Q fever: an under-reported reportable communicable disease
The objective of this study was to provide real-world clinical laboratory-based data to supplement Centers for Disease Control and Prevention (CDC) reporting of Q fever. We analysed titre results of specimens submitted to a large US clinical laboratory for Coxiella burnetii IgG antibody testing from...
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| Veröffentlicht in: | Epidemiology and infection 2018-07, Vol.146 (10), p.1240-1244 |
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| creator | Kaufman, Harvey W Chen, Zhen Radcliff, Jeff Batterman, Hollis J Leake, John |
| description | The objective of this study was to provide real-world clinical laboratory-based data to supplement Centers for Disease Control and Prevention (CDC) reporting of Q fever. We analysed titre results of specimens submitted to a large US clinical laboratory for Coxiella burnetii IgG antibody testing from 2010 through 2016. Presumptive Q fever was defined as acute (phase II IgG titre ⩾1:128, phase I titre |
| doi_str_mv | 10.1017/S0950268818001395 |
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We analysed titre results of specimens submitted to a large US clinical laboratory for Coxiella burnetii IgG antibody testing from 2010 through 2016. Presumptive Q fever was defined as acute (phase II IgG titre ⩾1:128, phase I titre <1:1024) or chronic (phase I IgG titre ⩾1:1024), based on the results from a single serum specimen. During 2010-2016, an average of 328 presumptive acute Q fever cases were identified at Quest each year, nearly three times the annual average reported to the CDC (122). During the same period, the number of chronic cases identified annually at Quest Diagnostics (34) was similar to that reported to the CDC (29). These findings suggest that CDC data may underestimate the incidence of acute Q fever.</description><identifier>ISSN: 0950-2688</identifier><identifier>EISSN: 1469-4409</identifier><identifier>DOI: 10.1017/S0950268818001395</identifier><identifier>PMID: 29941056</identifier><language>eng</language><publisher>England: Cambridge University Press</publisher><subject>Acute Disease ; Aged ; Antibodies, Bacterial - blood ; Antigens ; Chronic Disease ; Chronic illnesses ; Coxiella burnetii - immunology ; Disease control ; Disease Notification ; Disease prevention ; Epidemiological Monitoring ; Epidemiology ; Female ; Fever ; Health risk assessment ; Health surveillance ; Humans ; IgG antibody ; Immunoglobulin G ; Immunoglobulin G - blood ; Immunoglobulins ; Incidence ; Infections ; Infectious diseases ; Male ; Medical laboratories ; Middle Aged ; Morbidity ; Mortality ; Original Paper ; Public health ; Q fever ; Q Fever - blood ; Q Fever - diagnosis ; Q Fever - epidemiology ; Seroepidemiologic Studies ; Trends ; United States - epidemiology ; Zoonoses</subject><ispartof>Epidemiology and infection, 2018-07, Vol.146 (10), p.1240-1244</ispartof><rights>Copyright © Cambridge University Press 2018</rights><rights>Cambridge University Press 2018 2018 Cambridge University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-71f35f1171be274cc39771b11377909d6c8caf07c375cbbe043f966d6de1da693</citedby><cites>FETCH-LOGICAL-c427t-71f35f1171be274cc39771b11377909d6c8caf07c375cbbe043f966d6de1da693</cites><orcidid>0000-0003-2850-9047</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9134298/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9134298/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29941056$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaufman, Harvey W</creatorcontrib><creatorcontrib>Chen, Zhen</creatorcontrib><creatorcontrib>Radcliff, Jeff</creatorcontrib><creatorcontrib>Batterman, Hollis J</creatorcontrib><creatorcontrib>Leake, John</creatorcontrib><title>Q fever: an under-reported reportable communicable disease</title><title>Epidemiology and infection</title><addtitle>Epidemiol Infect</addtitle><description>The objective of this study was to provide real-world clinical laboratory-based data to supplement Centers for Disease Control and Prevention (CDC) reporting of Q fever. We analysed titre results of specimens submitted to a large US clinical laboratory for Coxiella burnetii IgG antibody testing from 2010 through 2016. Presumptive Q fever was defined as acute (phase II IgG titre ⩾1:128, phase I titre <1:1024) or chronic (phase I IgG titre ⩾1:1024), based on the results from a single serum specimen. During 2010-2016, an average of 328 presumptive acute Q fever cases were identified at Quest each year, nearly three times the annual average reported to the CDC (122). During the same period, the number of chronic cases identified annually at Quest Diagnostics (34) was similar to that reported to the CDC (29). These findings suggest that CDC data may underestimate the incidence of acute Q fever.</description><subject>Acute Disease</subject><subject>Aged</subject><subject>Antibodies, Bacterial - blood</subject><subject>Antigens</subject><subject>Chronic Disease</subject><subject>Chronic illnesses</subject><subject>Coxiella burnetii - immunology</subject><subject>Disease control</subject><subject>Disease Notification</subject><subject>Disease prevention</subject><subject>Epidemiological Monitoring</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Fever</subject><subject>Health risk assessment</subject><subject>Health surveillance</subject><subject>Humans</subject><subject>IgG antibody</subject><subject>Immunoglobulin G</subject><subject>Immunoglobulin G - blood</subject><subject>Immunoglobulins</subject><subject>Incidence</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical laboratories</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Original Paper</subject><subject>Public health</subject><subject>Q fever</subject><subject>Q Fever - blood</subject><subject>Q Fever - diagnosis</subject><subject>Q Fever - epidemiology</subject><subject>Seroepidemiologic Studies</subject><subject>Trends</subject><subject>United States - epidemiology</subject><subject>Zoonoses</subject><issn>0950-2688</issn><issn>1469-4409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNplUclKxEAQbUTRcfkALxLw4iVald7SHgQRNxBE1HPT6VQ0kmXsngz492YcFZdTveK9elXFY2wX4RAB9dE9GAmZynPMAZAbucImKJRJhQCzyiYLOl3wG2wzxhcAMFmu19lGZoxAkGrCju-SiuYUjhPXJUNXUkgDTfswozJZAlc0lPi-bYeu9h9NWUdykbbZWuWaSDufdYs9Xpw_nF2lN7eX12enN6kXmZ6lGisuK0SNBWVaeM-NHjEi19qAKZXPvatAe66lLwoCwSujVKlKwtIpw7fYydJ3OhQtlZ66WXCNnYa6deHN9q62v5mufrZP_dwa5CIz-Whw8GkQ-teB4sy2dfTUNK6jfog2A2mkApEvdu3_kb70Q-jG90aV0RmXMlejCpcqH_oYA1XfxyDYRTL2XzLjzN7PL74nvqLg733OiG0</recordid><startdate>20180701</startdate><enddate>20180701</enddate><creator>Kaufman, Harvey W</creator><creator>Chen, Zhen</creator><creator>Radcliff, Jeff</creator><creator>Batterman, Hollis J</creator><creator>Leake, John</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T2</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2850-9047</orcidid></search><sort><creationdate>20180701</creationdate><title>Q fever: an under-reported reportable communicable disease</title><author>Kaufman, Harvey W ; Chen, Zhen ; Radcliff, Jeff ; Batterman, Hollis J ; Leake, John</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c427t-71f35f1171be274cc39771b11377909d6c8caf07c375cbbe043f966d6de1da693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acute Disease</topic><topic>Aged</topic><topic>Antibodies, Bacterial - blood</topic><topic>Antigens</topic><topic>Chronic Disease</topic><topic>Chronic illnesses</topic><topic>Coxiella burnetii - immunology</topic><topic>Disease control</topic><topic>Disease Notification</topic><topic>Disease prevention</topic><topic>Epidemiological Monitoring</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Fever</topic><topic>Health risk assessment</topic><topic>Health surveillance</topic><topic>Humans</topic><topic>IgG antibody</topic><topic>Immunoglobulin G</topic><topic>Immunoglobulin G - blood</topic><topic>Immunoglobulins</topic><topic>Incidence</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical laboratories</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Original Paper</topic><topic>Public health</topic><topic>Q fever</topic><topic>Q Fever - blood</topic><topic>Q Fever - diagnosis</topic><topic>Q Fever - epidemiology</topic><topic>Seroepidemiologic Studies</topic><topic>Trends</topic><topic>United States - epidemiology</topic><topic>Zoonoses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kaufman, Harvey W</creatorcontrib><creatorcontrib>Chen, Zhen</creatorcontrib><creatorcontrib>Radcliff, Jeff</creatorcontrib><creatorcontrib>Batterman, Hollis J</creatorcontrib><creatorcontrib>Leake, John</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Epidemiology and infection</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kaufman, Harvey W</au><au>Chen, Zhen</au><au>Radcliff, Jeff</au><au>Batterman, Hollis J</au><au>Leake, John</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Q fever: an under-reported reportable communicable disease</atitle><jtitle>Epidemiology and infection</jtitle><addtitle>Epidemiol Infect</addtitle><date>2018-07-01</date><risdate>2018</risdate><volume>146</volume><issue>10</issue><spage>1240</spage><epage>1244</epage><pages>1240-1244</pages><issn>0950-2688</issn><eissn>1469-4409</eissn><abstract>The objective of this study was to provide real-world clinical laboratory-based data to supplement Centers for Disease Control and Prevention (CDC) reporting of Q fever. We analysed titre results of specimens submitted to a large US clinical laboratory for Coxiella burnetii IgG antibody testing from 2010 through 2016. Presumptive Q fever was defined as acute (phase II IgG titre ⩾1:128, phase I titre <1:1024) or chronic (phase I IgG titre ⩾1:1024), based on the results from a single serum specimen. During 2010-2016, an average of 328 presumptive acute Q fever cases were identified at Quest each year, nearly three times the annual average reported to the CDC (122). During the same period, the number of chronic cases identified annually at Quest Diagnostics (34) was similar to that reported to the CDC (29). These findings suggest that CDC data may underestimate the incidence of acute Q fever.</abstract><cop>England</cop><pub>Cambridge University Press</pub><pmid>29941056</pmid><doi>10.1017/S0950268818001395</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-2850-9047</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Epidemiology and infection, 2018-07, Vol.146 (10), p.1240-1244 |
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| subjects | Acute Disease Aged Antibodies, Bacterial - blood Antigens Chronic Disease Chronic illnesses Coxiella burnetii - immunology Disease control Disease Notification Disease prevention Epidemiological Monitoring Epidemiology Female Fever Health risk assessment Health surveillance Humans IgG antibody Immunoglobulin G Immunoglobulin G - blood Immunoglobulins Incidence Infections Infectious diseases Male Medical laboratories Middle Aged Morbidity Mortality Original Paper Public health Q fever Q Fever - blood Q Fever - diagnosis Q Fever - epidemiology Seroepidemiologic Studies Trends United States - epidemiology Zoonoses |
| title | Q fever: an under-reported reportable communicable disease |
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