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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Format: | Article |
Language: | English |
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Public Library of Science (PLoS)
2016-01-01
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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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format | Article |
id | doaj.art-69733da0501740ce908b0de846586054 |
institution | Directory Open Access Journal |
issn | 1932-6203 |
language | English |
last_indexed | 2024-12-11T08:58:44Z |
publishDate | 2016-01-01 |
publisher | Public Library of Science (PLoS) |
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series | PLoS ONE |
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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