PessahEljay Zoonosis Disease Epidemiology Division Zoonosis Unit Feb 2015 SPessahEljay MD MPH MS Brucellosis Brucellosis Agent and transmission Agent Brucella sp Transmission ID: 779770
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Slide1
Zoonosis diseases
Dr. Silvia Pessah-EljayZoonosis Disease. Epidemiology Division
Zoonosis Unit. Feb, 2015
S.Pessah-Eljay
. MD., MPH., MS
Slide2Brucellosis
Slide3Brucellosis:
Agent and transmissionAgent: Brucella sp.
Transmission
Respiratory
Gastrointestinal
Wounded skin
Other (transfusion, transplants)
B.
canis
B.
pinnipediae
Slide4Brucellosis:
Epidemiological cyclehttp://www.frontiersin.org/files/Articles/82508/fmicb-05-00213-HTML/image_m/fmicb-05-00213-g001.jpg
Slide5Brucellosis:
Clinical manifestationsClassification according to the duration of the disease
1-8 weeks.
Acute or bacteraemia
9-52 weeks:
Subacute
> 52 weeks:
Chronic
The disease of the 1,000 faces
Incubation:
5 days to months
According to the clinical manifestations
With
Unspecific clinical symptoms:
Fever, chills, sweats
Weakness, fatigue, headache
Enlargement
of liver and spleenLynphadenopatiesDepresionJoint, muscle and back pain
With Specific clinical symptoms (localized):
Arthritis / Osteomyelitis (20-35%)
Genitourinary
infections (2-20%)
Neurobrucellosis
(3*5%)
Carditis
,
endocarditis (<2%)
Others
Slide6Brucellosis:
Case definition
Slide7National data of human cases. Epidemiology Division
Report is mandatory since 1951Passive surveillanceIn the last years there is no changes in the case definitionNumber of real cases are underestimatedBrucellosis:
National data of human cases. Epidemiology
Division
Slide8National data of human cases. Epidemiology Division
Brucellosis: National data of human cases. Epidemiology Division
Slide9Brucellosis:
National data of human cases. Epidemiology Division
Slide10Brucellosis:
National data of human cases. Epidemiology Division
Slide11Brucellosis:
National data of human cases. Epidemiology Division
Slide12Brucellosis:
Treatment & PreventionPreventionAvoid unpasteurized dairy foods
Cook
meat thoroughly.
Cook all meat until it reaches an internal temperature of 145 to 165 F (63 to 74 C
)
Wear gloves.
Veterinarian, farmer, hunter or slaughterhouse worker, wear rubber gloves when handling sick or dead animals or animal tissue or when assisting an animal giving birth
Take safety precautions in high-risk
workplacesVaccinate
domestic animals
Treatment
Adults and > 8 years old:
Doxicyclin
200mg/kg/d x 6 weeks
+
Sreptomycin 1 gr/d x 2-3 weeks orRifampicine 600-900mg/d x 6 weeksChildren < 8 years old:CMX 2x8/40 mg/kg/d x 6 weeks +Sreptomycin
30 mgr/kg/d x 3 weeks
orRifampicine 15mg/kg/d x 3 weeksPregnant women:Doxicyclin 200mg/kg/d x 6 weeks +Rifampicine 600-900mg/d x 45 days or CMXWHO regimen