#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#
CS
proLékaře.cz / Journals / Occupational Medicine / 2023 - 3-4

Brucellosis: overview of current information on the disease and analysis of human cases in the Czech Republic, 1982–2022

Czech version

Authors: M. Špačková 1,2;  J. Košťálová 1;  Z. Manďáková 1;  V. Vlasáková 3
Authors‘ workplace: Oddělení epidemiologie infekčních nemocí, Centrum epidemiologie a mikrobiologie, Státní zdravotní ústav, Praha vedoucí pracoviště MUDr. Jan Kynčl, Ph. D. 1;  Katedra epidemiologie, Fakulta vojenského zdravotnictví Univerzity obrany, Hradec Králové vedoucí pracoviště prof. MUDr. Roman Chlíbek, Ph. D. 2;  Oddělení bezpečnosti potravin, Odbor veterinární hygieny a ochrany veřejného zdraví, Ústřední veterinární správa Státní veterinární správy, Praha vedoucí pracoviště MVDr. Veronika Vlasáková 3
Published in: Pracov. Lék., 75, 2023, No. 3-4, s. 37-43.
Category: Original Papers

Overview

Introduction: Brucellosis is a highly contagious bacterial disease that occurs worldwide. In Europe, we can encounter the infection more in southern countries and among travellers. The aim of the work is an overview of current information on the disease and an analysis of brucellosis in the Czech Republic (CZ).

Methods: An overview of recent knowledge on brucellosis was built on scientific literature review. An analysis of published cases that occurred in the CZ and the former Czechoslovakia without time limitations in Czech, Slovak and English was performed, as well as a descriptive analysis of cases reported within the consequent national systems for infectious diseases reporting (ISPO, EpiDat and ISIN) in the CZ within 1982–2022. The data were further supplemented with data gained from weekly epidemiological situation reports from Czech regional public health authorities.

Results: A total of 27 cases of brucellosis in humans were reported in the CZ during the monitored period, of which 15 (55.6%) were men and 12 (44.4%) were women. The age of the patients ranged from 5 to 73 years (median 34, average 35.3 years). Information on recent travelling was available for 14 cases and all 14 were classified as imported. Seven cases were hospitalized. The etiological agent was 24 times Brucella unspecified, once B. melitensis and twice B. abortus.

Conclusions: In the CZ, the occurrence of human brucellosis is currently limited to sporadic, imported cases. Brucellosis last occurred in CZ in bovine animals in 1964, but still can occur in wild animals, especially hares. Despite the efforts of veterinarians to control brucellosis, it is necessary to consider the disease in patients with a fever of unclear origin, particularly a prolonged one. A carefully taken epidemiological anamnesis is essential. Brucellosis reporting to public health authorities is mandatory in CZ, even if case in only probable or just the suspicion exist.

Sources
  1. Lai, S., Chen, Q., Li, Z. Human Brucellosis: An Ongoing Global Health Challenge. China CDC Wkly., 2021, 3, 6, s. 120–123.
  2. Franc, K. A., Krecek, R. C., Häsler, B. N., et al. Brucellosis remains a neglected disease in the developing world: a call for interdisciplinary action. BMC Public Health, 2018, 18, 1, s. 125.
  3. Ducrotoy, M., Bertu, W. J., Matope, G., et al. Brucellosis in Sub-Saharan Africa: Current challenges for management, diagnosis and control. Acta Trop., 2017, 165, s. 179–193.
  4. Musallam, II, Abo-Shehada, M. N., Hegazy, Y. M., et al. Systematic review of brucellosis in the Middle East: disease frequency in ruminants and humans and risk factors for human infection. Epidemiol. Infect., 2016, 144, 4, s. 671–685.
  5. Bagheri Nejad, R., Krecek, R. C., Khalaf, O. H., et al. Brucellosis in the Middle East: Current situation and a pathway forward. PLoS Negl Trop Dis., 2020, 14, 5, s. e0008071.
  6. Mantur, B. G., Amarnath, S. K., Shinde, R. S. Review of clinical and laboratory features of human brucellosis. Indian J Med Microbiol., 2007, 25, 3, s. 188–202.
  7. The World Organisation for Animal Health. Brucellosis. 2020; [22.8.2023]. Dostupné na www: https://www.woah.org/en/disease/brucellosis/.
  8. European Centre for Disease Prevention and Control. Brucellosis. In: ECDC. Annual epidemiological report for 2021. Stockholm: ECDC; 2023.
  9. Bruce, S. D. Note on the discovery of a microorganism in Malta fever. London: John Brigg, 1887, stran 170.
  10. Leibniz Institute DSMZ-German Collection of Microorganisms and Cell Cultures GmbH. Genus Brucella. 2023; [22.8.2023]; Dostupné na www: https://lpsn.dsmz.de/genus/ brucella.
  11. Pappas, G., Papadimitriou, P., Akritidis, N., et al. The new global map of human brucellosis. Lancet Infect Dis., 2006, 6, 2, s. 91–99.
  12. Kaufmann, A. F., Fox, M. D., Boyce, J. M., et al. Airborne spread of brucellosis. Ann. N. Y. Acad. Sci., 1980, 353, s. 105–114.
  13. Vláda České republiky. Vyhláška č. 474/2002 Sb. kterou se provádí zákon č. 281/2002 Sb., o některých opatřeních souvisejících se zákazem bakteriologických (biologických) a toxinových zbraní a o změně živnostenského zákona. 2018.
  14. Pappas, G. The Lanzhou Brucella Leak: The Largest Laboratory Accident in the History of Infectious Diseases? Clin Infect Dis., 2022, 75, 10, s. 1845–1847.
  15. Heymann, D. L. Control of communicable diseases manual. 21st Edition; 2022. American Public Health Association.
  16. Manďáková, Z. Brucelóza, migrace a cestování. Zprávy CEM, 2016, 25, 8, s. 263–265.
  17. World Health Organisation. Brucellosis. 2020; [12.9.2023]; Dostupné na www: https://www.who.int/news-room/fact-sheets/ detail/brucellosis.
  18. Státní veterinární správa. K případům brucelózy v Bulharsku. 2015; [12.9.2023]; Dostupné na www: https://www.svscr.cz/k_ pripadum_brucelozy_v_bulharsku/.
  19. Gwida, M., El-Gohary, A., Melzer, F., et al. Brucellosis in camels. Res Vet Sci., 2012, 92, 3, s. 351–355.
  20. Garcell, H. G., Garcia, E. G., Pueyo, P. V., et al. Outbreaks of brucellosis related to the consumption of unpasteurized camel milk. J Infect Public Health, 2016, 9, 4, s. 523–527.
  21. Al Anazi, M., AlFayyad, I., AlOtaibi, R., et al. Epidemiology of Brucellosis in Saudi Arabia. Saudi Med J., 2019, 40, 10, s. 981–988.
  22. Státní veterinární správa Zpráva o činnosti v oblasti ochrany zdraví zvířat v roce 2021. 2022, [14.9.2023]. Dostupné na www: https://www.svscr.cz/zprava-o-cinnosti-v-oblasti-ochrany-zdra- vi-zvirat-v-roce-2021/.
  23. Thakur, S., Vaid, R., Panda, A., et al. Marine mammal brucellosis: a new dimension to an old zoonosis. Current Science, 2012, 103, 8, s. 902–910.
  24. Li, K., Zhang, L., Shahzad, M., et al. Increasing incidence and changing epidemiology of brucellosis in China (2004–2016). Travel Med Infect Dis., 2020, 35, s. 101464.
  25. Státní veterinární správa Bez vyšetření nelze potvrdit zdraví. 2001, [24.7.2023]. Dostupné na www: https://www.svscr.cz/ bez_vysetreni_nelze_potvrdit_zdravi/.
Labels
Hygiene and epidemiology Hyperbaric medicine Occupational medicine
From the history of occupational medicine
Biological risks during the performance of service as a professional soldier
Contact dermatitis as the occupational disease
Abstracts of professional contributions
Personal news
Pokyny pro autory a recenzenty
Rejstřík
Article was published in

Occupational Medicine

Issue 3-4
2023 Issue 3-4
Most read in this issue
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#