An Outbreak of Bartonella bacilliformis in an Endemic Andean Community.

BACKGROUND:Bartonellosis affects small Andean communities in Peru, Colombia and Ecuador. Research in this area has been limited. METHODS:Retrospective review of 191 cases of bartonellosis managed in Caraz District Hospital, Peru, during the last outbreak (2003). RESULTS:The majority of cases (65%) w...

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Main Authors: Nuria Sanchez Clemente, Cesar Ugarte-Gil, Nelson Solorzano, Ciro Maguiña, David Moore
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4798250?pdf=render
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author Nuria Sanchez Clemente
Cesar Ugarte-Gil
Nelson Solorzano
Ciro Maguiña
David Moore
author_facet Nuria Sanchez Clemente
Cesar Ugarte-Gil
Nelson Solorzano
Ciro Maguiña
David Moore
author_sort Nuria Sanchez Clemente
collection DOAJ
description BACKGROUND:Bartonellosis affects small Andean communities in Peru, Colombia and Ecuador. Research in this area has been limited. METHODS:Retrospective review of 191 cases of bartonellosis managed in Caraz District Hospital, Peru, during the last outbreak (2003). RESULTS:The majority of cases (65%) were 14 years old and younger. There was a peak in acute cases after the rainy season; chronic cases presented more constantly throughout the year. The sensitivity of blood smear against blood culture in acute disease was 25%. The most commonly used treatment for chronic disease was rifampicin; chloramphenicol was used to treat most acute cases. Complications arose in 6.8% and there were no deaths. CONCLUSIONS:Diagnostic and treatment algorithms for acute and chronic bartonellosis have been developed without a strong evidence base. Preparation of ready-to-go operational research protocols for future outbreaks would strengthen the evidence base for diagnostic and treatment strategies and enhance opportunities for control.
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spelling doaj.art-69733da0501740ce908b0de8465860542022-12-22T01:13:49ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01113e015052510.1371/journal.pone.0150525An Outbreak of Bartonella bacilliformis in an Endemic Andean Community.Nuria Sanchez ClementeCesar Ugarte-GilNelson SolorzanoCiro MaguiñaDavid MooreBACKGROUND:Bartonellosis affects small Andean communities in Peru, Colombia and Ecuador. Research in this area has been limited. METHODS:Retrospective review of 191 cases of bartonellosis managed in Caraz District Hospital, Peru, during the last outbreak (2003). RESULTS:The majority of cases (65%) were 14 years old and younger. There was a peak in acute cases after the rainy season; chronic cases presented more constantly throughout the year. The sensitivity of blood smear against blood culture in acute disease was 25%. The most commonly used treatment for chronic disease was rifampicin; chloramphenicol was used to treat most acute cases. Complications arose in 6.8% and there were no deaths. CONCLUSIONS:Diagnostic and treatment algorithms for acute and chronic bartonellosis have been developed without a strong evidence base. Preparation of ready-to-go operational research protocols for future outbreaks would strengthen the evidence base for diagnostic and treatment strategies and enhance opportunities for control.http://europepmc.org/articles/PMC4798250?pdf=render
spellingShingle Nuria Sanchez Clemente
Cesar Ugarte-Gil
Nelson Solorzano
Ciro Maguiña
David Moore
An Outbreak of Bartonella bacilliformis in an Endemic Andean Community.
PLoS ONE
title An Outbreak of Bartonella bacilliformis in an Endemic Andean Community.
title_full An Outbreak of Bartonella bacilliformis in an Endemic Andean Community.
title_fullStr An Outbreak of Bartonella bacilliformis in an Endemic Andean Community.
title_full_unstemmed An Outbreak of Bartonella bacilliformis in an Endemic Andean Community.
title_short An Outbreak of Bartonella bacilliformis in an Endemic Andean Community.
title_sort outbreak of bartonella bacilliformis in an endemic andean community
url http://europepmc.org/articles/PMC4798250?pdf=render
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