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Risk factors for occupational brucellosis among veterinary personnel in Turkey
Authors:Murat Kutlu,Onder Ergonul,Selda Sayin-Kutlu,Tumer Guven,Cemal Ustun,Sema Alp-Cavus,Serife Barcın Ozturk,Ozlem Acicbe,Serife Akalin,Recep Tekin,Suda Tekin-Koruk,Yusuf Ziya Demiroglu,Ramazan Keskiner,Ibak Gö  nen,Sevil Sapmaz-Karabag,Vuslat Bosnak,Esra Kazak
Affiliation:1. Department of Infectious Diseases and Clinical Microbiology (IDCM), Pamukkale University, Faculty of Medicine, Denizli, Turkey;2. Department of Infectious Diseases, Koc University, School of Medicine, Istanbul, Turkey;3. IDCM, Atatürk Training and Research Hospital, Ankara, Turkey;4. IDCM, Abant Izzet Baysal University, Faculty of Medicine, Bolu, Turkey;5. Department of IDCM, Dokuz Eylul University, Faculty of Medicine, Izmir, Turkey;6. Department of IDCM, Adnan Menderes University, Faculty of Medicine, Aydin, Turkey;g Department of IDCM, Ondokuz May?s University, Faculty of Medicine, Samsun, Turkey;h Department of IDCM, Dicle University, Faculty of Medicine, Diyarbakir, Turkey;i Department of IDCM, Harran University, Faculty of Medicine, Sanl?urfa, Turkey;j Department of IDCM, Baskent University Adana Hospital, Adana, Turkey;k Department of IDCM, Ahi Evran University, Training and Research Hospital, K?rsehir, Turkey;l Department of IDCM, Suleyman Demirel University, Faculty of Medicine, Isparta, Turkey;m IDCM, Training and Research Hospital, Erzurum, Turkey;n Department of IDCM, Gaziantep University, Faculty of Medicine, Gaziantep, Turkey;o Department of IDCM, Uludag University, Faculty of Medicine, Bursa, Turkey
Abstract:
Veterinarians and veterinary technicians are at risk for occupational brucellosis. We described the risk factors of occupational brucellosis among veterinary personnel in Turkey. A multicenter retrospective survey was performed among veterinary personnel who were actively working in the field. Of 712 veterinary personnel, 84 (11.8%) had occupational brucellosis. The median number of years since graduation was 7 (interquartile ranges [IQR], 4–11) years in the occupational brucellosis group, whereas this number was 9 (IQR, 4–16) years in the non-brucellosis group (p < 0.001). In multivariable analysis, working in the private sector (odds ratio [OR], 2.8; 95% confidence interval [95% CI], 1.55–5.28, p = 0.001), being male (OR, 4.5; 95% CI, 1.05–18.84, p = 0.041), number of performed deliveries (OR, 1.01; 95% CI, 1.002–1.02, p = 0.014), and injury during Brucella vaccine administration (OR, 5.4; 95% CI, 3.16–9.3, p < 0.001) were found to be risk factors for occupational brucellosis. We suggest that all veterinary personnel should be trained on brucellosis and the importance of using personal protective equipment in order to avoid this infection.
Keywords:Brucella   Occupational health   Retrospective cohort study   Risk analysis   Vaccine related brucellosis   Veterinarians   Zoonotic infections
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