RESUMO
Human brucellosis is an occupational disease affecting workers in slaughterhouses, butcher shops and the milk and dairy product industry as well as individuals who work in clinical or research laboratories. We report the first outbreak of a Brucella abortus infection in a Brazilian laboratory and compare the data obtained with reports available in the literature. Exposure was a result of damage to a biological safety cabinet and failure of the unidirectional airflow ventilation system. An epidemiological investigation identified 3 seroconverted individuals, 1 of whom had clinical manifestations and laboratory results compatible with infection at the time of exposure (n=11; attack rate=9.1%).
Assuntos
Adulto , Feminino , Humanos , Masculino , Adulto Jovem , Acidentes de Trabalho , Brucella abortus/imunologia , Brucelose/epidemiologia , Infecção Laboratorial/epidemiologia , Anticorpos Antibacterianos/sangue , Brasil/epidemiologia , Brucelose/diagnóstico , Brucelose/imunologia , Surtos de Doenças , Infecção Laboratorial/diagnóstico , Infecção Laboratorial/imunologia , Pessoal de Laboratório MédicoRESUMO
The aim of this paper was to study some epidemiological aspects of the infection by Brucella abortus in risk occupational groups in the microregion of Araguaína, Tocantins. For antibody research, 645 serum samples were analyzed by the complement fixation test (CF). A 4.0 percent frequency was found (26/645) in patients' serum and among those 4.1 percent (23/551) were slaughterhouses employees and 8.1 percent (3/37) rural workers. Of the total positive samples, three (2.0 percent) were women and 23 (4.7 percent) men; ten (2.9 percent) were between the ages of 18 and 30, six (3.4 percent) between 31 and 40, and nine (8.0 percent) were above 41 years of age. Risk factors for brucellosis in the study groups were age, background (OR = 2.45; CI 95 percent = 0.98 to 6.10) and previous work conducted with production animals (OR 2.36; CI 95 percent = 0.95 to 6.02). It was concluded that the infection by Brucella abortus is found in some risk occupational groups in the microregion of Araguaína, Tocantins, and control and prophylactic measures must be implemented emphasizing risk factors identified in the study.