Seroprevalence and occupational risk survey for Coxiella burnetii among exposed workers in Sicily, Southern Italy

Objectives: The aim of this survey was to assess the seroprevalence of antibodies against Coxiella burnetii (C. burnetii) in subjects at risk of exposure in Sicily, Southern Italy. Material and Methods: Prevalence of IgG antibodies to C. burnetii phase II antigens was evaluated by ELISA in a group o...

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Main Authors: Concettina Fenga, Silvia Gangemi, Annamaria De Luca, Sebastiano Calimeri, Daniela Lo Giudice, Michela Pugliese, Francesca Licitra, Angela Alibrandi, Chiara Costa
Format: Article
Language:English
Published: Nofer Institute of Occupational Medicine 2015-10-01
Series:International Journal of Occupational Medicine and Environmental Health
Subjects:
Online Access:http://ijomeh.eu/Seroprevalence-and-occupational-risk-survey-for-Coxiella-burnetii-among-exposed-workers-in-Sicily-Southern-Italy,58537,0,2.html
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author Concettina Fenga
Silvia Gangemi
Annamaria De Luca
Sebastiano Calimeri
Daniela Lo Giudice
Michela Pugliese
Francesca Licitra
Angela Alibrandi
Chiara Costa
author_facet Concettina Fenga
Silvia Gangemi
Annamaria De Luca
Sebastiano Calimeri
Daniela Lo Giudice
Michela Pugliese
Francesca Licitra
Angela Alibrandi
Chiara Costa
author_sort Concettina Fenga
collection DOAJ
description Objectives: The aim of this survey was to assess the seroprevalence of antibodies against Coxiella burnetii (C. burnetii) in subjects at risk of exposure in Sicily, Southern Italy. Material and Methods: Prevalence of IgG antibodies to C. burnetii phase II antigens was evaluated by ELISA in a group of 140 workers at risk of exposure (38 veterinarians, 38 slaughterhouse workers, 44 livestock handlers, 20 laboratory and technical personnel) included in a medical surveillance program and in 42 control subjects. Positive samples were classified as suggestive of prior exposure to C. burnetii. Results: Antibodies against C. burnetii were detected in 88 out of 140 (62.9%) exposed workers and in 6 out of 42 (14.3%) subjects of the control group. The variables evaluated did not seem to have a significant effect on seropositivity to Coxiella with the exception of symptoms in the last 6 months preceding the survey. Conclusions: Our study demonstrated a high seroprevalence of C. burnetii in the group of exposed workers in comparison to non-exposed subjects of the control group. Clinical illness appears to be rare; nevertheless, physicians should consider Q fever in patients with compatible symptoms and occupational exposure to animals and their products. As aerosols represent the main route of infection in animals and humans, these workers are strongly advised to wear respiratory masks. In addition, occupational physicians should consider routine serologic evaluation and vaccination of occupationally exposed workers.
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spelling doaj.art-a1e50ae5117c425d9e1cd9f3908ea5be2022-12-21T21:52:01ZengNofer Institute of Occupational MedicineInternational Journal of Occupational Medicine and Environmental Health1232-10871896-494X2015-10-01285901907Seroprevalence and occupational risk survey for Coxiella burnetii among exposed workers in Sicily, Southern ItalyConcettina FengaSilvia GangemiAnnamaria De LucaSebastiano CalimeriDaniela Lo GiudiceMichela PuglieseFrancesca LicitraAngela AlibrandiChiara CostaObjectives: The aim of this survey was to assess the seroprevalence of antibodies against Coxiella burnetii (C. burnetii) in subjects at risk of exposure in Sicily, Southern Italy. Material and Methods: Prevalence of IgG antibodies to C. burnetii phase II antigens was evaluated by ELISA in a group of 140 workers at risk of exposure (38 veterinarians, 38 slaughterhouse workers, 44 livestock handlers, 20 laboratory and technical personnel) included in a medical surveillance program and in 42 control subjects. Positive samples were classified as suggestive of prior exposure to C. burnetii. Results: Antibodies against C. burnetii were detected in 88 out of 140 (62.9%) exposed workers and in 6 out of 42 (14.3%) subjects of the control group. The variables evaluated did not seem to have a significant effect on seropositivity to Coxiella with the exception of symptoms in the last 6 months preceding the survey. Conclusions: Our study demonstrated a high seroprevalence of C. burnetii in the group of exposed workers in comparison to non-exposed subjects of the control group. Clinical illness appears to be rare; nevertheless, physicians should consider Q fever in patients with compatible symptoms and occupational exposure to animals and their products. As aerosols represent the main route of infection in animals and humans, these workers are strongly advised to wear respiratory masks. In addition, occupational physicians should consider routine serologic evaluation and vaccination of occupationally exposed workers.http://ijomeh.eu/Seroprevalence-and-occupational-risk-survey-for-Coxiella-burnetii-among-exposed-workers-in-Sicily-Southern-Italy,58537,0,2.htmlseroprevalenceCoxiella burnetiioccupational hazardanthropozoonosishealth surveillanceprevention
spellingShingle Concettina Fenga
Silvia Gangemi
Annamaria De Luca
Sebastiano Calimeri
Daniela Lo Giudice
Michela Pugliese
Francesca Licitra
Angela Alibrandi
Chiara Costa
Seroprevalence and occupational risk survey for Coxiella burnetii among exposed workers in Sicily, Southern Italy
International Journal of Occupational Medicine and Environmental Health
seroprevalence
Coxiella burnetii
occupational hazard
anthropozoonosis
health surveillance
prevention
title Seroprevalence and occupational risk survey for Coxiella burnetii among exposed workers in Sicily, Southern Italy
title_full Seroprevalence and occupational risk survey for Coxiella burnetii among exposed workers in Sicily, Southern Italy
title_fullStr Seroprevalence and occupational risk survey for Coxiella burnetii among exposed workers in Sicily, Southern Italy
title_full_unstemmed Seroprevalence and occupational risk survey for Coxiella burnetii among exposed workers in Sicily, Southern Italy
title_short Seroprevalence and occupational risk survey for Coxiella burnetii among exposed workers in Sicily, Southern Italy
title_sort seroprevalence and occupational risk survey for coxiella burnetii among exposed workers in sicily southern italy
topic seroprevalence
Coxiella burnetii
occupational hazard
anthropozoonosis
health surveillance
prevention
url http://ijomeh.eu/Seroprevalence-and-occupational-risk-survey-for-Coxiella-burnetii-among-exposed-workers-in-Sicily-Southern-Italy,58537,0,2.html
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