Seroprevalence and Risk Factors for Rickettsia and Leptospira Infection in Four Ecologically Distinct Regions of Peru Article Swipe
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· 2019
· Open Access
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· DOI: https://doi.org/10.4269/ajtmh.18-0029
Rickettsia and Leptospira spp. are under-recognized causes of acute febrile disease worldwide. Rickettsia species are often placed into the spotted fever group rickettsiae (SFGR) and typhus group rickettsiae (TGR). We explored the antibody prevalence among humans for these two groups of rickettsiae in four regions of Peru (Lima, Cusco, Puerto Maldonado, and Tumbes) and for Leptospira spp. in Puerto Maldonado and Tumbes. We also assessed risk factors for seropositivity and collected serum samples and ectoparasites from peri-domestic animals from households in sites with high human seroprevalence. In total, we tested 2,165 human sera for antibodies (IgG) against SFGR and TGR by ELISA and for antibodies against Leptospira by a microscopic agglutination test. Overall, human antibody prevalence across the four sites was 10.6% for SFGR (ranging from 6.2% to 14.0%, highest in Tumbes) and 3.3% for TGR (ranging from 2.6% to 6.4%, highest in Puerto Maldonado). Factors associated with seroreactivity against SFGR were male gender, older age, contact with backyard birds, and working in agriculture or with livestock. However, exposure to any kind of animal within the household decreased the odds ratio by half. Age was the only variable associated with higher TGR seroprevalence. The prevalence of Leptospira was 11.3% in Puerto Maldonado and 5.8% in Tumbes, with a borderline association with keeping animals in the household. We tested animal sera for Leptospira and conducted polymerase chain reaction (PCR) to detect Rickettsia species among ectoparasites collected from domestic animals in 63 households of seropositive participants and controls. We did not find any association between animal infection and human serostatus.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4269/ajtmh.18-0029
- http://www.ajtmh.org/deliver/fulltext/14761645/100/6/tpmd180029.pdf?itemId=%2Fcontent%2Fjournals%2F10.4269%2Fajtmh.18-0029&mimeType=pdf&containerItemId=content/journals/14761645
- OA Status
- bronze
- Cited By
- 15
- References
- 79
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2933087834
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2933087834Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.4269/ajtmh.18-0029Digital Object Identifier
- Title
-
Seroprevalence and Risk Factors for Rickettsia and Leptospira Infection in Four Ecologically Distinct Regions of PeruWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-04-02Full publication date if available
- Authors
-
Gabriela Salmón-Mulanovich, Mark P. Simons, Carmen Flores-Mendoza, Steev Loyola, Maria Cristina Carlan da Silva, Matthew R. Kasper, Hugo Rázuri, Luis Enrique Canal, Mariana Leguía, Daniel G. Bausch, Allen L. RichardsList of authors in order
- Landing page
-
https://doi.org/10.4269/ajtmh.18-0029Publisher landing page
- PDF URL
-
https://www.ajtmh.org/deliver/fulltext/14761645/100/6/tpmd180029.pdf?itemId=%2Fcontent%2Fjournals%2F10.4269%2Fajtmh.18-0029&mimeType=pdf&containerItemId=content/journals/14761645Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://www.ajtmh.org/deliver/fulltext/14761645/100/6/tpmd180029.pdf?itemId=%2Fcontent%2Fjournals%2F10.4269%2Fajtmh.18-0029&mimeType=pdf&containerItemId=content/journals/14761645Direct OA link when available
- Concepts
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Seroprevalence, Leptospira, Spotted fever, Rickettsia, Biology, Veterinary medicine, Typhus, Rickettsia typhi, Leptospirosis, Serology, Antibody, Virology, Medicine, Murine typhus, Immunology, VirusTop concepts (fields/topics) attached by OpenAlex
- Cited by
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15Total citation count in OpenAlex
- Citations by year (recent)
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2025: 4, 2024: 4, 2022: 3, 2021: 2, 2020: 2Per-year citation counts (last 5 years)
- References (count)
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79Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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