Naslov
Demographic features of Mediterranean spotted fever cases in the region of Split, Croatia

Autori
Klišmanić, Zorana ; Čapkun, Vesna ; Bradarić, Nikola ; Punda-Polić, Volga

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Book of abstracts of the International Conference on Rickettsiae and Rickettsial Diseases / Petrovec, Miroslav ; Avšič-Županc, Tatjana - Ljubljana : Institute of Microbiology and Immunology, Medical Faculty, Ljubljana, 2002

Skup
International Conference on Rickettsiae and Rickettsial Diseases joint with American Society of Rickettsiology Conference 2002

Mjesto i datum
Ljubljana, Slovenija, 04.09.2002. - 07.09.2002

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Mediterranean spotted fever; demographic features; Croatia

Sažetak
The first clinical description of spotted fever disease in Croatia was reported in the city of Split (central part of southern Croatia, eastern coast of Adriatic sea) by Tartaglia in 1935. After the first serologically confirmed cases appeared in 1982, a prospective study on Mediterranean spotted fever (MSF) in the area of Split (population of 266, 835) was carried out. Patients were identified according to clinical features and diagnosed by serological methods. From 1982 through 1999, a total of 63 patients (age, 11 months to 74 years) were diagnosed of having MSF at the Department of Infectious Diseases University Hospital Split. Forty-one (65.1%) of the patients were male, and 22 (34.9%) were female. The average male to female ratio was1.9 : 1. All age groups were affected, with a peak (28.5%) at the age group of 0 to 9 years (with a morbidity of 50.84 per 100, 000 of corresponding age). The lowest incidence of MSF was in the 20-39 years age group, followed by those older than 70 years. Cases arise 6.6 times more frequently (&#967 ; 2 =59.2 ; p=0.000) from people living in suburban-semirural settlements (with the incidence of 59.4/100, 000) than in those from city of Split (8.97/100, 000). Annual incidence of MSF ranged from 1 to 8 cases per year. Most cases (87.3%) occurred from July through September, with a peak incidence in August (42.8%). Thirty-five patients (55.5%) had a history of contact with dogs, and 30 (47.6%) patients recalled tick bite or removal of the tick before disease developed. Tache noire was found in 40 (63.5%) patients. No deaths were recorded. We conclude that the region of Split, Croatia is endemic for Rickettsia conorii, the causative agent of Mediterranean spotted fever.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

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