An Outbreak of Bartonella bacilliformis in an Endemic Andean Community

Ugarte Gil, Cesar Augusto; Solorzano, Nelson; Maguiña Vargas, Ciro; Moore, David Alexander James; Sanchez Clemente, Nuria

dc.contributor.author	Sanchez Clemente, Nuria
dc.contributor.author	Ugarte Gil, Cesar Augusto
dc.contributor.author	Solorzano, Nelson
dc.contributor.author	Maguiña Vargas, Ciro
dc.contributor.author	Moore, David Alexander James
dc.date.accessioned	2019-02-22T14:55:02Z
dc.date.available	2019-02-22T14:55:02Z
dc.date.issued	2016
dc.identifier.uri	https://hdl.handle.net/20.500.12866/5729
dc.description.abstract	Background: Bartonellosis affects small Andean communities in Peru, Colombia and Ecuador. Research in this area has been limited. Methods: Retrospective review of 191 cases of bartonellosis managed in Caraz District Hospital, Peru, during the last outbreak (2003). Results: The majority of cases (65%) were 14 years old and younger. There was a peak in acute cases after the rainy season; chronic cases presented more constantly throughout the year. The sensitivity of blood smear against blood culture in acute disease was 25%. The most commonly used treatment for chronic disease was rifampicin; chloramphenicol was used to treat most acute cases. Complications arose in 6.8% and there were no deaths. Conclusions: Diagnostic and treatment algorithms for acute and chronic bartonellosis have been developed without a strong evidence base. Preparation of ready-to-go operational research protocols for future outbreaks would strengthen the evidence base for diagnostic and treatment strategies and enhance opportunities for control.	en_US
dc.language.iso	eng
dc.publisher	Public Library of Science
dc.relation.ispartofseries	PLoS ONE
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject	Bartonellosis	en_US
dc.subject	Diagnostic medicine	en_US
dc.subject	Fevers	en_US
dc.subject	Antibiotics	en_US
dc.subject	Chloramphenicol	en_US
dc.subject	Lesions	en_US
dc.subject	Bartonella	en_US
dc.subject	Epidemiology	en_US
dc.title	An Outbreak of Bartonella bacilliformis in an Endemic Andean Community	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.1371/journal.pone.0150525
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.09
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#1.06.01
dc.relation.issn	1932-6203