% (29/121; 95% CI: 16.4-31.6) in the Iberian hare. At least one positive lagomorph was found on 47.9% of the 96 hunting estates sampled and in every hunting season since 2018/2019. Two risk factors associated with C. burnetii infection were as follows: outbreak of myxomatosis on the hunting estate in the month prior to sampling and high tick abundance observed by gamekeepers on the hunting estate. C. burnetii DNA was also found in 33 of the 120 (27.5%; 95% CI: 19.5-35.5) tick pools tested. The pathogen was detected in 66.7% (4/6), 29.2% (26/89) and 21.4% (3/14) of Haemaphysalis hispanica, Rhipicephalus pusillus and Hyalomma lusitanicum pools respectively. CONCLUSIONS This study provides new epidemiological data on C. burnetii in European wild rabbits and is the first survey on this zoonotic pathogen performed in Iberian hares. Our results indicate widespread endemic circulation of C. burnetii and highlight the importance of both wild lagomorph species as natural reservoirs of this zoonotic bacterium in Mediterranean ecosystems in southern Spain, which may be of public and animal health concern. The high prevalence and wide diversity of positive tick species suggest the possible role of ticks in the epidemiological cycle of C. burnetii, with the potential risk of transmission to sympatric species, including humans.
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Affiliation(s)
- Sabrina Castro-Scholten
- Departamento de Sanidad Animal, Grupo de Investigación en Sanidad Animal y Zoonosis (GISAZ), UIC Zoonosis y Enfermedades Emergentes ENZOEM, Universidad de Córdoba, Córdoba, Spain
| | - Javier Caballero-Gómez
- Departamento de Sanidad Animal, Grupo de Investigación en Sanidad Animal y Zoonosis (GISAZ), UIC Zoonosis y Enfermedades Emergentes ENZOEM, Universidad de Córdoba, Córdoba, Spain
- Grupo de Virología Clínica y Zoonosis, Unidad de Enfermedades Infecciosas, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Hospital Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain
- CIBERINFEC, ISCIII - CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos III, Madrid, Spain
| | - Remigio Martínez
- Departamento de Sanidad Animal, Grupo de Investigación en Sanidad Animal y Zoonosis (GISAZ), UIC Zoonosis y Enfermedades Emergentes ENZOEM, Universidad de Córdoba, Córdoba, Spain
- Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad de Extremadura, Cáceres, Spain
| | - Borja J Nadales-Martín
- Departamento de Sanidad Animal, Grupo de Investigación en Sanidad Animal y Zoonosis (GISAZ), UIC Zoonosis y Enfermedades Emergentes ENZOEM, Universidad de Córdoba, Córdoba, Spain
| | - David Cano-Terriza
- Departamento de Sanidad Animal, Grupo de Investigación en Sanidad Animal y Zoonosis (GISAZ), UIC Zoonosis y Enfermedades Emergentes ENZOEM, Universidad de Córdoba, Córdoba, Spain
- CIBERINFEC, ISCIII - CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos III, Madrid, Spain
| | - Débora Jiménez-Martín
- Departamento de Sanidad Animal, Grupo de Investigación en Sanidad Animal y Zoonosis (GISAZ), UIC Zoonosis y Enfermedades Emergentes ENZOEM, Universidad de Córdoba, Córdoba, Spain
| | - Susana Remesar
- Investigación en Sanidad Animal: Galicia (Grupo INVESAGA), Facultade de Veterinaria, Universidade de Santiago de Compostela, Lugo, Spain
| | - Saúl Jiménez-Ruiz
- Departamento de Sanidad Animal, Grupo de Investigación en Sanidad Animal y Zoonosis (GISAZ), UIC Zoonosis y Enfermedades Emergentes ENZOEM, Universidad de Córdoba, Córdoba, Spain
| | - Félix Gómez-Guillamón
- Programa de Vigilancia Epidemiológica de la Fauna Silvestre (PVE), Consejería de Sostenibilidad, Medio Ambiente y Economía Azul, Junta de Andalucía, Málaga, Spain
| | - Ignacio García-Bocanegra
- Departamento de Sanidad Animal, Grupo de Investigación en Sanidad Animal y Zoonosis (GISAZ), UIC Zoonosis y Enfermedades Emergentes ENZOEM, Universidad de Córdoba, Córdoba, Spain
- CIBERINFEC, ISCIII - CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos III, Madrid, Spain
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Castro-Scholten S, Caballero-Gómez J, Cano-Terriza D, Jiménez-Martín D, Rouco C, Beato-Benítez A, Camacho-Sillero L, García-Bocanegra I. Exposure to Coxiella burnetii in Wild Lagomorphs in Spanish Mediterranean Ecosystems. Animals (Basel) 2024; 14:749. [PMID: 38473134 DOI: 10.3390/ani14050749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Revised: 02/24/2024] [Accepted: 02/26/2024] [Indexed: 03/14/2024] Open
Abstract
Coxiella burnetii is an important zoonotic pathogen of worldwide distribution that can infect a wide range of wild and domestic species. The European wild rabbit (Oryctolagus cuniculus) can play a role as a reservoir for this bacterium in certain epidemiological scenarios, but, to date, a very limited numbers of large-scale serosurveys have been conducted for this species worldwide. Although exposure in hare species has also been described, C. burnetii in Iberian hare (Lepus granatensis) has never been assessed. Here, we aimed to determine the seroprevalence and risk factors associated with C. burnetii exposure in wild lagomorphs in the Mediterranean ecosystems of southern Spain. Between the 2018/2019 and 2021/2022 hunting seasons, blood samples from 638 wild lagomorphs, including 471 wild rabbits and 167 Iberian hares, were collected from 112 hunting grounds distributed across all eight provinces of Andalusia (southern Spain). The overall apparent individual seroprevalence was 8.9% (57/638; 95% CI: 6.8-11.4). Antibodies against C. burnetii were found in 11.3% (53/471; 95% CI: 8.4-14.1) of the wild rabbits and 2.4% (4/167; 95% CI: 0.1-4.7) of the Iberian hares. Seropositive animals were detected for 16 (14.3%; 95% CI: 7.8-20.8) of the 112 hunting grounds tested and in all the hunting seasons sampled. A generalized estimating equations model showed that the geographical area (western Andalusia) and presence of sheep were risk factors potentially associated with C. burnetii exposure in wild lagomorphs. A statistically significant spatial cluster (p < 0.001) was identified in the south-west of Andalusia. Our results provide evidence of moderate, endemic and heterogeneous circulation of C. burnetii in wild lagomorph populations in Spanish Mediterranean ecosystems. Risk-based strategies for integrative surveillance programs should be implemented in these species to reduce the risk of transmission of the bacterium to sympatric species, including humans.
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Affiliation(s)
- Sabrina Castro-Scholten
- Grupo de Investigación en Sanidad Animal y Zoonosis (GISAZ), Departamento de Sanidad Animal, UIC Zoonosis y Enfermedades Emergentes ENZOEM, Universidad de Córdoba, 14014 Córdoba, Spain
| | - Javier Caballero-Gómez
- Grupo de Investigación en Sanidad Animal y Zoonosis (GISAZ), Departamento de Sanidad Animal, UIC Zoonosis y Enfermedades Emergentes ENZOEM, Universidad de Córdoba, 14014 Córdoba, Spain
- Grupo de Virología Clínica y Zoonosis, Unidad de Enfermedades Infecciosas, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Hospital Universitario Reina Sofía, Universidad de Córdoba, 14004 Córdoba, Spain
- CIBERINFEC, ISCIII-CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos III, 28029 Madrid, Spain
| | - David Cano-Terriza
- Grupo de Investigación en Sanidad Animal y Zoonosis (GISAZ), Departamento de Sanidad Animal, UIC Zoonosis y Enfermedades Emergentes ENZOEM, Universidad de Córdoba, 14014 Córdoba, Spain
- CIBERINFEC, ISCIII-CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos III, 28029 Madrid, Spain
| | - Débora Jiménez-Martín
- Grupo de Investigación en Sanidad Animal y Zoonosis (GISAZ), Departamento de Sanidad Animal, UIC Zoonosis y Enfermedades Emergentes ENZOEM, Universidad de Córdoba, 14014 Córdoba, Spain
| | - Carlos Rouco
- Departamento Biología Vegetal y Ecología, Área de Ecología, Universidad de Sevilla, 41012 Sevilla, Spain
| | - Adrián Beato-Benítez
- Grupo de Investigación en Sanidad Animal y Zoonosis (GISAZ), Departamento de Sanidad Animal, UIC Zoonosis y Enfermedades Emergentes ENZOEM, Universidad de Córdoba, 14014 Córdoba, Spain
| | - Leonor Camacho-Sillero
- Programa de Vigilancia Epidemiológica de la Fauna Silvestre en Andalucía (PVE), Consejería de Sostenibilidad, Medio Ambiente y Economía Azul, Junta de Andalucía, 29002 Málaga, Spain
| | - Ignacio García-Bocanegra
- Grupo de Investigación en Sanidad Animal y Zoonosis (GISAZ), Departamento de Sanidad Animal, UIC Zoonosis y Enfermedades Emergentes ENZOEM, Universidad de Córdoba, 14014 Córdoba, Spain
- CIBERINFEC, ISCIII-CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos III, 28029 Madrid, Spain
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Sarani S, Enferadi A, Hasani SJ, Sarani MY, Rahnama M, Sarani F. Identification of zoonotic pathogenic bacteria from blood and ticks obtained from hares and long-eared hedgehogs (Hemiechinus megalofis) in eastern Iran. Comp Immunol Microbiol Infect Dis 2024; 104:102097. [PMID: 38029723 DOI: 10.1016/j.cimid.2023.102097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2023] [Revised: 11/02/2023] [Accepted: 11/13/2023] [Indexed: 12/01/2023]
Abstract
The role of wildlife in the complex balance of tick-borne diseases within ecosystems is crucial, as they serve as hosts for tick carriers and reservoirs for the pathogens carried by these ticks. This study aimed to investigate the presence of zoonotic pathogenic bacteria in wildlife, specifically in hares and long-eared hedgehogs (Hemiechinus megalofis), in the eastern region of Iran. The focus was on the detection of Borrelia spp., Coxiella burnetii, Anaplasma spp., Francisella spp., and Leptospira spp., using the Nested-PCR method. We analyzed a total of 124 blood samples, and 196 ticks collected from hares and long-eared hedgehogs were analyzed. The Nested-PCR method was employed to identify the presence of zoonotic pathogenic bacteria DNA. Our study revealed the presence of these zoonotic pathogenic bacteria in both wildlife species, indicating their potential role as hosts and reservoirs for the ticks carrying these pathogens. The specific presence and prevalence of Borrelia spp., Coxiella burnetii, Anaplasma spp., Francisella spp., and Leptospira spp. were determined through the Nested-PCR method. This study contributes to the limited knowledge about the involvement of wild animals in the transmission of tick-borne diseases. By using the Nested-PCR method, we successfully identified the presence of zoonotic pathogenic bacteria in hares and long-eared hedgehogs. This study emphasizes the need for further research to better understand the ecological process of tick-borne diseases, particularly the role of wildlife in their spread. Such knowledge is crucial for wildlife conservation efforts and the management of tick-borne diseases, ultimately benefiting both animal and human health.
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Affiliation(s)
- Saeedeh Sarani
- Department of Pathology, Faculty of Veterinary Medicine, Zabol University, Iran
| | - Ahmad Enferadi
- Department of Microbiology, Faculty of Veterinary Medicine, Urmia University, Iran.
| | - Sayyed Jafar Hasani
- Department of Microbiology, Faculty of Veterinary Medicine, Urmia University, Iran
| | | | - Mohammad Rahnama
- Department of Pathology, Faculty of Veterinary Medicine, Zabol University, Iran
| | - Faroogh Sarani
- Department of Pathology, Faculty of Veterinary Medicine, Zabol University, Iran
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Valcárcel F, Elhachimi L, Vilá M, Tomassone L, Sánchez M, Selles SMA, Kouidri M, González MG, Martín-Hernández R, Valcárcel Á, Fernández N, Tercero JM, Sanchis J, Bellido-Blasco J, González-Coloma A, Olmeda AS. Emerging Hyalomma lusitanicum: From identification to vectorial role and integrated control. MEDICAL AND VETERINARY ENTOMOLOGY 2023; 37:425-459. [PMID: 37144688 DOI: 10.1111/mve.12660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Accepted: 04/11/2023] [Indexed: 05/06/2023]
Abstract
In the Mediterranean basin, the tick species Hyalomma lusitanicum Koch stands out among other species of the Hyalomma genus due to its wide distribution, and there is great concern about its potential role as a vector and/or reservoir and its continuous expansion to new areas because of climate warming and human and other animal movements. This review aims to consolidate all the information on H. lusitanicum, including taxonomy and evolution, morphological and molecular identification, life cycle, sampling methods, rearing under laboratory conditions, ecology, hosts, geographical distribution, seasonality, vector role and control methods. The availability of adequate data is extremely relevant to the development of appropriate control strategies in areas where this tick is currently distributed as well as in new areas where it could become established in the near future.
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Affiliation(s)
- Félix Valcárcel
- Grupo de Parasitología Animal, Departamento de Reproducción Animal, INIA-CSIC, Madrid, Spain
| | - L Elhachimi
- Département de parasitologie et de Santé Publique, Institut Agronomique et Vétérinaire Hassan II, Rabat, Morocco
| | - M Vilá
- Grupo de Investigación COPAR (GI-2120; USC), Departamento de Patoloxia Animal, Facultade de Veterinaria, Universidade de Santiago de Compostela, Lugo, Spain
| | - L Tomassone
- Department of Veterinary Sciences, University of Turin, Turin, Italy
| | - M Sánchez
- Grupo de Parasitología Animal, Departamento de Reproducción Animal, INIA-CSIC, Madrid, Spain
- Villamagna S.A., Finca "La Garganta", Villanueva de Córdoba, Spain
- Facultad de Veterinaria, Universidad Alfonso X El Sabio (UAX), Madrid, Spain
| | - S M A Selles
- Institute of Veterinary Sciences, University of Tiaret, Tiaret, Algeria
- Laboratory of Research on Local Animal Products, University of Tiaret, Tiaret, Algeria
| | - M Kouidri
- Laboratory of Farm Animal Products, University of Tiaret, Tiaret, Algeria
| | - M G González
- Grupo de Parasitología Animal, Departamento de Reproducción Animal, INIA-CSIC, Madrid, Spain
- Villamagna S.A., Finca "La Garganta", Villanueva de Córdoba, Spain
| | - R Martín-Hernández
- Laboratorio de Patología Apícola, Centro de Investigación Apícola y Agroambiental (CIAPA), IRIAF-Instituto Regional de Investigación y Desarrollo Agroalimentario y Forestal, Marchamalo, 19180, Spain. Instituto de Recursos Humanos para la Ciencia y la Tecnología (INCRECYT-ESF/EC-FSE), Fundación Parque Científico y Tecnológico de Castilla-La Mancha, Albacete, Spain
| | - Á Valcárcel
- Lokimica S.L., c/ Valdemorillo, Madrid, Spain
- Veterinary Pathobiology section, University College Dublín, Dublin 4, Ireland
| | - N Fernández
- Facultad de Veterinaria, Universidad Alfonso X El Sabio (UAX), Madrid, Spain
| | - J M Tercero
- Villamagna S.A., Finca "La Garganta", Villanueva de Córdoba, Spain
| | - J Sanchis
- Facultad de Veterinaria, CENUR Litoral Norte, Universidad de la República, Uruguay
| | - J Bellido-Blasco
- Sección de Epidemiología, Centro de Salud Pública de Castelló, CIBER-ESP. Universitat Jaume I (UJI), Castelló, Spain
| | | | - A S Olmeda
- Departamento de Sanidad Animal, Facultad de Veterinaria, UCM, Madrid, Spain
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Celina SS, Cerný J. Coxiella burnetii in ticks, livestock, pets and wildlife: A mini-review. Front Vet Sci 2022; 9:1068129. [PMID: 36439350 PMCID: PMC9691889 DOI: 10.3389/fvets.2022.1068129] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Accepted: 10/31/2022] [Indexed: 07/20/2023] Open
Abstract
Coxiella burnetii is a zoonotic bacterium with an obligatory intracellular lifestyle and has a worldwide distribution. Coxiella burnetii is the causative agent of Q fever in humans and coxiellosis in animals. Since its discovery in 1935, it has been shown to infect a wide range of animal species including mammals, birds, reptiles, and arthropods. Coxiella burnetii infection is of public and veterinary health and economic concern due to its potential for rapid spread and highly infectious nature. Livestock are the primary source of C. burnetii infection in most Q fever outbreaks which occurs mainly through inhalation of contaminated particles. Aside from livestock, many cases of Q fever linked to exposure to wildlife. Changes in the dynamics of human-wildlife interactions may lead to an increased potential risk of interspecies transmission and contribute to the emergence/re-emergence of Q fever. Although C. burnetii transmission is mainly airborne, ticks may act as vectors and play an important role in the natural cycle of transmission of coxiellosis among wild vertebrates and livestock. In this review, we aim to compile available information on vectors, domestic, and wild hosts of C. burnetii, and to highlight their potential role as bacterial reservoirs in the transmission of C. burnetii.
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González-Barrio D, Carpio AJ, Sebastián-Pardo M, Peralbo-Moreno A, Ruiz-Fons F. The relevance of the wild reservoir in zoonotic multi-host pathogens: The links between Iberian wild mammals and Coxiella burnetii. Transbound Emerg Dis 2022; 69:3868-3880. [PMID: 36335588 DOI: 10.1111/tbed.14758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 10/11/2022] [Accepted: 11/01/2022] [Indexed: 11/08/2022]
Abstract
Q fever is a worldwide zoonosis caused by an obligate intracellular bacterium, Coxiella burnetii, with only anecdotal reports of human-to-human transmission. The cause of human Q fever infections is the circulation of C. burnetii in animal reservoirs. Infected livestock, particularly goats and sheep, may cause Q fever outbreaks in humans. However, wildlife is the origin of several human Q fever cases. Human impacts on habitats, biodiversity and climate are responsible for changes in the patterns of interaction between domestic animals, wildlife and humans, allowing wild animals to play an increasingly relevant role as Q fever reservoirs. In the Iberian Peninsula, human impacts on the environment combined with a high biodiversity, which could maintain high transmission rates of this multi-host pathogen, make wild reservoirs an important piece in Q fever epidemiology. In this study, we review the reporting of C. burnetii infections and exposure in Iberian wild mammals and analyse the link between the diversity of wild mammals and the frequency of C. burnetii notifications in wildlife. For it, the number of wild mammal species per UTM 10 × 10-km grid in mainland Spain and Portugal was estimated as a potential predictor of C. burnetii transmission. The results of non-linear regression analysis showed a quadratic relationship between the number of wild mammal species per grid and the presence of C. burnetii cases reported in the literature both by serology (R2 = 0.86) and polymerase chain reaction (R2 = 0.83). Increasing wild mammal diversity was linked to increasing C. burnetii transmission until an intermediate level when the relationship was inverted. Thus, at high levels of wild mammal diversity, the risk of C. burnetii transmission was lower. These observations show a role of wild mammal biodiversity in C. burnetii ecology that needs to be further explored to better prevent the negative impact of Q fever in livestock and human health in Iberia.
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Affiliation(s)
- David González-Barrio
- Parasitology Reference and Research Laboratory, Spanish National Centre for Microbiology, Health Institute Carlos III, Majadahonda, Madrid, Spain
| | - Antonio J Carpio
- Instituto de Investigación en Recursos Cinegéticos, IREC (UCLM-CSIC-JCCM), Ciudad Real, Spain.,Department of Zoology, University of Cordoba, Campus de Rabanales, Cordoba, Spain
| | - Mario Sebastián-Pardo
- Instituto de Investigación en Recursos Cinegéticos, IREC (UCLM-CSIC-JCCM), Ciudad Real, Spain
| | - Alfonso Peralbo-Moreno
- Instituto de Investigación en Recursos Cinegéticos, IREC (UCLM-CSIC-JCCM), Ciudad Real, Spain
| | - Francisco Ruiz-Fons
- Instituto de Investigación en Recursos Cinegéticos, IREC (UCLM-CSIC-JCCM), Ciudad Real, Spain
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Serological Prevalence of and Risk Factors for Coxiella burnetti Infection in Women of Punjab Province, Pakistan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19084576. [PMID: 35457443 PMCID: PMC9027314 DOI: 10.3390/ijerph19084576] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/09/2022] [Revised: 04/01/2022] [Accepted: 04/07/2022] [Indexed: 01/09/2023]
Abstract
Background: Coxiella burnetii, the etiological agent of Q (query) fever, provokes abortions in ruminants and is suspected to cause adverse pregnancy outcomes in women. Infection of pregnant women is linked with high mortality and morbidity of the fetus and the mother is at high risk to acquire chronic Q fever. This research was conducted to evaluate the prevalence of Q fever in women and to detect associated risk factors in four districts of Punjab Province, Pakistan. Methods: A total of 297 blood samples were obtained from 147 pregnant and 150 non-pregnant women of the districts Okara, Jhang, Chiniot and Faisalabad of Punjab, Pakistan. Data related to risk factors and demographic parameters were collected using a questionnaire. Serum samples were screened for phase I and phase II specific IgG antibodies for antigens of phase I and phase II using ELISA tests. Univariate and binary regression were used to analyze important risk factors of Q fever. Results: Twenty-five serum samples (8.4%) were found seropositive for Q fever. Seventeen women were positive for Phase-I and twenty-one were positive for phase-II antibodies. Highest and statistically significant (p < 0.05) seroprevalence of 17.1% was observed in Faisalabad. Age, urbanicity, living status, pregnancy status, abortion history, occupation, and consumption of tap water were positively correlated (p < 0.05) with Q fever, while being aged, urbanity, low income, contact with animals and consumption of tap water was identified as potential risk factors. Conclusions: Q fever is prevalent in women of Pakistan. There is a need for an awareness program about the importance of C. burnetii infections and prevention strategies in women during pregnancy to minimize adverse pregnancy outcomes.
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