16 results on '"Caballero CM"'
Search Results
2. Impact of the COVID-19-pandemic and perception of self-efficacy on the mental health of out-of-hospital emergency healthcare professionals by modality of care.
- Author
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Cárdaba-García RM, Soto-Cámara R, García-Santa-Basilia N, Matellán-Hernández MP, Onrubia-Baticón H, Martínez-Caballero CM, Thuissard-Vasallo IJ, and Navalpotro-Pascual S
- Subjects
- Humans, Female, Male, Cross-Sectional Studies, Adult, Middle Aged, Spain, Health Personnel psychology, Pandemics, Anxiety psychology, Mental Health, SARS-CoV-2, Depression psychology, Depression epidemiology, Stress, Psychological psychology, Emergency Medical Services, Surveys and Questionnaires, COVID-19 psychology, COVID-19 epidemiology, Self Efficacy
- Abstract
Objective: To analyse the influence of the COVID-19 pandemic and the perception of self-efficacy on the health professionals of the Spanish out-of-hospital emergency services., Design: Observational, cross-sectional and descriptive with a survey methodology of 1710 participants from Spain (1 February-30 April, 2021)., Methods: The mental health of healthcare workers was assesed in terms of stress, anxiety and depression, as well as their self-efficacy. Linear and logistic regression models were fitted to predict these variables. A moderation analysis was conducted to determine the effect of self-efficacy on mental health., Results: The means of the sample for stress, anxiety, depression and self-efficacy were 20.60, 15.74, 13.07 and 70.87, respectively. In the regression models, being a woman was the most significant factor for severe mental health impairment. Female gender was also a relevant factor for self-efficacy. Self-efficacy had a direct effect on the mental health for working in patient care., Conclusions: Healthcare workers showed moderate stress, severe anxiety, mild depression and good self-efficacy. Direct patient care was associated with more stress and severe anxiety. Age, female gender, job changes and job adjustment were associated with levels of stress, anxiety and depression. Self-efficacy is a determining factor of mental health in the direct care modality., Implications: The mental health of healthcare workers has been of great importance in the aftermath of the pandemic, but out-of-hospital emergency workers have been neglected in research. The levels of stress, anxiety and depression during the pandemic justify the creation of prevention and early diagnosis programmes, as they are essential in a health disaster. Surprisingly, their high level of perceived self-efficacy directly impact on the mental health of patient helthcare workers, so improving it will reduce the psychological risk., Reporting Method: We have followed the STROBE guidelines. It has been partially funded by the Asistencia Sanitanitaria Interprovincial de Seguros - ASISA Foundation (Spain). PATIENT OR PUBLIC CONTRIBUTION: 'No patient or public involvement'., (© 2024 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.)
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- 2024
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3. Exploring Disparities in Self-Reported Mental Health Symptoms Across Professional Categories in Spain's Emergency Medical Services: A Nationwide Cross-Sectional Study.
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Martínez-Caballero CM, Matellán-Hernández MP, Polo-Portes CE, Reques-Marugán AM, Soto-Cámara R, Cardaba-García RM, Thuissard IJ, and Navalpotro-Pascual S
- Subjects
- Male, Humans, Adult, Middle Aged, Female, Cross-Sectional Studies, Self Report, Spain epidemiology, Mental Health, Emergency Medical Services
- Abstract
Objective: This study aimed to analyze stress, anxiety, depression, and self-efficacy levels among Spanish out-of-hospital emergency medical professionals from February 1, 2021, to April 30, 2021., Methods: A nationwide survey was completed by 1666 Emergency Medical Services (EMS) workers. The Depression, Anxiety, and Stress Scale (DASS-21) and the General Self-Efficacy Scale (GSE) were used. Data analysis used chi-squared, análisis of variance (ANOVA), and logistic regressions., Results: The sample comprised 833 (50%) men, with an average age of 44.3 ± 9.9 y (range: 19-67 y). Occupational distribution included 453 (27.2%) physicians, 474 (28.4%) nurses, and 739 (44.4%) emergency medical technicians (EMTs). EMTs exhibited higher odds of severe or extremely severe depression compared with physicians (odds ratio [OR]: 1.569; 95% confidenceinterval [95% CI]: 1.213-2.030) and nurses (OR: 1.561; 95% CI: 1.211-2.012). EMTs also displayed higher probabilities of severe or extremely severe anxiety compared with nurses (OR: 1.944; 95% CI: 1.529-2.701). Furthermore, EMTs demonstrated elevated probabilities of severe or extremely severe stress compared with physicians (OR: 1.387; 95% CI: 1.088-1.770). However, no significant differences were found in self-efficacy, with a median value of 73 [20]., Conclusions: Out-of-hospital EMS workers experienced mental health challenges, showing varying levels of depression, stress, and anxiety across different occupational groups. EMTs were particularly affected.
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- 2023
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4. Perceptions of the Educational Community on the Inclusion and Presence of Students with SEN in Mainstream Schools: A Mixed Study.
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Arnaiz-Sánchez P, De Haro-Rodríguez R, Alcaraz S, and Caballero CM
- Abstract
Achieving inclusive education is a primary challenge for the educational community. Inclusion refers to equal access to education-to the presence, participation and learning of all students. Offering an inclusive education requires all students to share time and space together in the mainstream classroom, that the educational community manifests a positive attitude towards diversity, and that educational centers plan to welcome diversity in their classrooms. The general objective of this study was to evaluate the inclusion of students with SEN enrolled in SOCs in mainstream schools based on their presence, the attitudes of the educational community and the planning processes developed. This was a descriptive study with a dominant status mixed design (QUAN-Qual). The population investigated in this research included the total number of SOCs of the Autonomous Community of the Region of Murcia (Spain) ( n = 108). The sample obtained comprised 3.891 people belonging to 88 SOCs from 68 educational centers, which implies a confidence interval of 99% (Z = 2.576) and a margin of error of less than 5%. The data collection instruments used included seven questionnaires, adapted for the purposes of the study, for the quantitative phase, and semi-structured interviews, focus groups and discussion groups for the qualitative phase. The study results indicated that the attitudes of the educational community were the main determinant of inclusion. There is a need to reflect on and undertake actions to eliminate existing barriers to the operation of SOCs, since the involvement of students with SEN in the academic and social life of educational centers, and in mainstream classrooms, is not guaranteed.
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- 2022
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5. [Observational study of the adherence to the correct use of face masks by the general population in open public places during two periods of the COVID-19 pandemic in four Spanish cities.]
- Author
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Mateos Mazón M, Martínez Caballero CM, Mateos Mazón JJ, de Carlos Negro L, and Del Otero Sanz L
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- Adult, Cities, Humans, Pandemics prevention & control, SARS-CoV-2, Spain epidemiology, COVID-19, Masks
- Abstract
Objective: One of the steps adopted to mitigate the pandemic due to SARS-CoV-2 is the use of face masks by the general population. For a face mask to be effective it should cover the nose and the mouth. We wanted to measure the correct use of the face mask by the general population in open public spaces through direct observation., Methods: We conducted an observational study of the proper use of face masks among the general population in open public places in Bilbao, Santander, Oviedo and Zaragoza from 16
th to 26th July, 2020 and from 23rd January to 2nd March, 2021. Sampling for convenience; compliance of the proper use of a mask was evaluated when adults completely covered their mouth and nose. The type of mask and its improper use was registered using a standardized form. The results were obtained using frequency distribution, Pearson's chi-squared test and multivariate logistic regression analysis., Results: A total of 5,464 observations were documented. The overall compliance was 89.5%. We observed that the compliance in 2021 (94.7%) was 10.9 percentage points higher than in 2020 (83.8%) (p<0.001). The main cause of non-compliance was the incorrect placement of face masks (64%); 36% were without masks. The non-reusable face masks were most commonly worn (54.1%). We observed a significant increase in use of high-efficiency face masks in 2021 (27.1%) versus 2020 (13.7%)., Conclusions: In all the cities where the study was conducted we observed an increase in compliance of the proper use of face masks as well as an increased usage of high-efficiency masks. The main cause of non-compliance was incorrect placement.- Published
- 2022
6. Analyzing the Impact of COVID-19 Trauma on Developing Post-Traumatic Stress Disorder among Emergency Medical Workers in Spain.
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Martínez-Caballero CM, Cárdaba-García RM, Varas-Manovel R, García-Sanz LM, Martínez-Piedra J, Fernández-Carbajo JJ, Pérez-Pérez L, Madrigal-Fernández MA, Barba-Pérez MÁ, Olea E, Durantez-Fernández C, and Herrero-Frutos MT
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- Humans, Pandemics, SARS-CoV-2, Spain epidemiology, COVID-19, Stress Disorders, Post-Traumatic epidemiology
- Abstract
The early stages of the COVID-19 pandemic presented the characteristics of a traumatic event that could trigger post-traumatic stress disorder. Emergency Medical Services workers are already a high-risk group due to their professional development. The research project aimed to analyse the impact of the COVID-19 pandemic on EMS professionals in terms of their mental health. For this purpose, we present a descriptive crosssectional study with survey methodology. A total of 317 EMS workers (doctors, nurses, and emergency medical technicians) were recruited voluntarily. Psychological distress, post-traumatic stress disorder, and insomnia were assessed. The instruments were the General Health Questionnaire-12 (GHQ-12), the Davidson Trauma Scale (DTS-8), and the Athens Insomnia Scale (AIS-8). We found that 36% of respondents had psychological distress, 30.9% potentially had PTSD, and 60.9% experienced insomnia. Years of work experience were found to be positively correlated, albeit with low effect, with the PTSD score ( r = 0.133). Finally, it can be stated that the COVID-19 pandemic has been a traumatic event for EMS workers. The number of professionals presenting psychological distress, possible PTSD, or insomnia increased dramatically during the early phases of the pandemic. This study highlights the need for mental health disorder prevention programmes for EMS workers in the face of a pandemic.
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- 2021
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7. In Reply to Dr Soteras et al.
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Martínez-Caballero CM and Sierra Quintana E
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- Emergency Medical Services
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- 2020
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8. The Prognostic Value of Prehospital Blood Lactate Levels to Predict Early Mortality in Acute Cardiovascular Disease.
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Martín-Rodríguez F, López-Izquierdo R, Castro Villamor MA, Del Pozo Vegas C, Delgado Benito MDP, Martínez Caballero CM, Priego Martínez V, Martín Conty JL, Mayo-Iscar A, Sánchez-Soberón I, and Baez GP
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- Aged, Aged, 80 and over, Cardiovascular Diseases pathology, Emergency Medical Services, Female, Humans, Male, Middle Aged, Multicenter Studies as Topic, Predictive Value of Tests, Prognosis, Prospective Studies, ROC Curve, Acute Disease mortality, Cardiovascular Diseases blood, Cardiovascular Diseases mortality, Lactic Acid blood
- Abstract
Introduction: The knowledge of the prognostic value of prehospital lactate (PLA) is limited. Our objective was to evaluate the predictive capacity of PLA to predict early mortality (within 48 h) from the index event in acute cardiovascular disease (ACVD)., Methods: Prospective, longitudinal, multicenter, observational study in patients, attended by advanced life support units, transferred to the emergency department of their reference hospital and diagnosed with ACVD. We collected demographic, physiological, clinical, analytical variables, main cardiological diagnosis, and data on hospital admission and early mortality. The main outcome variable was mortality from any cause within 2 days., Results: Between March 1, 2018 and January 31, 2019, a total of 492 patients were included in our study. Early mortality after the index event within the first 48 h affected 27 patients (5.5%). The most frequent cause of care demand was chest pain with 223 cases (45.3%). The predictive power of PLA to discriminate mortality at 2 days obtained an area under the curve of 0.911 (95% confidence interval [CI]: 0.83-0.98, P < 0.001). A value equal or superior to 4.3 mmol/L globally attained a sensitivity of 92.6% (95% CI, 76.6-97.9) with a specificity of 82.8% (95% CI, 79.1-86.0), with a positive predictive value of 23.8 (16.7-32.8) and a negative predictive value of 99.5 (98.1-99.9)., Conclusion: PLA represents a prognostic biomarker with excellent predictive capacity for ACVD. Prehospital Emergency Services (PhEMS) should incorporate this test routinely in their usual procedures.
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- 2020
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9. Correction: Synanthropic Mammals as Potential Hosts of Tick-Borne Pathogens in Panama.
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Bermúdez SE, Gottdenker N, Krishnavajhala A, Fox A, Wilder HK, González K, Smith D, López M, Perea M, Rigg C, Montilla S, Calzada JE, Saldaña A, Caballero CM, and Lopez JE
- Abstract
[This corrects the article DOI: 10.1371/journal.pone.0169047.].
- Published
- 2019
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10. Epidemiology of Cardiac Events During Prehospital Care in Mountain Rescues Conducted in Aragón.
- Author
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Martínez-Caballero CM and Sierra Quintana E
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- Adolescent, Adult, Aged, Emergency Medical Services, Female, Humans, Male, Middle Aged, Mountaineering, Retrospective Studies, Spain epidemiology, Young Adult, Death, Sudden epidemiology, Heart Diseases epidemiology
- Abstract
Introduction: Cardiac events are one of the leading causes of death in the Spanish population. Given the increase in the nontraumatic medical conditions found in mountain rescues, the objective of this study was to report on the heart conditions of patients rescued in the mountains of Aragón in the Spanish Pyrenees., Methods: We conducted a retrospective observational study based on data collected from patients' medical histories for rescues undertaken in from 2010 to 2016 (at altitudes between 500 m [1640 ft] and 3404 m [11,168 ft])., Results: Of the 2079 individuals rescued from 2010 to 2016, 34 (2%) were diagnosed with heart conditions, accounting for 21% of all nontraumatic medical conditions. The data showed a statistically significant increase in the age of the rescued patients with heart conditions (55±15 y) and those with acute coronary syndrome/sudden death (60±8 y). Eighty-five percent of the rescued patients with heart conditions were men, 62% were rescued above 2000 m (6500 ft), 42% had acute coronary syndrome (of whom 56% had inferior infarction), and 35% died suddenly., Conclusions: Aragón mountain rescues show an increase in patient age in recent years. The most common medical case among rescued individuals with heart conditions was a hiker over the age of 50 y with cardiovascular risk factors, inferior infarction, and occurrence at an altitude above 2000 m. Based on our observations, appropriate training should be undertaken, especially by older hikers, who may also benefit from cardiac screening, and rescue vehicles/personnel and mountain huts should be equipped with semiautomatic external defibrillators., (Copyright © 2018 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.)
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- 2019
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11. [Nontraumatic medical emergencies in mountain rescues].
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Sierra Quintana E, Martínez Caballero CM, Batista Pardo SA, Abella Barraca S, and de la Vieja Soriano M
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- Adolescent, Adult, Aged, Aged, 80 and over, Altitude Sickness diagnosis, Altitude Sickness epidemiology, Altitude Sickness etiology, Child, Child, Preschool, Digestive System Diseases diagnosis, Digestive System Diseases epidemiology, Digestive System Diseases etiology, Female, Heart Diseases diagnosis, Heart Diseases epidemiology, Heart Diseases etiology, Humans, Hypothermia diagnosis, Hypothermia epidemiology, Hypothermia etiology, Infant, Male, Middle Aged, Nervous System Diseases epidemiology, Nervous System Diseases etiology, Retrospective Studies, Spain epidemiology, Young Adult, Emergencies epidemiology, Emergency Medical Services, Mountaineering, Rescue Work
- Abstract
Objectives: To describe the clinical and epidemiologic characteristics of patients with nontraumatic medical problems rescued by a Spanish mountain emergency response service (061 Aragon)., Material and Methods: Retrospective observational analysis of records of mountain rescues completed between July 2010 and December 2016., Results: A total of 164 patients with nontraumatic medical emergencies were rescued; 82.3% were males. Most patients were between the ages of 50 and 59 years. Environmentally related problems, most often hypothermia, accounted for 36.6% of the emergencies. Cardiac problems led to 20.7% and digestive problems to 12.8%. Eighty-two percent of the patients were hiking or engaged in general mountain activities (other than rock climbing, canyoning, hunting, or skiing)., Conclusion: Recent years have seen a rise in the number of patients requiring rescue from mountains for nontraumatic medical emergencies, particularly heart problems. The typical patient to expect would be a man between the ages of 50 and 59 years who is hiking in the summer.
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- 2017
12. Subcutaneous Tocilizumab May Be Less Effective than Intravenous Tocilizumab in the Treatment of Juvenile Idiopathic Arthritis-associated Uveitis.
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Quesada-Masachs E and Caballero CM
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- Adolescent, Adult, Antibodies, Monoclonal, Humanized therapeutic use, Antirheumatic Agents therapeutic use, Female, Humans, Injections, Intravenous, Injections, Subcutaneous, Treatment Outcome, Antibodies, Monoclonal, Humanized administration & dosage, Antirheumatic Agents administration & dosage, Arthritis, Juvenile drug therapy, Uveitis drug therapy
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- 2017
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13. Synanthropic Mammals as Potential Hosts of Tick-Borne Pathogens in Panama.
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Bermúdez SE, Gottdenker N, Krishnvajhala A, Fox A, Wilder HK, González K, Smith D, López M, Perea M, Rigg C, Montilla S, Calzada JE, Saldaña A, Caballero CM, and Lopez JE
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- Animals, Animals, Wild, Geography, Humans, Panama epidemiology, Rickettsia Infections epidemiology, Rickettsia Infections transmission, Arthropod Vectors microbiology, Disease Reservoirs, Mammals, Ticks microbiology
- Abstract
Synanthropic wild mammals can be important hosts for many vector-borne zoonotic pathogens. The aim of this study was determine the exposure of synanthropic mammals to two types of tick-borne pathogens in Panama, spotted fever group Rickettsia (SFGR) and Borrelia relapsing fever (RF) spirochetes. One hundred and thirty-one wild mammals were evaluated, including two gray foxes, two crab-eating foxes (from zoos), four coyotes, 62 opossum and 63 spiny rats captured close to rural towns. To evaluate exposure to SFGR, serum samples from the animals were tested by indirect immunofluorescence assay (IFA) using Rickettsia rickettsii and Candidatus Rickettsia amblyommii antigen. Immunoblotting was performed using Borrelia turicatae protein lysates and rGlpQ, to assess infection caused by RF spirochetes. One coyote (25%) and 27 (43%) opossums showed seroreactivity to SFGR. Of these opossums, 11 were seroreactive to C. R. amblyommii. Serological reactivity was not detected to B. turicatae in mammal samples. These findings may reflect a potential role of both mammals in the ecology of tick-borne pathogens in Panama., Competing Interests: The authors have declared that no competing interests exist.
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- 2017
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14. Efficacy of the Janus kinase 1/2 inhibitor ruxolitinib in the treatment of vasculopathy associated with TMEM173-activating mutations in 3 children.
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Frémond ML, Rodero MP, Jeremiah N, Belot A, Jeziorski E, Duffy D, Bessis D, Cros G, Rice GI, Charbit B, Hulin A, Khoudour N, Caballero CM, Bodemer C, Fabre M, Berteloot L, Le Bourgeois M, Reix P, Walzer T, Moshous D, Blanche S, Fischer A, Bader-Meunier B, Rieux-Laucat F, Crow YJ, and Neven B
- Subjects
- Child, Child, Preschool, Female, Humans, Janus Kinase 1 genetics, Janus Kinase 2 genetics, Male, Nitriles, Pyrimidines, Janus Kinase 1 antagonists & inhibitors, Janus Kinase 2 antagonists & inhibitors, Membrane Proteins genetics, Mutation genetics, Protein Kinase Inhibitors therapeutic use, Pyrazoles therapeutic use
- Published
- 2016
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15. Rickettsial infection in domestic mammals and their ectoparasites in El Valle de Antón, Coclé, Panamá.
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Bermúdez CS, Zaldívar AY, Spolidorio MG, Moraes-Filho J, Miranda RJ, Caballero CM, Mendoza Y, and Labruna MB
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- Animals, Dog Diseases epidemiology, Dog Diseases microbiology, Dogs, Flea Infestations epidemiology, Flea Infestations veterinary, Horse Diseases epidemiology, Horse Diseases microbiology, Horses, Panama epidemiology, Population Surveillance, Rickettsia classification, Rickettsia isolation & purification, Rickettsia Infections epidemiology, Rickettsia Infections parasitology, Tick Infestations epidemiology, Tick Infestations veterinary, Dog Diseases parasitology, Horse Diseases parasitology, Rickettsia Infections veterinary, Siphonaptera microbiology, Ticks microbiology
- Abstract
The present research evaluated the presence of Rickettsia spp. on ectoparasites of horses and dogs (using PCR techniques), and their sera (using immunofluorescence assay) in El Valle de Antón town in Panama. A total of 20 horses and 20 dogs were sampled, finding four species of ectoparasites on dogs (the ticks Rhipicephalus sanguineus, Amblyomma ovale, Amblyomma oblongoguttatum, and the flea Ctenocephalides felis), and two tick species on horses (Amblyomma cajennense and Dermacentor nitens). DNA of Rickettsia amblyommii was found in pools of A. cajennense, D. nitens, and R. sanguineus, while Rickettsia felis was detected in C. felis pools. Overall, 70% (14/20) and 65% (13/20) of the horses and dogs, respectively, were seroreactive (titer ≥ 64) to spotted fever group rickettsiae. Sera from six dogs and five horses reacted to R. amblyommii antigens with titers at least four-fold higher than those for the other antigens tested (Rickettsia bellii, Rickettsia parkeri, Rickettsia rhipicephali, R. felis, and R. rickettsii). These serological results, coupled with our molecular findings, suggest that these dogs and horses were infected by Rickettsia amblyommii. More studies need to be realized afford to identify the Rickettsia species responsible for other serological and molecular positive results, and their ecological importance., (Copyright © 2010 Elsevier B.V. All rights reserved.)
- Published
- 2011
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16. Spotted fever rickettsiae, Ehrlichia and Anaplasma, in ticks from peridomestic environments in Panama.
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Eremeeva ME, Karpathy SE, Levin ML, Caballero CM, Bermudez S, Dasch GA, and Motta JA
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- Animals, Bacteriological Techniques methods, Cluster Analysis, DNA, Bacterial chemistry, DNA, Bacterial genetics, DNA, Bacterial isolation & purification, DNA, Ribosomal chemistry, DNA, Ribosomal genetics, Dogs parasitology, Horses parasitology, Panama, Perissodactyla parasitology, Phylogeny, Polymerase Chain Reaction methods, Prevalence, RNA, Ribosomal, 16S genetics, Sequence Analysis, DNA, Anaplasma isolation & purification, Ehrlichia isolation & purification, Ticks microbiology
- Published
- 2009
- Full Text
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