Epizootiologija Q groznice i njen društveno ekonomski uticaj i implikacije na javno zdravlje
Epizootiology of Q fever, its socioeconomic impact, and public health implications
Autori
Stanojević, SlobodanVojinović, Dragica
Zdravković, Nemanja
Milovanović, Bojan
Žutić, Jadranka
Konferencijski prilog (Objavljena verzija)
Metapodaci
Prikaz svih podataka o dokumentuApstrakt
Q groznica je zoonoza rasprostranjena u celom svetu osim na Novom Zelandu,
predstavlja znaĉajan uzrok oboljevanja ljudi širom sveta. Bolest izaziva Coxiella
burnetii, intracelularna, Gram-negativna bekterija. Endemski je prisutna u
Srbiji ali uprkos ĉinjenici da je vaţna za javno zdravlje i ekonomiju stanovišta,
o njoj se malo izveštava dok je nadzor slabo razvijen. Postoji veliki broj rezervoara
u prirodi koje uglavnom ĉine sisari, ptice i krpelji. Domaći preţivari se
smatraju glavnim izvorom infekcije od kojih se moţe zaraziti veliki broj drugih
domaćina. Serološke studije koje smo sproveli pokazale su prisustvo antitela na
C. burnetii u Beogradskoj epizootiološkoj oblasti. Seroprevalencija kod goveda
na farmama je iznosila 18%, dok je u porodiĉnim gazdinstvima bila 1,5%. Kod
krava na farmama koje su pobacile prevalencija je iznoslila 49%, dok je u
porodiĉnim gazdinstvima bila 1,9%. Infekcija kod domaćih ţivotinja najĉešće
prolazi asimptomatski i obiĉno se primeti tek kad...a nastanu reproduktivni
poremećaji i pobaĉaji. Tokom abortusa i poroĊaja obolele ţivotinje izluĉuju u
spoljašnju sredinu veliku koliĉinu bakterija, i do 1 milijarde po gramu placente.
Pojave epidemija kod ljudi najĉešće su povezane sa klanicama i farmama sa
intenzivnim gajenjam ovaca i koza. Kliniĉki Q groznica se i kod ljudi naĉešće
javlja asimptomatska, ali i u formi nespecifiĉne groznice, atipiĉne pneumonije,
hepatitisa i endokarditisa. Pošto su kliniĉki znaci bolesti nespecifiĉni, laboratorijski
dokazi infekcije su neophodni za postavljanje taĉne dijagnoze i otpoĉinjanje
specifiĉne terapije. Bolest se leĉi upotrebom specifiĉnih antibiotika, a
kod neleĉenih pacijenata stopa smrtnosti moţe biti visoka. Q groznica se
uglavnom prenosi udisanjem kontaminiranog aerosola, kontaktom sa obolelim
ţivotinjama i kontaminiranom okolinom ili konzumiranjem zaraţenog mleka i
ţivotinjskih proizvoda. Prevencija je usmerena na izbegavanje izlaganja ljudi,
posebno riziĉnih osoba, ţivotinjama i zagaĊenoj ţivotnoj sredini. Dobrim upravljanjem
procesima na farmama sniţava se stepen kontaminacije okoline i
spreĉavaju kontakti ljudi i ţivotinja sa izvorima infekcije. Poboljšanja u
zoru i izveštavanje o infekcijama kod ţivotinja omogućava blagovremeno reagovanje
veterinarskih i zdravstevnih sluţbi, kao sastavnih delova sistema jednog
zdravlja, ĉime se postiţe veća efikasnost u kontroli i spreĉavanju nastanka Q
groznice i njenom blagovremenom leĉenju.
Q fever is a zoonosis spread throughout the world except in New Zealand, and
presents a significant cause of human illness worldwide. The disease is caused
by Coxiella burnetii, an intracellular, Gram-negative bacterium. It is endemic
in Serbia, but despite the fact that it is important for public health and economy,
it is reported rarely and surveillance is poorly developed. There are numerous
reservoirs in nature, which are mainly mammals, birds and ticks. Domestic
ruminants are considered the main source of infection from which a large
number of different hosts can be infected. The serological studies we conducted
showed the presence of antibodies to C. burnetii in the Belgrade epizootic area.
Seroprevalence in cattle on intensive farms was 18%, while in family farms it
was 1.5%. In cows that aborted on farms, the prevalence was 49%, while in
family farms it was 1.9%. Infection in domestic animals is usually asymptomatic
and usually noticed only when reproductive disorde...rs and abortions occur.
During abortion and labor, infected animals excrete large amount of bacteria
into the external environment, up to 1 billion per gram of placenta. Epidemics
in humans are most often associated with slaughterhouses and farms with
intensive breeding of sheep and goats. Clinically, Q fever is often asymptomatic
in humans, but also occures in the form of non-specific fever, atypical
pneumonia, hepatitis and endocarditis. Since the clinical signs of the disease
are nonspecific, laboratory evidence of infection is necessary to establish an
accurate diagnosis and initiate specific therapy. The disease is treated with the
use of specific antibiotics, and in untreated patients the mortality rate can be
high. Q fever is mainly transmitted by inhalation of contaminated aerosols,
contact with infected animals and contaminated environment, or by consumption
of infected milk and animal products. Prevention is directed to avoid
exposure of people, especially persons at risk, to animals and the polluted environment.
Good process management on farms lowers the level of environmental
contamination and prevents people and animals from coming into contact with
sources of infection. Improvements of the monitoring and reporting of infections
in animals enable the timely response of veterinary and health services, as
integral parts of one health system, thus achieving greater efficiency in controlling
and preventing the occurrence of Q fever and allowing the timely
treatment.
Ključne reči:
Coxiella burnetii / Q groznica / rezervoari / zoonoza / Coxiella burnetii / Q fever / reservoirs / zoonosisIzvor:
Četvrti regionalni simpozijum Zaštita agrobiodiverziteta i očuvanje autohtonih rasa domaćih životinja, Dimitrovgrad, 29. jun - 1. jul 2023, 2023, 191-206Izdavač:
- Beograd : Fakultet veterinarske medicine
Napomena:
- Zbornik predavanja
Institucija/grupa
Naučni institut za veterinarstvo SrbijeTY - CONF AU - Stanojević, Slobodan AU - Vojinović, Dragica AU - Zdravković, Nemanja AU - Milovanović, Bojan AU - Žutić, Jadranka PY - 2023 UR - https://reponivs.nivs.rs/handle/123456789/815 AB - Q groznica je zoonoza rasprostranjena u celom svetu osim na Novom Zelandu, predstavlja znaĉajan uzrok oboljevanja ljudi širom sveta. Bolest izaziva Coxiella burnetii, intracelularna, Gram-negativna bekterija. Endemski je prisutna u Srbiji ali uprkos ĉinjenici da je vaţna za javno zdravlje i ekonomiju stanovišta, o njoj se malo izveštava dok je nadzor slabo razvijen. Postoji veliki broj rezervoara u prirodi koje uglavnom ĉine sisari, ptice i krpelji. Domaći preţivari se smatraju glavnim izvorom infekcije od kojih se moţe zaraziti veliki broj drugih domaćina. Serološke studije koje smo sproveli pokazale su prisustvo antitela na C. burnetii u Beogradskoj epizootiološkoj oblasti. Seroprevalencija kod goveda na farmama je iznosila 18%, dok je u porodiĉnim gazdinstvima bila 1,5%. Kod krava na farmama koje su pobacile prevalencija je iznoslila 49%, dok je u porodiĉnim gazdinstvima bila 1,9%. Infekcija kod domaćih ţivotinja najĉešće prolazi asimptomatski i obiĉno se primeti tek kada nastanu reproduktivni poremećaji i pobaĉaji. Tokom abortusa i poroĊaja obolele ţivotinje izluĉuju u spoljašnju sredinu veliku koliĉinu bakterija, i do 1 milijarde po gramu placente. Pojave epidemija kod ljudi najĉešće su povezane sa klanicama i farmama sa intenzivnim gajenjam ovaca i koza. Kliniĉki Q groznica se i kod ljudi naĉešće javlja asimptomatska, ali i u formi nespecifiĉne groznice, atipiĉne pneumonije, hepatitisa i endokarditisa. Pošto su kliniĉki znaci bolesti nespecifiĉni, laboratorijski dokazi infekcije su neophodni za postavljanje taĉne dijagnoze i otpoĉinjanje specifiĉne terapije. Bolest se leĉi upotrebom specifiĉnih antibiotika, a kod neleĉenih pacijenata stopa smrtnosti moţe biti visoka. Q groznica se uglavnom prenosi udisanjem kontaminiranog aerosola, kontaktom sa obolelim ţivotinjama i kontaminiranom okolinom ili konzumiranjem zaraţenog mleka i ţivotinjskih proizvoda. Prevencija je usmerena na izbegavanje izlaganja ljudi, posebno riziĉnih osoba, ţivotinjama i zagaĊenoj ţivotnoj sredini. Dobrim upravljanjem procesima na farmama sniţava se stepen kontaminacije okoline i spreĉavaju kontakti ljudi i ţivotinja sa izvorima infekcije. Poboljšanja u zoru i izveštavanje o infekcijama kod ţivotinja omogućava blagovremeno reagovanje veterinarskih i zdravstevnih sluţbi, kao sastavnih delova sistema jednog zdravlja, ĉime se postiţe veća efikasnost u kontroli i spreĉavanju nastanka Q groznice i njenom blagovremenom leĉenju. AB - Q fever is a zoonosis spread throughout the world except in New Zealand, and presents a significant cause of human illness worldwide. The disease is caused by Coxiella burnetii, an intracellular, Gram-negative bacterium. It is endemic in Serbia, but despite the fact that it is important for public health and economy, it is reported rarely and surveillance is poorly developed. There are numerous reservoirs in nature, which are mainly mammals, birds and ticks. Domestic ruminants are considered the main source of infection from which a large number of different hosts can be infected. The serological studies we conducted showed the presence of antibodies to C. burnetii in the Belgrade epizootic area. Seroprevalence in cattle on intensive farms was 18%, while in family farms it was 1.5%. In cows that aborted on farms, the prevalence was 49%, while in family farms it was 1.9%. Infection in domestic animals is usually asymptomatic and usually noticed only when reproductive disorders and abortions occur. During abortion and labor, infected animals excrete large amount of bacteria into the external environment, up to 1 billion per gram of placenta. Epidemics in humans are most often associated with slaughterhouses and farms with intensive breeding of sheep and goats. Clinically, Q fever is often asymptomatic in humans, but also occures in the form of non-specific fever, atypical pneumonia, hepatitis and endocarditis. Since the clinical signs of the disease are nonspecific, laboratory evidence of infection is necessary to establish an accurate diagnosis and initiate specific therapy. The disease is treated with the use of specific antibiotics, and in untreated patients the mortality rate can be high. Q fever is mainly transmitted by inhalation of contaminated aerosols, contact with infected animals and contaminated environment, or by consumption of infected milk and animal products. Prevention is directed to avoid exposure of people, especially persons at risk, to animals and the polluted environment. Good process management on farms lowers the level of environmental contamination and prevents people and animals from coming into contact with sources of infection. Improvements of the monitoring and reporting of infections in animals enable the timely response of veterinary and health services, as integral parts of one health system, thus achieving greater efficiency in controlling and preventing the occurrence of Q fever and allowing the timely treatment. PB - Beograd : Fakultet veterinarske medicine C3 - Četvrti regionalni simpozijum Zaštita agrobiodiverziteta i očuvanje autohtonih rasa domaćih životinja, Dimitrovgrad, 29. jun - 1. jul 2023 T1 - Epizootiologija Q groznice i njen društveno ekonomski uticaj i implikacije na javno zdravlje T1 - Epizootiology of Q fever, its socioeconomic impact, and public health implications EP - 206 SP - 191 ER -
@conference{ author = "Stanojević, Slobodan and Vojinović, Dragica and Zdravković, Nemanja and Milovanović, Bojan and Žutić, Jadranka", year = "2023", abstract = "Q groznica je zoonoza rasprostranjena u celom svetu osim na Novom Zelandu, predstavlja znaĉajan uzrok oboljevanja ljudi širom sveta. Bolest izaziva Coxiella burnetii, intracelularna, Gram-negativna bekterija. Endemski je prisutna u Srbiji ali uprkos ĉinjenici da je vaţna za javno zdravlje i ekonomiju stanovišta, o njoj se malo izveštava dok je nadzor slabo razvijen. Postoji veliki broj rezervoara u prirodi koje uglavnom ĉine sisari, ptice i krpelji. Domaći preţivari se smatraju glavnim izvorom infekcije od kojih se moţe zaraziti veliki broj drugih domaćina. Serološke studije koje smo sproveli pokazale su prisustvo antitela na C. burnetii u Beogradskoj epizootiološkoj oblasti. Seroprevalencija kod goveda na farmama je iznosila 18%, dok je u porodiĉnim gazdinstvima bila 1,5%. Kod krava na farmama koje su pobacile prevalencija je iznoslila 49%, dok je u porodiĉnim gazdinstvima bila 1,9%. Infekcija kod domaćih ţivotinja najĉešće prolazi asimptomatski i obiĉno se primeti tek kada nastanu reproduktivni poremećaji i pobaĉaji. Tokom abortusa i poroĊaja obolele ţivotinje izluĉuju u spoljašnju sredinu veliku koliĉinu bakterija, i do 1 milijarde po gramu placente. Pojave epidemija kod ljudi najĉešće su povezane sa klanicama i farmama sa intenzivnim gajenjam ovaca i koza. Kliniĉki Q groznica se i kod ljudi naĉešće javlja asimptomatska, ali i u formi nespecifiĉne groznice, atipiĉne pneumonije, hepatitisa i endokarditisa. Pošto su kliniĉki znaci bolesti nespecifiĉni, laboratorijski dokazi infekcije su neophodni za postavljanje taĉne dijagnoze i otpoĉinjanje specifiĉne terapije. Bolest se leĉi upotrebom specifiĉnih antibiotika, a kod neleĉenih pacijenata stopa smrtnosti moţe biti visoka. Q groznica se uglavnom prenosi udisanjem kontaminiranog aerosola, kontaktom sa obolelim ţivotinjama i kontaminiranom okolinom ili konzumiranjem zaraţenog mleka i ţivotinjskih proizvoda. Prevencija je usmerena na izbegavanje izlaganja ljudi, posebno riziĉnih osoba, ţivotinjama i zagaĊenoj ţivotnoj sredini. Dobrim upravljanjem procesima na farmama sniţava se stepen kontaminacije okoline i spreĉavaju kontakti ljudi i ţivotinja sa izvorima infekcije. Poboljšanja u zoru i izveštavanje o infekcijama kod ţivotinja omogućava blagovremeno reagovanje veterinarskih i zdravstevnih sluţbi, kao sastavnih delova sistema jednog zdravlja, ĉime se postiţe veća efikasnost u kontroli i spreĉavanju nastanka Q groznice i njenom blagovremenom leĉenju., Q fever is a zoonosis spread throughout the world except in New Zealand, and presents a significant cause of human illness worldwide. The disease is caused by Coxiella burnetii, an intracellular, Gram-negative bacterium. It is endemic in Serbia, but despite the fact that it is important for public health and economy, it is reported rarely and surveillance is poorly developed. There are numerous reservoirs in nature, which are mainly mammals, birds and ticks. Domestic ruminants are considered the main source of infection from which a large number of different hosts can be infected. The serological studies we conducted showed the presence of antibodies to C. burnetii in the Belgrade epizootic area. Seroprevalence in cattle on intensive farms was 18%, while in family farms it was 1.5%. In cows that aborted on farms, the prevalence was 49%, while in family farms it was 1.9%. Infection in domestic animals is usually asymptomatic and usually noticed only when reproductive disorders and abortions occur. During abortion and labor, infected animals excrete large amount of bacteria into the external environment, up to 1 billion per gram of placenta. Epidemics in humans are most often associated with slaughterhouses and farms with intensive breeding of sheep and goats. Clinically, Q fever is often asymptomatic in humans, but also occures in the form of non-specific fever, atypical pneumonia, hepatitis and endocarditis. Since the clinical signs of the disease are nonspecific, laboratory evidence of infection is necessary to establish an accurate diagnosis and initiate specific therapy. The disease is treated with the use of specific antibiotics, and in untreated patients the mortality rate can be high. Q fever is mainly transmitted by inhalation of contaminated aerosols, contact with infected animals and contaminated environment, or by consumption of infected milk and animal products. Prevention is directed to avoid exposure of people, especially persons at risk, to animals and the polluted environment. Good process management on farms lowers the level of environmental contamination and prevents people and animals from coming into contact with sources of infection. Improvements of the monitoring and reporting of infections in animals enable the timely response of veterinary and health services, as integral parts of one health system, thus achieving greater efficiency in controlling and preventing the occurrence of Q fever and allowing the timely treatment.", publisher = "Beograd : Fakultet veterinarske medicine", journal = "Četvrti regionalni simpozijum Zaštita agrobiodiverziteta i očuvanje autohtonih rasa domaćih životinja, Dimitrovgrad, 29. jun - 1. jul 2023", title = "Epizootiologija Q groznice i njen društveno ekonomski uticaj i implikacije na javno zdravlje, Epizootiology of Q fever, its socioeconomic impact, and public health implications", pages = "206-191" }
Stanojević, S., Vojinović, D., Zdravković, N., Milovanović, B.,& Žutić, J.. (2023). Epizootiologija Q groznice i njen društveno ekonomski uticaj i implikacije na javno zdravlje. in Četvrti regionalni simpozijum Zaštita agrobiodiverziteta i očuvanje autohtonih rasa domaćih životinja, Dimitrovgrad, 29. jun - 1. jul 2023 Beograd : Fakultet veterinarske medicine., 191-206.
Stanojević S, Vojinović D, Zdravković N, Milovanović B, Žutić J. Epizootiologija Q groznice i njen društveno ekonomski uticaj i implikacije na javno zdravlje. in Četvrti regionalni simpozijum Zaštita agrobiodiverziteta i očuvanje autohtonih rasa domaćih životinja, Dimitrovgrad, 29. jun - 1. jul 2023. 2023;:191-206..
Stanojević, Slobodan, Vojinović, Dragica, Zdravković, Nemanja, Milovanović, Bojan, Žutić, Jadranka, "Epizootiologija Q groznice i njen društveno ekonomski uticaj i implikacije na javno zdravlje" in Četvrti regionalni simpozijum Zaštita agrobiodiverziteta i očuvanje autohtonih rasa domaćih životinja, Dimitrovgrad, 29. jun - 1. jul 2023 (2023):191-206.