Hospital-Based Surveillance for Infectious Etiologies Among Patients with Acute Febrile Illness in Georgia, 2008-2011

© The American Society of Tropical Medicine and Hygiene..

Information on the infectious causes of undifferentiated acute febrile illness (AFI) in Georgia is essential for effective treatment and prevention. In May 2008, a hospital-based AFI surveillance was initiated at six hospitals in Georgia. Patients aged ≥ 4 years with fever ≥ 38°C for ≥ 48 hours were eligible for surveillance. Blood culture and serologic testing were conducted for Leptospira spp., Brucella spp., West Nile virus (WNV), Crimean-Congo hemorrhagic fever virus, Coxiella burnetii, tick-borne encephalitis virus (TBEV), hantavirus, Salmonella enterica serovar Typhi (S. Typhi), and Rickettsia typhi. Of 537 subjects enrolled, 70% were outpatients, 54% were males, and the mean age was 37 years. Patients reported having fatigue (89%), rigors (87%), sweating (83%), pain in joints (49%), and sleep disturbances (42%). Thirty-nine (7%) patients were seropositive for R. typhi, 37 (7%) for Brucella spp., 36 (7%) for TBEV, 12 (2%) for Leptospira spp., 10 (2%) for C. burnetii, and three (0.6%) for S. Typhi. None of the febrile patients tested positive for WNV antibodies. Of the patients, 73% were negative for all pathogens. Our results indicate that most of the targeted pathogens are present in Georgia, and highlight the importance of enhancing laboratory capacity for these infectious diseases.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:94

Enthalten in:

The American journal of tropical medicine and hygiene - 94(2016), 1 vom: 06. Jan., Seite 236-42

Sprache:

Englisch

Beteiligte Personen:

Kuchuloria, Tinatin [VerfasserIn]
Imnadze, Paata [VerfasserIn]
Mamuchishvili, Nana [VerfasserIn]
Chokheli, Maiko [VerfasserIn]
Tsertsvadze, Tengiz [VerfasserIn]
Endeladze, Marina [VerfasserIn]
Mshvidobadze, Ketevan [VerfasserIn]
Gatserelia, Lana [VerfasserIn]
Makhviladze, Manana [VerfasserIn]
Kanashvili, Marine [VerfasserIn]
Mikautadze, Teona [VerfasserIn]
Nanuashvili, Alexander [VerfasserIn]
Kiknavelidze, Khatuni [VerfasserIn]
Kokaia, Nora [VerfasserIn]
Makharadze, Manana [VerfasserIn]
Clark, Danielle V [VerfasserIn]
Bautista, Christian T [VerfasserIn]
Farrell, Margaret [VerfasserIn]
Fadeel, Moustafa Abdel [VerfasserIn]
Maksoud, Mohamed Abdel [VerfasserIn]
Pimentel, Guillermo [VerfasserIn]
House, Brent [VerfasserIn]
Hepburn, Matthew J [VerfasserIn]
Rivard, Robert G [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 26.05.2016

Date Revised 13.11.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.4269/ajtmh.15-0400

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM25340424X