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Title: Factores de riesgo, representaciones y prácticas asociadascon la leishmaniasis visceral humana en un foco urbanoemergente en Posadas, Argentina
Other Titles: Risk factors, representations and practices associated with emerging urban human visceral leishmaniasis in Posadas, Argentina
Authors: López, Karen 
Tartaglino, Lilian Catalina 
Steinhorst, Ingrid Iris 
Santini, María Soledad 
Salomón, Oscar Daniel 
Keywords: Argentina;Leishmaniasis;Enfermedades Desatendidas;Factores de Riesgo;Animales;Estudios Transversales;Enfermedades de los Perros;Perros;Humanos;Insectos Vectores;Leishmaniasis Visceral
Issue Date: 23-Feb-2016
Publisher: Instituto Nacional de Salud
Project: datasets
Journal: Biomedica : revista del Instituto Nacional de Salud 
Introduction: Visceral leishmaniasis is an often overlooked disease with high lethality rates about which there is need of additional local studies to inform the design of effective control strategies. The urbanization of its transmission has already been verified in America, with domestic dogs being the primary reservoirs and vectors of the disease. Socio-economic conditions, demographics and practices of domestic groups typically present in urban settings may play a specific role in the transmission of the infection, which is still poorly understood.

Objective: To analyze the sociodemographic characteristics, risk factors and overall practices concerning prevention and coping strategies of visceral leishmaniasis, in both human beings and canines.

Materials and methods: This study utilized a cross-sectional case-control design. Cases were defined as a domestic group where the Public Health Ministry had at least one record of a member with human visceral leishmaniasis. Control cases were defined as a domestic group without a clinical record of the disease. The populations were characterized demographically and socially using primary information sources. Measures of household quality and a ranking of knowledge and attitudes towards visceral leishmaniasis were constructed, and practices associated with the presence, and the risk for canine visceral leishmaniasis were described.

Results: Low household quality (p≤0.001), a member of the domestic group out of the household after 6:00 pm (OR=4.4; 95% CI: 1.69-12.18), the uncontrolled racial breeding of dogs (OR=15.7; 95% CI: 3.91-63.2), and the presence of infected dogs infected in the household (OR=120.3; 95% CI: 18.51-728.3) were variables positively associated with the risk of infection.

Conclusion: We observed certain social risk factors, primarily low household quality and overcrowding, associated with structural poverty that could increase human-vector contact probability. The most important risk factor for human visceral leishmaniasis was the possession of infected dogs in the household.
Fil: López, Karen. Municipalidad de Posadas. Secretaría de Calidad de Vida; Argentina.

Fil: Tartaglino, Lilian Catalina. Municipalidad de Posadas. Secretaría de Calidad de Vida; Argentina.

Fil: Steinhorst, Ingrid Iris. Municipalidad de Posadas. Secretaría de Calidad de Vida; Argentina.

Fil: Santini, María Soledad. ANLIS Dr.C.G.Malbrán. Centro Nacional de Diagnóstico e Investigación de
Endemo-Epidemias; Argentina.

Fil: Salomon, Oscar Daniel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina.
DOI: 10.7705/biomedica.v36i2.2953
Rights: Open Access
Appears in Collections:Publicaciones CeNDIE

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