Comportamiento de la leptospirosis en el departamento del Atlántico (Colombia)Enero de 1999 a marzo del 2004

摘要: Resumen Objetivos: Describir el comportamiento epidemiologico de la leptospirosis en departamento del Atlantico (Colombia), enero 1999 a marzo 2004. Metodologia: Estudio descriptivo. Se analizaron 970 muestras unicas pacientes sospechosos infecciones con Leptospira Laboratorio Departamental mediante Aglutinacion Microscopica (MAT), usando como antigenos los serovares Icterohemorragiae, Pomona, Canicola, Hardjo, Grippotyphosa y Hardjo-bovis interrogans. Informacion adicional sobre clinica traves fichas epidemiologicas visitas hospitales, ademas datos precipitacion anual, fue obtenida. Resultados: El 9,7% casos fueron positivos para Leptospira, siendo Icterohaemor- rhagiae (62%) Hardjo (12,8%) mas frecuentes. La mayoria (61%), se presentaron hombres entre 15 45 anos edad comun asocio fiebre (91,7%), mialgias (72,2%), vomito/nausea (70,8%), cefalea (68,1%) e ictericia (63,9%). 8.6% asociados infec- ciones serovar Ictherohemorragiae severos; sintomatologia coincidio sindrome Weil, pero no registraron fatalidades. En 2003(23), 2001(21) 2002(18) registro mayor incidencia casos, meses alta (Agosto-Noviembre). Los municipios numero Barranquilla (46), Soledad (25), Puerto Colombia (6) Galapa (6). Conclusiones: debe tenerse cuenta dentro diagnostico diferencial otras entidades comunes region (fiebre dengue). Un diligenciamiento completo ficha epidemio- logica permitira un estudio detallado esta patologia, desarrollar programas vigilancia prevencion eficaces. Palabras claves: serologia, Atlantico, Colombia. Abstract Objective: This study was performed to describe the epidemiological situation of in Departament from January March Methods: A descriptive performed. total single serum samples patients with suspected infections, were analyzed using microscopic agglutination test (MAT). The serovars Icterohaemorrhagiae, and belonging L. interrogans, used as antigens. Information about clinical presentation based on sheets, visits climatological data obtained. Results: IgM positive for most prevalent Icterohaemorrhagiae (62%), followed by (12.8%). Most male (61%) between y.o. common presenting features these (91.7%), myalgia (72%), vomit/nausea (70.8%), headache (68.1%) icterichia (63.9%). cases severe, associated infections Icterohemorragiae their symptomathology similar Weil s syndrome; fatalities registered. highest incidences recorded during years 2003 (23), 2002 (18) especially rainy season (August-November). reported number (46) Conclusions: Since is an increasing public health problem Caribbean Region, dif- ferential diagnosis other pathologies (dengue fever, dengue haemorrhagic fever) has be surveillance preventive programmes must implemented. Key words: Leptospirosis, serology,