51. Detailed analysis of health status of Q fever patients 1 year after the first Dutch outbreak: a case-control study.
- Author
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Limonard GJ, Peters JB, Nabuurs-Franssen MH, Weers-Pothoff G, Besselink R, Groot CA, Dekhuijzen PN, and Vercoulen JH
- Subjects
- Disease Outbreaks, Epidemiologic Methods, Female, Humans, Male, Netherlands epidemiology, Q Fever epidemiology, Q Fever immunology, Time Factors, Coxiella burnetii immunology, Health Status, Q Fever physiopathology
- Abstract
Background: Q fever is a zoonosis caused by the obligate intracellular bacterium Coxiella burnetii. The two long-term complications, after primary infection, are chronic Q fever in ∼1% of patients, and a chronic fatigue syndrome in 10-20%. However, the existence of a protracted decreased health status after Q fever remains controversial., Aim: To determine the health status of the patients of the Q fever outbreak in The Netherlands in 2007, 1 year after primary infection., Design: Cross-sectional case-control study., Methods: Health status of the patients from the 2007 Dutch Q fever outbreak was compared to age-, sex- and geographically matched and Q fever seronegative controls. Health status of both patients and controls was assessed with the Nijmegen Clinical Screening Instrument (NCSI)., Results: Fifty-four Q fever patients provided 34 years of age- and sex-matched controls from the same neighbourhood. Eleven controls had positive Q fever serology and were excluded. Q fever patients had significantly more problems on the subdomains of symptoms and functional impairment. Overall quality of life was decreased in both patients and controls, 59% vs. 39%, respectively, ns). Severe fatigue levels were present in 52% of patients vs. 26% in controls (P < 0.05)., Conclusion: These data support a sustained decrease in many aspects of health status in Q fever patients in The Netherlands, 1 year after primary infection.
- Published
- 2010
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