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Seroprevalence and risk factors of Lyme disease among Korean deer farmers

박지혁|유석주|딜라람 아자리아|조재학
한국농촌의학.지역보건학회 (Korean Society for Agricultural Medicine & Community Health)|2019.06|농촌의학.지역보건 (Journal of Agricultural Medicine&Community Health)|제44권 제2호|pp. 82-89

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참고문헌

키워드

위험요인인수공통감염병라임병사슴농장혈청유병률

초록

목적 : 이번 연구는 인수공통감염병의 고위험군인 사슴농가 종사자를 대상으로 라임병의 감염 실태 파악 및위험요인 분석을 위해 수행하였다. 대상 및 방법 : 전국 시·군 지역의 사슴농가를 중심으로 516명에 대해 설문조사 및 혈청검사를 실시하였다. 라임병 진단방법은 IFA(Indirect Immunofluorescence antibody Assay, 간접면역형광항체법)와 IFA검사의 높은 위양성률을 보완하기 위해 ELISA 검사 그리고 Western Blot 법을 이용하였다. 결과 : 전국 사슴농가 종사자 516명의 라임병 최종 혈청 유병률은 2.3%이었으며, 엘크 (Cervus Canadensis) 만을 기르는 사슴 농가 종사자의 라임병 혈청유병률이 3.6%로 다른 종류의 사슴을 키우는 사슴 농가 종사자보다라임병 발병 위험이 통계적으로 유의하게 높았다(p = 0.033). 결론 : 국내 사슴농가 종사자들이 인수공통감염병인 라임병에 노출되어 있음을 확인하였고, 키우는 사슴의 종류나 작업 행태, 보호복 착용 여부 등에 따라 라임병 노출의 가능성이 다름을 확인할 수 있었다.

Abstract

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