Evidence of Rickettsia and Orientia Infections Among Abattoir Workers in Djibouti.

Horton, KC; Jiang, J; Maina, A; Dueger, E; Zayed, A; Ahmed, AA; Pimentel, G; Richards, AL; (2016) Evidence of Rickettsia and Orientia Infections Among Abattoir Workers in Djibouti. The American journal of tropical medicine and hygiene, 95 (2). pp. 462-5. ISSN 0002-9637 DOI: https://doi.org/10.4269/ajtmh.15-0775

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Of 49 workers at a Djiboutian abattoir, eight (16%, 95% confidence interval [CI]: 9-29) were seropositive against spotted fever group rickettsiae (SFGR), two (4%, 95% CI: 1-14) against typhus group rickettsiae, and three (6%, 95% CI: 2-17) against orientiae. One worker (9%, 95% CI: 2-38) seroconverted against orientiae during the study period. This is the first evidence of orientiae exposure in the Horn of Africa. SFGR were also identified by polymerase chain reaction in 32 of 189 (11%, 95% CI: 8-15) tick pools from 26 of 72 (36%) cattle. Twenty-five (8%, 95% CI: 6-12) tick pools were positive for Rickettsia africae, the causative agent of African tick-bite fever. Health-care providers in Djibouti should be aware of the possibility of rickettsiae infections among patients, although further research is needed to determine the impact of these infections in the country.

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
PubMed ID: 27273647
Web of Science ID: 400206200037
URI: http://researchonline.lshtm.ac.uk/id/eprint/2901214


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