Risk Factors for Mycobacterium ulcerans Infection, Southeastern Australia

Buruli/Bairnsdale ulcer (BU) is a severe skin and soft tissue disease caused by Mycobacterium ulcerans. To better understand how BU is acquired, we conducted a case–control study during a sustained outbreak in temperate southeastern Australia. We recruited 49 adult patients with BU and 609 control p...

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Main Authors: Tricia Y.J. Quek, Eugene Athan, Margaret J. Henry, Julie A. Pasco, Jane Redden-Hoare, Andrew Hughes, Paul D.R. Johnson
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2007-11-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/13/11/06-1206_article
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author Tricia Y.J. Quek
Eugene Athan
Margaret J. Henry
Julie A. Pasco
Jane Redden-Hoare
Andrew Hughes
Paul D.R. Johnson
author_facet Tricia Y.J. Quek
Eugene Athan
Margaret J. Henry
Julie A. Pasco
Jane Redden-Hoare
Andrew Hughes
Paul D.R. Johnson
author_sort Tricia Y.J. Quek
collection DOAJ
description Buruli/Bairnsdale ulcer (BU) is a severe skin and soft tissue disease caused by Mycobacterium ulcerans. To better understand how BU is acquired, we conducted a case–control study during a sustained outbreak in temperate southeastern Australia. We recruited 49 adult patients with BU and 609 control participants from a newly recognized BU-endemic area in southeastern Australia. Participants were asked about their lifestyle and insect exposure. Odds ratios were calculated by using logistic regression and were adjusted for age and location of residence. Odds of having BU were at least halved for those who frequently used insect repellent, wore long trousers outdoors, and immediately washed minor skin wounds; odds were at least doubled for those who received mosquito bites on the lower legs or lower arms. This study provides new circumstantial evidence that implicates mosquitoes in the transmission of M. ulcerans in southeastern Australia.
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spelling doaj.art-bc5abba3d1c14139a95f335d0b85f1732022-12-22T03:40:20ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592007-11-0113111661166610.3201/eid1311.061206Risk Factors for Mycobacterium ulcerans Infection, Southeastern AustraliaTricia Y.J. QuekEugene AthanMargaret J. HenryJulie A. PascoJane Redden-HoareAndrew HughesPaul D.R. JohnsonBuruli/Bairnsdale ulcer (BU) is a severe skin and soft tissue disease caused by Mycobacterium ulcerans. To better understand how BU is acquired, we conducted a case–control study during a sustained outbreak in temperate southeastern Australia. We recruited 49 adult patients with BU and 609 control participants from a newly recognized BU-endemic area in southeastern Australia. Participants were asked about their lifestyle and insect exposure. Odds ratios were calculated by using logistic regression and were adjusted for age and location of residence. Odds of having BU were at least halved for those who frequently used insect repellent, wore long trousers outdoors, and immediately washed minor skin wounds; odds were at least doubled for those who received mosquito bites on the lower legs or lower arms. This study provides new circumstantial evidence that implicates mosquitoes in the transmission of M. ulcerans in southeastern Australia.https://wwwnc.cdc.gov/eid/article/13/11/06-1206_articleMycobacterium ulceransMycobacterium infectionsatypicalcommunicable diseaseslifestyleinsect vectors
spellingShingle Tricia Y.J. Quek
Eugene Athan
Margaret J. Henry
Julie A. Pasco
Jane Redden-Hoare
Andrew Hughes
Paul D.R. Johnson
Risk Factors for Mycobacterium ulcerans Infection, Southeastern Australia
Emerging Infectious Diseases
Mycobacterium ulcerans
Mycobacterium infections
atypical
communicable diseases
lifestyle
insect vectors
title Risk Factors for Mycobacterium ulcerans Infection, Southeastern Australia
title_full Risk Factors for Mycobacterium ulcerans Infection, Southeastern Australia
title_fullStr Risk Factors for Mycobacterium ulcerans Infection, Southeastern Australia
title_full_unstemmed Risk Factors for Mycobacterium ulcerans Infection, Southeastern Australia
title_short Risk Factors for Mycobacterium ulcerans Infection, Southeastern Australia
title_sort risk factors for mycobacterium ulcerans infection southeastern australia
topic Mycobacterium ulcerans
Mycobacterium infections
atypical
communicable diseases
lifestyle
insect vectors
url https://wwwnc.cdc.gov/eid/article/13/11/06-1206_article
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