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Prevalence and speciation of brucellosis in febrile patients from a pastoralist community of Tanzania.

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dc.creator Bodenham, Rebecca
dc.creator Lukambagire, Abdul
dc.creator Ashford, Roland
dc.creator Buza, Joram
dc.creator Cash-Goldwasser, Shama
dc.creator Crump, John
dc.creator Kazwala, Rudovick
dc.creator Maro, Venance
dc.creator McGiven, John
dc.creator Mkenda, Nestory
dc.creator Mmbaga, Blandina
dc.creator Rubach, Matthew
dc.creator Sakasaka, Philoteus
dc.creator Shirima, Gabriel
dc.creator Swai, Emanuel
dc.creator Thomas, Kate
dc.creator Whatmore, Adrian
dc.creator Haydon, Daniel
dc.creator Halliday, Jo
dc.date 2020-04-30T07:59:34Z
dc.date 2020-04-30T07:59:34Z
dc.date 2020-04-27
dc.date.accessioned 2022-10-25T09:20:40Z
dc.date.available 2022-10-25T09:20:40Z
dc.identifier https://doi.org/10.1038/s41598-020-62849-4
dc.identifier https://dspace.nm-aist.ac.tz/handle/20.500.12479/737
dc.identifier.uri http://hdl.handle.net/123456789/95139
dc.description This research article published by Springer Nature Limited, 2020
dc.description Brucellosis is an endemic zoonosis in sub-Saharan Africa. Pastoralists are at high risk of infection but data on brucellosis from these communities are scarce. The study objectives were to: estimate the prevalence of human brucellosis, identify the Brucella spp. causing illness, describe non-Brucella bloodstream infections, and identify risk factors for brucellosis in febrile patients from a pastoralist community of Tanzania. Fourteen (6.1%) of 230 participants enrolled between August 2016 and October 2017 met study criteria for confirmed (febrile illness and culture positivity or ≥four-fold rise in SAT titre) or probable (febrile illness and single SAT titre ≥160) brucellosis. Brucella spp. was the most common bloodstream infection, with B. melitensis isolated from seven participants and B. abortus from one. Enterococcus spp., Escherichia coli, Salmonella enterica, Staphylococcus aureus and Streptococcus pneumoniae were also isolated. Risk factors identified for brucellosis included age and herding, with a greater probability of brucellosis in individuals with lower age and who herded cattle, sheep or goats in the previous 12 months. Disease prevention activities targeting young herders have potential to reduce the impacts of human brucellosis in Tanzania. Livestock vaccination strategies for the region should include both B. melitensis and B. abortus.
dc.format application/pdf
dc.language en
dc.publisher Springer Nature Limited
dc.subject Bacterial infection
dc.subject Clinical microbiology
dc.subject Infectious-disease diagnostics
dc.subject Infectious diseases
dc.title Prevalence and speciation of brucellosis in febrile patients from a pastoralist community of Tanzania.
dc.type Article


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