Human brucellosis in South Africa: Public health and diagnostic pitfalls
Human brucellosis in South Africa (SA) is under-diagnosed and under-reported. This is because many clinicians have little or no experience in managing affected patients, and in part because of the nonspecific and insidious nature of the disease. A case of human brucellosis caused by Brucella meliten...
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| Veröffentlicht in: | SAMJ: South African Medical Journal 2016-09, Vol.106 (9), p.883-885 |
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| container_title | SAMJ: South African Medical Journal |
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| creator | Wojno, Justyna Maria Moodley, Clinton Pienaar, Jaco Beylis, Natalie Jacobsz, Lourens Nicol, Mark P Rossouw, Jenny Bamford, Colleen |
| description | Human brucellosis in South Africa (SA) is under-diagnosed and under-reported. This is because many clinicians have little or no experience in managing affected patients, and in part because of the nonspecific and insidious nature of the disease. A case of human brucellosis caused by Brucella melitensis in a patient from the Western Cape Province of SA is described, and the resulting exposure of staff members at two medical microbiology laboratories, as well as the public health investigation that was conducted, are discussed. This article aims to highlight the need for strengthening integration between public health, medical and veterinary services and exposing deficiencies in public health, veterinary and laboratory practices. |
| doi_str_mv | 10.7196/SAMJ.2016.v106i9.11020 |
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This is because many clinicians have little or no experience in managing affected patients, and in part because of the nonspecific and insidious nature of the disease. A case of human brucellosis caused by Brucella melitensis in a patient from the Western Cape Province of SA is described, and the resulting exposure of staff members at two medical microbiology laboratories, as well as the public health investigation that was conducted, are discussed. This article aims to highlight the need for strengthening integration between public health, medical and veterinary services and exposing deficiencies in public health, veterinary and laboratory practices.</description><identifier>ISSN: 0256-9574</identifier><identifier>ISSN: 2078-5135</identifier><identifier>EISSN: 2078-5135</identifier><identifier>DOI: 10.7196/SAMJ.2016.v106i9.11020</identifier><identifier>PMID: 27601111</identifier><language>eng</language><publisher>South Africa: Health & Medical Publishing Group</publisher><subject><![CDATA[Adult ; Animals ; Brucella melitensis - isolation & purification ; Brucellosis ; Brucellosis - diagnosis ; Brucellosis - epidemiology ; Brucellosis - prevention & control ; Brucellosis - veterinary ; Communicable Disease Control - methods ; Communicable Disease Control - organization & administration ; Communicable Disease Control - standards ; Diagnostic Errors - prevention & control ; Disease Notification - methods ; Disease Notification - standards ; Distribution ; Female ; Forecasts and trends ; Health Care Sciences & Services ; Health Policy & Services ; Humans ; Interdisciplinary Communication ; Intersectoral Collaboration ; Male ; Medical Ethics ; Medicine, General & Internal ; Medicine, Legal ; Medicine, Research & Experimental ; Public health administration ; South Africa - epidemiology ; Veterinary Medicine - methods]]></subject><ispartof>SAMJ: South African Medical Journal, 2016-09, Vol.106 (9), p.883-885</ispartof><rights>COPYRIGHT 2016 Health & Medical Publishing Group</rights><rights>This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-3d00782e5f10eaee6838122ae3bf1529ade95a36ec0e6757ed6e62f52161696f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,860,881,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27601111$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wojno, Justyna Maria</creatorcontrib><creatorcontrib>Moodley, Clinton</creatorcontrib><creatorcontrib>Pienaar, Jaco</creatorcontrib><creatorcontrib>Beylis, Natalie</creatorcontrib><creatorcontrib>Jacobsz, Lourens</creatorcontrib><creatorcontrib>Nicol, Mark P</creatorcontrib><creatorcontrib>Rossouw, Jenny</creatorcontrib><creatorcontrib>Bamford, Colleen</creatorcontrib><title>Human brucellosis in South Africa: Public health and diagnostic pitfalls</title><title>SAMJ: South African Medical Journal</title><addtitle>S Afr Med J</addtitle><description>Human brucellosis in South Africa (SA) is under-diagnosed and under-reported. This is because many clinicians have little or no experience in managing affected patients, and in part because of the nonspecific and insidious nature of the disease. A case of human brucellosis caused by Brucella melitensis in a patient from the Western Cape Province of SA is described, and the resulting exposure of staff members at two medical microbiology laboratories, as well as the public health investigation that was conducted, are discussed. This article aims to highlight the need for strengthening integration between public health, medical and veterinary services and exposing deficiencies in public health, veterinary and laboratory practices.</description><subject>Adult</subject><subject>Animals</subject><subject>Brucella melitensis - isolation & purification</subject><subject>Brucellosis</subject><subject>Brucellosis - diagnosis</subject><subject>Brucellosis - epidemiology</subject><subject>Brucellosis - prevention & control</subject><subject>Brucellosis - veterinary</subject><subject>Communicable Disease Control - methods</subject><subject>Communicable Disease Control - organization & administration</subject><subject>Communicable Disease Control - standards</subject><subject>Diagnostic Errors - prevention & control</subject><subject>Disease Notification - methods</subject><subject>Disease Notification - standards</subject><subject>Distribution</subject><subject>Female</subject><subject>Forecasts and trends</subject><subject>Health Care Sciences & Services</subject><subject>Health Policy & Services</subject><subject>Humans</subject><subject>Interdisciplinary Communication</subject><subject>Intersectoral Collaboration</subject><subject>Male</subject><subject>Medical Ethics</subject><subject>Medicine, General & Internal</subject><subject>Medicine, Legal</subject><subject>Medicine, Research & Experimental</subject><subject>Public health administration</subject><subject>South Africa - epidemiology</subject><subject>Veterinary Medicine - methods</subject><issn>0256-9574</issn><issn>2078-5135</issn><issn>2078-5135</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUV2P1CAUJUbjzq7-hU0TE-NLK9BCi2-Tzepo1mgy-kwYetllQ2GEson_XmrXj4GQG27OgXPuQeiS4KYngr_dbz9_aigmvHkgmFvREIIpfoI2FPdDzUjLnqINpozXgvXdGTpP6R6XOxP8OTqjPcekrA3a7fKkfHWIWYNzIdlUWV_tQ57vqq2JVqt31dd8cFZXd6Bc6So_VqNVtz6kuXSPdjbKufQCPSs1wcvHeoG-v7_-drWrb758-Hi1val11w1z3Y64CKTADMGgAPjQDoRSBe3BEEaFGkEw1XLQGHjPehg5cGoYJZxwwU17gZr13aQtuCDvQ46-fCj3i1u5uF3GgjEW5VBeCG9WwjGGHxnSLCebFrPKQ8hJkoEUQUx0okBfrdBb5UBab8IclV7gcttx2g8DHfg_BSeoskeYrA4ejC39E8Lr_wjrGFNwebbBp1MgX4E6hpQiGHmMdlLxpyRYLrHLJXa5-JNr7PJ37IV4-egxHyYY_9L-5Nz-AsDso7c</recordid><startdate>20160901</startdate><enddate>20160901</enddate><creator>Wojno, Justyna Maria</creator><creator>Moodley, Clinton</creator><creator>Pienaar, Jaco</creator><creator>Beylis, Natalie</creator><creator>Jacobsz, Lourens</creator><creator>Nicol, Mark P</creator><creator>Rossouw, Jenny</creator><creator>Bamford, Colleen</creator><general>Health & Medical Publishing Group</general><general>Health and Medical Publishing Group</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>7X8</scope><scope>GPN</scope></search><sort><creationdate>20160901</creationdate><title>Human brucellosis in South Africa: Public health and diagnostic pitfalls</title><author>Wojno, Justyna Maria ; Moodley, Clinton ; Pienaar, Jaco ; Beylis, Natalie ; Jacobsz, Lourens ; Nicol, Mark P ; Rossouw, Jenny ; Bamford, Colleen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-3d00782e5f10eaee6838122ae3bf1529ade95a36ec0e6757ed6e62f52161696f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Animals</topic><topic>Brucella melitensis - isolation & purification</topic><topic>Brucellosis</topic><topic>Brucellosis - diagnosis</topic><topic>Brucellosis - epidemiology</topic><topic>Brucellosis - prevention & control</topic><topic>Brucellosis - veterinary</topic><topic>Communicable Disease Control - methods</topic><topic>Communicable Disease Control - organization & administration</topic><topic>Communicable Disease Control - standards</topic><topic>Diagnostic Errors - prevention & control</topic><topic>Disease Notification - methods</topic><topic>Disease Notification - standards</topic><topic>Distribution</topic><topic>Female</topic><topic>Forecasts and trends</topic><topic>Health Care Sciences & Services</topic><topic>Health Policy & Services</topic><topic>Humans</topic><topic>Interdisciplinary Communication</topic><topic>Intersectoral Collaboration</topic><topic>Male</topic><topic>Medical Ethics</topic><topic>Medicine, General & Internal</topic><topic>Medicine, Legal</topic><topic>Medicine, Research & Experimental</topic><topic>Public health administration</topic><topic>South Africa - epidemiology</topic><topic>Veterinary Medicine - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wojno, Justyna Maria</creatorcontrib><creatorcontrib>Moodley, Clinton</creatorcontrib><creatorcontrib>Pienaar, Jaco</creatorcontrib><creatorcontrib>Beylis, Natalie</creatorcontrib><creatorcontrib>Jacobsz, Lourens</creatorcontrib><creatorcontrib>Nicol, Mark P</creatorcontrib><creatorcontrib>Rossouw, Jenny</creatorcontrib><creatorcontrib>Bamford, Colleen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SciELO</collection><jtitle>SAMJ: South African Medical Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wojno, Justyna Maria</au><au>Moodley, Clinton</au><au>Pienaar, Jaco</au><au>Beylis, Natalie</au><au>Jacobsz, Lourens</au><au>Nicol, Mark P</au><au>Rossouw, Jenny</au><au>Bamford, Colleen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Human brucellosis in South Africa: Public health and diagnostic pitfalls</atitle><jtitle>SAMJ: South African Medical Journal</jtitle><addtitle>S Afr Med J</addtitle><date>2016-09-01</date><risdate>2016</risdate><volume>106</volume><issue>9</issue><spage>883</spage><epage>885</epage><pages>883-885</pages><issn>0256-9574</issn><issn>2078-5135</issn><eissn>2078-5135</eissn><abstract>Human brucellosis in South Africa (SA) is under-diagnosed and under-reported. This is because many clinicians have little or no experience in managing affected patients, and in part because of the nonspecific and insidious nature of the disease. A case of human brucellosis caused by Brucella melitensis in a patient from the Western Cape Province of SA is described, and the resulting exposure of staff members at two medical microbiology laboratories, as well as the public health investigation that was conducted, are discussed. This article aims to highlight the need for strengthening integration between public health, medical and veterinary services and exposing deficiencies in public health, veterinary and laboratory practices.</abstract><cop>South Africa</cop><pub>Health & Medical Publishing Group</pub><pmid>27601111</pmid><doi>10.7196/SAMJ.2016.v106i9.11020</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Animals Brucella melitensis - isolation & purification Brucellosis Brucellosis - diagnosis Brucellosis - epidemiology Brucellosis - prevention & control Brucellosis - veterinary Communicable Disease Control - methods Communicable Disease Control - organization & administration Communicable Disease Control - standards Diagnostic Errors - prevention & control Disease Notification - methods Disease Notification - standards Distribution Female Forecasts and trends Health Care Sciences & Services Health Policy & Services Humans Interdisciplinary Communication Intersectoral Collaboration Male Medical Ethics Medicine, General & Internal Medicine, Legal Medicine, Research & Experimental Public health administration South Africa - epidemiology Veterinary Medicine - methods |
| title | Human brucellosis in South Africa: Public health and diagnostic pitfalls |
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