1
|
Shukla JL, Husain AA, Lyngdoh SA, Nonglang FP, Sahai N, Gogoi M, Singh LR, Bhan S, Kashyap RS. Seroepidemiological study of human brucellosis in the Northeast region of Meghalaya, India. J Family Med Prim Care 2022; 11:5176-5186. [PMID: 36505523 PMCID: PMC9730955 DOI: 10.4103/jfmpc.jfmpc_1705_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Revised: 12/18/2021] [Accepted: 02/04/2022] [Indexed: 11/06/2022] Open
Abstract
Introduction Brucellosis is a neglected zoonotic disease of major public health concern. In India, the incidence of brucellosis remains vastly underreported due to its non-specific clinical presentation and sub-optimal sensitivity of existing gold standard tests. Studies in Northeast India have shown high incidences of brucellosis in livestock, but the region lacks data on human brucellosis despite its high associated risk. In the present study, we report the seroprevalence of human brucellosis and its associated risk factors in Meghalaya, Northeast India. Materials and Methods A prospective observational study was conducted in East Khasi Hills and Ri.Bhoi districts of Meghalaya, from July 2018 to July 2020. A total of 1046 suspected patients with febrile illness along with associated risk factors were recruited through camps and various diagnostic laboratories in the defined region as per the pre.specified inclusion and exclusion criteria. Baseline, demographics, and clinical characteristics were recorded of all the consenting participants. Blood samples were analyzed for brucellosis-specific IgM antibodies through enzyme-linked immunosorbent assay (ELISA). Results and discussion The overall seroprevalence of brucellosis was found to be 11.37% in Meghalaya. Among recruited participants, females were found to be more susceptible than males. Risk factors such as consumption of meat were found to be more significantly associated with brucellosis disease in the study region. Among the clinical presentations, pyrexia of unknown origin, myalgia, and chronic fatigue syndrome were found to be significantly associated with brucellosis disease in IgM.positive cases. Conclusion Our result suggests further epidemiological investigations for human brucellosis in Northeast India toward improved advocacy for accurate diagnosis, and development of proper response mechanism in areas of high endemicity.
Collapse
Affiliation(s)
- Jayshree L. Shukla
- Research Centre, Dr. G.M. Taori Central India Institute of Medical Sciences, Nagpur, Maharashtra, India
| | - Aliabbas A. Husain
- Research Centre, Dr. G.M. Taori Central India Institute of Medical Sciences, Nagpur, Maharashtra, India
| | - Samantha A. Lyngdoh
- Department of Biochemistry, North-Eastern Hill University, Shillong, Meghalaya, India
| | - Flavius P. Nonglang
- Department of Biochemistry, North-Eastern Hill University, Shillong, Meghalaya, India
| | - Nitin Sahai
- Department of Biomedical Engineering, North-Eastern Hill University, Shillong, Meghalaya, India
| | - Manasjit Gogoi
- Department of Biomedical Engineering, North-Eastern Hill University, Shillong, Meghalaya, India
| | - Lokendra R. Singh
- Research Centre, Dr. G.M. Taori Central India Institute of Medical Sciences, Nagpur, Maharashtra, India
| | - Surya Bhan
- Department of Biochemistry, North-Eastern Hill University, Shillong, Meghalaya, India,Address for correspondence: Dr. Rajpal S. Kashyap, Research Centre, Central India Institute of Medical Sciences, 88/2, Bajaj Nagar, Nagpur, Maharashtra, India. E-mail:
Dr. Surya Bhan, Department of Biochemistry, North-Eastern Hill University (NEHU), Umshing Mawkynroh, Shillong, Meghalaya, India. E-mail:
| | - Rajpal S. Kashyap
- Research Centre, Dr. G.M. Taori Central India Institute of Medical Sciences, Nagpur, Maharashtra, India,Address for correspondence: Dr. Rajpal S. Kashyap, Research Centre, Central India Institute of Medical Sciences, 88/2, Bajaj Nagar, Nagpur, Maharashtra, India. E-mail:
Dr. Surya Bhan, Department of Biochemistry, North-Eastern Hill University (NEHU), Umshing Mawkynroh, Shillong, Meghalaya, India. E-mail:
| |
Collapse
|