Characteristics of rural leptospirosis patients admitted to referral hospitals during the 2008 leptospirosis outbreak in Sri Lanka: implications for developing public health control measures

Nugegoda, Dhanaseela B.; Vinetz, Joseph Michael; Thevanesam, Vasanthi; Agampodi, Suneth B.

dc.contributor.author	Agampodi, Suneth B.
dc.contributor.author	Nugegoda, Dhanaseela B.
dc.contributor.author	Thevanesam, Vasanthi
dc.contributor.author	Vinetz, Joseph Michael
dc.date.accessioned	2019-02-06T14:57:40Z
dc.date.available	2019-02-06T14:57:40Z
dc.date.issued	2015
dc.identifier.uri	https://hdl.handle.net/20.500.12866/5483
dc.description.abstract	To determine the exposure risk factors of highly endemic rural leptospirosis in tropical setting, we conducted a prospective, hospital-based case control study in Sri Lanka. A conceptual hierarchy of variables was used to analyze the data. Case patients included 38 (34%) females and 73 (66%) males with a mean age of 36 yr (SD 12.7 yr). Using piped, chlorinated water for drinking/general purposes (odds ratio [OR] 0.33, 95% confidence interval [CI] 0.16-0.67), paddy fields in the vicinity of home (OR 1.77, 95% CI 1.06-2.97), sighting dogs at home yard/dog ownership (OR 1.79, 95% CI 1.11-2.91), sighting cattle at home yard/cattle ownership (OR 1.69, 95% CI 1.00-2.84), and work in a paddy field (OR 3.02, 95% CI 1.68, 5.41) were the main predictors of leptospirosis among febrile patients. In high endemic tropical settings with rural leptospirosis, risk factors in residential environments, rather than individual exposures, seemed to play a major role in leptospirosis disease transmission.	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.subject	Humans	en_US
dc.subject	Case-Control Studies	en_US
dc.subject	Public Health	en_US
dc.subject	Disease Outbreaks	en_US
dc.subject	Hospitals	en_US
dc.subject	Rural Population	en_US
dc.subject	Referral and Consultation	en_US
dc.subject	Leptospirosis/epidemiology/prevention & control	en_US
dc.subject	Sri Lanka/epidemiology	en_US
dc.title	Characteristics of rural leptospirosis patients admitted to referral hospitals during the 2008 leptospirosis outbreak in Sri Lanka: implications for developing public health control measures	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.4269/ajtmh.14-0465
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.06
dc.relation.issn	1476-1645