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Risk factors for occupational brucellosis among veterinary personnel in Turkey
Authors:Murat Kutlu  Onder Ergonul  Selda Sayin-Kutlu  Tumer Guven  Cemal Ustun  Sema Alp-Cavus  Serife Barc?n Ozturk  Ozlem Acicbe  Serife Akalin  Recep Tekin  Suda Tekin-Koruk  Yusuf Ziya Demiroglu  Ramazan Keskiner  Ibak Gönen  Sevil Sapmaz-Karabag  Vuslat Bosnak  Esra Kazak
Institution:1. Department of Infectious Diseases and Clinical Microbiology (IDCM), Pamukkale University, Faculty of Medicine, Denizli, Turkey;2. Department of Infectious Diseases, Koc University, School of Medicine, Istanbul, Turkey;3. IDCM, Atatürk Training and Research Hospital, Ankara, Turkey;4. IDCM, Abant Izzet Baysal University, Faculty of Medicine, Bolu, Turkey;5. Department of IDCM, Dokuz Eylul University, Faculty of Medicine, Izmir, Turkey;6. Department of IDCM, Adnan Menderes University, Faculty of Medicine, Aydin, Turkey;g Department of IDCM, Ondokuz May?s University, Faculty of Medicine, Samsun, Turkey;h Department of IDCM, Dicle University, Faculty of Medicine, Diyarbakir, Turkey;i Department of IDCM, Harran University, Faculty of Medicine, Sanl?urfa, Turkey;j Department of IDCM, Baskent University Adana Hospital, Adana, Turkey;k Department of IDCM, Ahi Evran University, Training and Research Hospital, K?rsehir, Turkey;l Department of IDCM, Suleyman Demirel University, Faculty of Medicine, Isparta, Turkey;m IDCM, Training and Research Hospital, Erzurum, Turkey;n Department of IDCM, Gaziantep University, Faculty of Medicine, Gaziantep, Turkey;o Department of IDCM, Uludag University, Faculty of Medicine, Bursa, Turkey
Abstract:Veterinarians and veterinary technicians are at risk for occupational brucellosis. We described the risk factors of occupational brucellosis among veterinary personnel in Turkey. A multicenter retrospective survey was performed among veterinary personnel who were actively working in the field. Of 712 veterinary personnel, 84 (11.8%) had occupational brucellosis. The median number of years since graduation was 7 (interquartile ranges IQR], 4–11) years in the occupational brucellosis group, whereas this number was 9 (IQR, 4–16) years in the non-brucellosis group (p < 0.001). In multivariable analysis, working in the private sector (odds ratio OR], 2.8; 95% confidence interval 95% CI], 1.55–5.28, p = 0.001), being male (OR, 4.5; 95% CI, 1.05–18.84, p = 0.041), number of performed deliveries (OR, 1.01; 95% CI, 1.002–1.02, p = 0.014), and injury during Brucella vaccine administration (OR, 5.4; 95% CI, 3.16–9.3, p < 0.001) were found to be risk factors for occupational brucellosis. We suggest that all veterinary personnel should be trained on brucellosis and the importance of using personal protective equipment in order to avoid this infection.
Keywords:Brucella  Occupational health  Retrospective cohort study  Risk analysis  Vaccine related brucellosis  Veterinarians  Zoonotic infections
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