Risk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenya.
Risk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenya.
复制标题
DOI：
10.1136/oemed-2016-103895
复制
发表时间：
2017-05
影响因子：
4.9
通讯作者：
Fèvre EM
中科院分区：
文献类型：
--
作者：
Cook EA;de Glanville WA;Thomas LF;Kariuki S;Bronsvoort BM;Fèvre EM
钩端螺旋体病在世界各地的屠宰场工人中均有记载。风险因素包括工作时吸烟和饮酒，以及执行清理内脏等任务。本文研究了肯尼亚西部屠宰场工人钩端螺旋体病血清阳性的危险因素。该研究于2011年5月至2012年10月进行。调查问卷用于收集屠宰场工人的人口统计数据、健康和卫生习惯等信息。商业ELISA检测钩端螺旋体属的抗体。多水平Logistic回归分析确定了与钩端螺旋体病血清阳性相关的因素。共从142个屠宰场招聘了737名工人。钩端螺旋体抗体阳性率。为13.4%（95% CI 11.1%至16.1%）。风险因素包括：有伤口（OR 3.1; 95% CI 1.5 - 6.1）;吸烟（OR 1.8; 95% CI 1.1 - 2.9）;工作时进食（OR 2.1; 95% CI 1.2 - 3.6）;清洗内脏（OR 5.1; 95% CI 1.8至15.0）;以及有供个人用水的钻孔（OR 2.3; 95% CI 1.1至4.7）。在屠宰场水平，风险因素包括有屋顶（OR 2.6; 95% CI 1.2至5.6）和从井中取水（OR 2.2; 95% CI 1.2至4.0）。保护因素包括在屠宰场工作，进行死前检查（OR 0.6; 95%CI 0.4至1.0），工人穿着防护围裙（OR 0.4; 95%CI 0.2至0.7）。这是肯尼亚首次报告屠宰场工人钩端螺旋体病血清阳性。确定了潜在的风险因素，这些信息可用于教育工人了解他们的疾病风险以及预防或减少传播的方法。
Leptospirosis has been documented in slaughterhouse workers around the world. Risk factors include smoking and drinking at work, and performing tasks such as cleaning offal. This paper examined risk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenya. The study was conducted between May 2011 and October 2012. Questionnaires were used to collect information from workers on demographic data, health and hygiene practices in the slaughterhouse. A commercial ELISA detected antibodies to Leptospira spp. in serum samples and multilevel logistic regression analysis identified factors associated with leptospirosis seropositivity. A total of 737 workers from 142 slaughterhouses were recruited. The seroprevalence of antibodies to Leptospira spp. was 13.4% (95% CI 11.1% to 16.1%). Risk factors included: having wounds (OR 3.1; 95% CI 1.5 to 6.1); smoking (OR 1.8; 95% CI 1.1 to 2.9); eating at work (OR 2.1; 95% CI 1.2 to 3.6); cleaning the offal (OR 5.1; 95% CI 1.8 to 15.0); and having a borehole for personal water use (OR 2.3; 95% CI 1.1 to 4.7). At the slaughterhouse level, risk factors included having a roof (OR 2.6; 95% CI 1.2 to 5.6) and drawing water from a well (OR 2.2; 95% CI 1.2 to 4.0). Protective factors included working in slaughterhouses where antemortem inspection was conducted (OR 0.6; 95% CI 0.4 to 1.0) and where workers wore protective aprons (OR 0.4; 95% CI 0.2 to 0.7). This is the first report of leptospirosis seropositivity in slaughterhouse workers in Kenya. Potential risk factors were identified and this information can be used to educate workers regarding their disease risks and ways to prevent or reduce transmission.
登录
查看更多内容
影响因子：
9.4
作者：
Bajani, MD;Ashford, DA;Weyant, RS
通讯作者：
Weyant, RS
DOI：
10.4269/ajtmh.2005.73.1151
发表时间：
2005-12-01
影响因子：
3.3
作者：
Adazu, K;Lindblade, KA;Slutsker, L
通讯作者：
Slutsker, L
影响因子：
13.6
作者：
Cumberland, P;Everard, COR;Levett, PN
通讯作者：
Levett, PN
DOI：
10.4269/ajtmh.2011.11-0030
发表时间：
2011-11-01
影响因子：
3.3
作者：
Ari, Mary D.;Guracha, Argata;Feikin, Daniel R.
通讯作者：
Feikin, Daniel R.
DOI：
10.2460/javma.2000.216.676
发表时间：
2000-03-01
期刊：
JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION
影响因子：
--
作者：
Campagnolo, ER;Warwick, MC;Ashford, DA
通讯作者：
Ashford, DA