Please use this identifier to cite or link to this item: http://repositorio.ufla.br/jspui/handle/1/42477
metadata.artigo.dc.title: Occupational exposure to Brucella spp.: a systematic review and meta-analysis
metadata.artigo.dc.creator: Pereira, Carine Rodrigues
Almeida, João Vitor Fernandes Cotrim de
Oliveira, Izabela Regina Cardoso de
Oliveira, Luciana Faria de
Pereira, Luciano José
Zangerônimo, Márcio Gilberto
Lage, Andrey Pereira
Dorneles, Elaine Maria Seles
metadata.artigo.dc.publisher: Public Library of Science
metadata.artigo.dc.date.issued: 2020
metadata.artigo.dc.identifier.citation: PEREIRA, C. R. et al. Occupational exposure to Brucella spp.: a systematic review and meta-analysis. PLoS Neglected Tropical Diseases, [S.l.], v. 14, n. 5, 2020.
metadata.artigo.dc.description.abstract: Brucellosis is a neglected zoonotic disease of remarkable importance worldwide. The focus of this systematic review was to investigate occupational brucellosis and to identify the main infection risks for each group exposed to the pathogen. Seven databases were used to identify papers related to occupational brucellosis: CABI, Cochrane, Pubmed, Scielo, Science Direct, Scopus and Web of Science. The search resulted in 6123 studies, of which 63 were selected using the quality assessment tools guided from National Institutes of Health (NIH) and Case Report Guidelines (CARE). Five different job-related groups were considered greatly exposed to the disease: rural workers, abattoir workers, veterinarians and veterinary assistants, laboratory workers and hunters. The main risk factors and exposure sources involved in the occupational infection observed from the analysis of the articles were direct contact with animal fluids, failure to comply with the use of personal protective equipment, accidental exposure to live attenuated anti-brucellosis vaccines and non-compliance with biosafety standards. Brucella species frequently isolated from job-related infection were Brucella melitensis, Brucella abortus, Brucella suis and Brucella canis. In addition, a meta-analysis was performed using the case-control studies and demonstrated that animal breeders, laboratory workers and abattoir workers have 3.47 [95% confidence interval (CI); 1.47–8.19] times more chance to become infected with Brucella spp. than others individuals that have no contact with the possible sources of infection. This systematic review improved the understanding of the epidemiology of brucellosis as an occupational disease. Rural workers, abattoir workers, veterinarians, laboratory workers and hunters were the groups more exposed to occupational Brucella spp. infection. Moreover, it was observed that the lack of knowledge about brucellosis among frequently exposed professionals, in addition to some behaviors, such as negligence in the use of individual and collective protective measures, increases the probability of infection.
metadata.artigo.dc.identifier.uri: https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0008164
http://repositorio.ufla.br/jspui/handle/1/42477
metadata.artigo.dc.language: en_US
Appears in Collections:DMV - Artigos publicados em periódicos

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