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Vector Borne Zoonotic Dis ; 4(4): 343-350, 2004.
Artículo en Inglés | MEDLINE | ID: mdl-15682517

RESUMEN

Serum samples from people exposed to sheep at a research facility were evaluated by a commercial laboratory and resulted in an overall Coxiella burnetii seroprevalence of 75%. We interviewed individuals to determine exposure history and compatible illness, and retested their sera. Analysis indicated that the commercial laboratory was misinterpreting its results; when corrected, the seroprevalence dropped to 27%. Test kits of the brand used by the commercial laboratory gave equivalent results to the in-house CDC assay when tested in parallel at CDC. Upon final analysis, only the attending veterinarian was confirmed as a Q fever case. This event resulted in increased risk reduction protocols at the research facility and improved public health communication among health authorities. This pseudoepidemic resulted from a lapse in laboratory quality control for testing. Similar errors can be avoided through standardization and improved review of laboratory procedures.


Asunto(s)
Técnicas de Laboratorio Clínico/normas , Laboratorios/normas , Fiebre Q/diagnóstico , Enfermedades de las Ovejas/diagnóstico , Animales , Anticuerpos Antibacterianos/sangre , Centers for Disease Control and Prevention, U.S. , Coxiella burnetii/inmunología , Brotes de Enfermedades , Ensayo de Inmunoadsorción Enzimática , Florida/epidemiología , Humanos , Fiebre Q/epidemiología , Fiebre Q/microbiología , Control de Calidad , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Estudios Seroepidemiológicos , Ovinos , Enfermedades de las Ovejas/epidemiología , Enfermedades de las Ovejas/microbiología , Estados Unidos
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