Leptospirosis: Skin Wounds and Control Strategies, Thailand, 1999

After an outbreak of leptospirosis in workers who participated in cleaning a pond during September 1999 in Thailand, a serologic survey was conducted. Among a cohort of 104 persons from one village who participated in pond cleaning activity, 43 (41.3%) were seropositive for immunoglobulin M antibodi...

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Main Authors: Phran Phraisuwan, Ellen A. Spotts Whitney, Piyanit Tharmaphornpilas, Suriya Guharat, Samart Thongkamsamut, Suphaporn Aresagig, Jayteeya Liangphongphanthu, Kanlayanee Junthima, Apirat Sokampang, David A. Ashford
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2002-12-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/8/12/02-0180_article
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author Phran Phraisuwan
Ellen A. Spotts Whitney
Piyanit Tharmaphornpilas
Suriya Guharat
Samart Thongkamsamut
Suphaporn Aresagig
Jayteeya Liangphongphanthu
Kanlayanee Junthima
Apirat Sokampang
David A. Ashford
author_facet Phran Phraisuwan
Ellen A. Spotts Whitney
Piyanit Tharmaphornpilas
Suriya Guharat
Samart Thongkamsamut
Suphaporn Aresagig
Jayteeya Liangphongphanthu
Kanlayanee Junthima
Apirat Sokampang
David A. Ashford
author_sort Phran Phraisuwan
collection DOAJ
description After an outbreak of leptospirosis in workers who participated in cleaning a pond during September 1999 in Thailand, a serologic survey was conducted. Among a cohort of 104 persons from one village who participated in pond cleaning activity, 43 (41.3%) were seropositive for immunoglobulin M antibodies against Leptospira, indicating recent infection. Only 17 (39.5%) of 43 seropositive persons reported a recent febrile illness; the remaining seropositive persons were considered asymptomatic, suggesting that asymptomatic leptospirosis infection may be common where leptospirosis is endemic. Multivariable logistic regression indicated that wearing long pants or skirts was independently protective against leptospirosis infection (ORadjusted = 0.217), while the presence of more than two wounds on the body was independently associated with infection (ORadjusted = 3.97). Educational efforts should be enhanced in areas where leptospirosis is endemic to encourage the use of protective clothing. In addition wound management and avoidance of potentially contaminated water when skin wounds are present should be included in health education programs.
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spelling doaj.art-76409d0802fe44468bbcf489530da3612022-12-22T03:50:56ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592002-12-018121455145910.3201/eid0812.020180Leptospirosis: Skin Wounds and Control Strategies, Thailand, 1999Phran PhraisuwanEllen A. Spotts WhitneyPiyanit TharmaphornpilasSuriya GuharatSamart ThongkamsamutSuphaporn AresagigJayteeya LiangphongphanthuKanlayanee JunthimaApirat SokampangDavid A. AshfordAfter an outbreak of leptospirosis in workers who participated in cleaning a pond during September 1999 in Thailand, a serologic survey was conducted. Among a cohort of 104 persons from one village who participated in pond cleaning activity, 43 (41.3%) were seropositive for immunoglobulin M antibodies against Leptospira, indicating recent infection. Only 17 (39.5%) of 43 seropositive persons reported a recent febrile illness; the remaining seropositive persons were considered asymptomatic, suggesting that asymptomatic leptospirosis infection may be common where leptospirosis is endemic. Multivariable logistic regression indicated that wearing long pants or skirts was independently protective against leptospirosis infection (ORadjusted = 0.217), while the presence of more than two wounds on the body was independently associated with infection (ORadjusted = 3.97). Educational efforts should be enhanced in areas where leptospirosis is endemic to encourage the use of protective clothing. In addition wound management and avoidance of potentially contaminated water when skin wounds are present should be included in health education programs.https://wwwnc.cdc.gov/eid/article/8/12/02-0180_articleLeptospirosisLeptospiraskin woundscontrol strategiesThailand
spellingShingle Phran Phraisuwan
Ellen A. Spotts Whitney
Piyanit Tharmaphornpilas
Suriya Guharat
Samart Thongkamsamut
Suphaporn Aresagig
Jayteeya Liangphongphanthu
Kanlayanee Junthima
Apirat Sokampang
David A. Ashford
Leptospirosis: Skin Wounds and Control Strategies, Thailand, 1999
Emerging Infectious Diseases
Leptospirosis
Leptospira
skin wounds
control strategies
Thailand
title Leptospirosis: Skin Wounds and Control Strategies, Thailand, 1999
title_full Leptospirosis: Skin Wounds and Control Strategies, Thailand, 1999
title_fullStr Leptospirosis: Skin Wounds and Control Strategies, Thailand, 1999
title_full_unstemmed Leptospirosis: Skin Wounds and Control Strategies, Thailand, 1999
title_short Leptospirosis: Skin Wounds and Control Strategies, Thailand, 1999
title_sort leptospirosis skin wounds and control strategies thailand 1999
topic Leptospirosis
Leptospira
skin wounds
control strategies
Thailand
url https://wwwnc.cdc.gov/eid/article/8/12/02-0180_article
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