National epidemiology of culture-confirmed brucellosis in Israel, 2004-2022.

IF 2.5 4区 医学 Q3 INFECTIOUS DISEASES Epidemiology and Infection Pub Date : 2024-05-21 DOI:10.1017/S0950268824000803
Miriam Weinberger, Jacob Moran-Gilad, Michal Perry Markovich, Svetlana Bardenstein
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Abstract

Brucellosis, a global zoonosis, is endemic in Israel. We used a national database of culture-confirmed cases (2004-2022) to analyse the trends of brucellosis. Of 2,489 unique cases, 99.8% were bacteraemic, 64% involved males, and the mean age was 30.5 years. Brucella melitensis was the dominant species (99.6%). Most cases occurred among the Arab sector (84.9%) followed by the Jewish (8.5%) and Druze (5.5%) sectors. The average annual incidence rates overall and for the Arab, Druze, and Jewish sectors were 1.6/100,000, 6.6/100,000, 5.5/100,000, and 0.18/100,000, respectively. The annual incidence rates among the Arab (incidence rate ratio (IRR) = 36.4) and the Druze (IRR = 29.6) sectors were significantly higher than among the Jewish sector (p < 0.001). The highest incidence rates among the Arab sector occurred in the South District, peaking at 41.0/100,000 in 2012. The frequencies of B. melitensis isolated biotypes (biotype 1 - 69.1%, biotype 2 - 26.0%, and biotype 3 - 4.3%) differed from most Middle Eastern and European countries. A significant switch between the dominant biotypes was noted in the second half of the study period. Efforts for control and prevention should be sustained and guided by a One Health approach mindful of the differential trends and changing epidemiology.

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2004-2022 年以色列经培养确诊的布鲁氏菌病的全国流行病学。
布鲁氏菌病是一种全球性人畜共患病,在以色列呈地方性流行。我们利用全国培养确诊病例数据库(2004-2022 年)分析了布鲁氏菌病的流行趋势。在2489个独特病例中,99.8%为菌血症,64%为男性,平均年龄为30.5岁。布鲁氏菌是主要菌种(99.6%)。大多数病例发生在阿拉伯人中(84.9%),其次是犹太人(8.5%)和德鲁兹人(5.5%)。阿拉伯人、德鲁兹教徒和犹太人的总体年平均发病率分别为 1.6/100,000、6.6/100,000、5.5/100,000 和 0.18/100,000。阿拉伯人(发病率比 (IRR) = 36.4)和德鲁兹人(发病率比 = 29.6)的年发病率明显高于犹太人。在研究的后半期,主要生物型之间出现了明显的转换。应持续开展控制和预防工作,并以 "一体健康 "方法为指导,注意不同的趋势和不断变化的流行病学。
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来源期刊
Epidemiology and Infection
Epidemiology and Infection 医学-传染病学
CiteScore
4.10
自引率
2.40%
发文量
366
审稿时长
3-6 weeks
期刊介绍: Epidemiology & Infection publishes original reports and reviews on all aspects of infection in humans and animals. Particular emphasis is given to the epidemiology, prevention and control of infectious diseases. The scope covers the zoonoses, outbreaks, food hygiene, vaccine studies, statistics and the clinical, social and public-health aspects of infectious disease, as well as some tropical infections. It has become the key international periodical in which to find the latest reports on recently discovered infections and new technology. For those concerned with policy and planning for the control of infections, the papers on mathematical modelling of epidemics caused by historical, current and emergent infections are of particular value.
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