Universidad Peruana Cayetano Heredia

Outbreak of Cutaneous Leishmaniasis in Peruvian Military Personnel Undertaking Training Activities in the Amazon Basin, 2010

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dc.contributor.author Ore, Marianela
dc.contributor.author Saenz, Eliana
dc.contributor.author Cabrera, Rufino
dc.contributor.author Sanchez, Juan F.
dc.contributor.author De Los Santos, Maxy B.
dc.contributor.author Lucas, Carmen M.
dc.contributor.author Nunez, Jorge H.
dc.contributor.author Edgel, Kimberly A.
dc.contributor.author Sopan, Justino
dc.contributor.author Fernandez, Jorge
dc.contributor.author Carnero, Andres M.
dc.contributor.author Baldeviano, G. Christian
dc.contributor.author Arrasco, Juan C.
dc.contributor.author Graf, Paul C. F.
dc.contributor.author Lescano Guevara, Andres Guillermo
dc.date.accessioned 2019-02-06T14:57:38Z
dc.date.available 2019-02-06T14:57:38Z
dc.date.issued 2015
dc.identifier.uri https://hdl.handle.net/20.500.12866/5475
dc.description.abstract Military personnel deployed to the Amazon Basin are at high risk for cutaneous leishmaniasis (CL). We responded to an outbreak among Peruvian Army personnel returning from short-term training in the Amazon, conducting active case detection, lesion sample collection, and risk factor assessment. The attack rate was 25% (76/303); the incubation period was 2-36 weeks (median = 8). Most cases had one lesion (66%), primarily ulcerative (49%), and in the legs (57%). Real-time polymerase chain reaction (PCR) identified Leishmania (Viannia) braziliensis (59/61 = 97%) and L. (V.) guyanensis (2/61 = 3%). Being male (risk ratio [RR] = 4.01; P = 0.034), not wearing long-sleeve clothes (RR = 1.71; P = 0.005), and sleeping in open rooms (RR = 1.80; P = 0.009) were associated with CL. Sodium stibogluconate therapy had a 41% cure rate, less than previously reported in Peru (~70%; P < 0.001). After emphasizing pre-deployment education and other basic prevention measures, trainees in the following year had lower incidence (1/278 = 0.4%; P < 0.001). Basic prevention can reduce CL risk in deployed militaries. en_US
dc.language.iso eng
dc.publisher American Society of Tropical Medicine and Hygiene
dc.relation.ispartofseries American Journal of Tropical Medicine and Hygiene (ASTMH Journal)
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adolescent en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Young Adult en_US
dc.subject Surveys and Questionnaires en_US
dc.subject Peru/epidemiology en_US
dc.subject Disease Outbreaks en_US
dc.subject Real-Time Polymerase Chain Reaction en_US
dc.subject Military Personnel en_US
dc.subject Antimony Sodium Gluconate/therapeutic use en_US
dc.subject Leishmania braziliensis/isolation & purification en_US
dc.subject Leishmania guyanensis/isolation & purification en_US
dc.subject Leishmaniasis, Cutaneous/drug therapy/epidemiology en_US
dc.title Outbreak of Cutaneous Leishmaniasis in Peruvian Military Personnel Undertaking Training Activities in the Amazon Basin, 2010 en_US
dc.title.alternative Brote de leishmaniasis cutánea en personal militar peruano que realizó actividades de entrenamiento militar en la Cuenca Amazónica, 2010 es_PE
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.4269/ajtmh.15-0107
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.06
dc.relation.issn 1476-1645


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