Epidemiology of Coxiella burnetii Infection in Africa: A OneHealth Systematic Review
Identifieur interne : 001E42 ( Main/Exploration ); précédent : 001E41; suivant : 001E43Epidemiology of Coxiella burnetii Infection in Africa: A OneHealth Systematic Review
Auteurs : Sky Vanderburg [États-Unis] ; Matthew P. Rubach [États-Unis] ; Jo E. B. Halliday [Royaume-Uni] ; Sarah Cleaveland [Royaume-Uni] ; Elizabeth A. Reddy [États-Unis, Tanzanie] ; John A. Crump [États-Unis, Tanzanie, Nouvelle-Zélande]Source :
- PLoS Neglected Tropical Diseases [ 1935-2727 ] ; 2014.
Abstract
Q fever is a common cause of febrile illness and community-acquired pneumonia in resource-limited settings.
We searched nine databases to identify articles relevant to four key aspects of
Url:
DOI: 10.1371/journal.pntd.0002787
PubMed: 24722554
PubMed Central: 3983093
Affiliations:
- Nouvelle-Zélande, Royaume-Uni, Tanzanie, États-Unis
- Caroline du Nord, Écosse
- Glasgow
- Université de Glasgow
Links toward previous steps (curation, corpus...)
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- to stream Pmc, to step Curation: 002896
- to stream Pmc, to step Checkpoint: 001414
- to stream Ncbi, to step Merge: 002854
- to stream Ncbi, to step Curation: 002854
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Le document en format XML
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Infection in Africa: A OneHealth Systematic Review</title>
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<series><title level="j">PLoS Neglected Tropical Diseases</title>
<idno type="ISSN">1935-2727</idno>
<idno type="eISSN">1935-2735</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Q fever is a common cause of febrile illness and community-acquired pneumonia in resource-limited settings. <italic>Coxiella burnetii</italic>
, the causative pathogen, is transmitted among varied host species, but the epidemiology of the organism in Africa is poorly understood. We conducted a systematic review of <italic>C. burnetii</italic>
epidemiology in Africa from a “One Health” perspective to synthesize the published data and identify knowledge gaps.</p>
</sec>
<sec><title>Methods/Principal Findings</title>
<p>We searched nine databases to identify articles relevant to four key aspects of <italic>C. burnetii</italic>
epidemiology in human and animal populations in Africa: infection prevalence; disease incidence; transmission risk factors; and infection control efforts. We identified 929 unique articles, 100 of which remained after full-text review. Of these, 41 articles describing 51 studies qualified for data extraction. Animal seroprevalence studies revealed infection by <italic>C. burnetii</italic>
(≤13%) among cattle except for studies in Western and Middle Africa (18–55%). Small ruminant seroprevalence ranged from 11–33%. Human seroprevalence was <8% with the exception of studies among children and in Egypt (10–32%). Close contact with camels and rural residence were associated with increased seropositivity among humans. <italic>C. burnetii</italic>
infection has been associated with livestock abortion. In human cohort studies, Q fever accounted for 2–9% of febrile illness hospitalizations and 1–3% of infective endocarditis cases. We found no studies of disease incidence estimates or disease control efforts.</p>
</sec>
<sec><title>Conclusions/Significance</title>
<p><italic>C. burnetii</italic>
infection is detected in humans and in a wide range of animal species across Africa, but seroprevalence varies widely by species and location. Risk factors underlying this variability are poorly understood as is the role of <italic>C. burnetii</italic>
in livestock abortion. Q fever consistently accounts for a notable proportion of undifferentiated human febrile illness and infective endocarditis in cohort studies, but incidence estimates are lacking. <italic>C. burnetii</italic>
presents a real yet underappreciated threat to human and animal health throughout Africa.</p>
</sec>
</div>
</front>
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<name sortKey="Rubach, Matthew P" sort="Rubach, Matthew P" uniqKey="Rubach M" first="Matthew P." last="Rubach">Matthew P. Rubach</name>
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<country name="Royaume-Uni"><region name="Écosse"><name sortKey="Halliday, Jo E B" sort="Halliday, Jo E B" uniqKey="Halliday J" first="Jo E. B." last="Halliday">Jo E. B. Halliday</name>
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<name sortKey="Cleaveland, Sarah" sort="Cleaveland, Sarah" uniqKey="Cleaveland S" first="Sarah" last="Cleaveland">Sarah Cleaveland</name>
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<country name="Tanzanie"><noRegion><name sortKey="Reddy, Elizabeth A" sort="Reddy, Elizabeth A" uniqKey="Reddy E" first="Elizabeth A." last="Reddy">Elizabeth A. Reddy</name>
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<name sortKey="Crump, John A" sort="Crump, John A" uniqKey="Crump J" first="John A." last="Crump">John A. Crump</name>
<name sortKey="Crump, John A" sort="Crump, John A" uniqKey="Crump J" first="John A." last="Crump">John A. Crump</name>
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<country name="Nouvelle-Zélande"><noRegion><name sortKey="Crump, John A" sort="Crump, John A" uniqKey="Crump J" first="John A." last="Crump">John A. Crump</name>
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