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Brucellosis 2003 proceedings - PHIDIAS

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Poster Session<br />

multiplicatio of approximately 285 bp was established. B. suis biovar 2 was identified<br />

from the isolates also by traditional bacteriological analysis. On the basis of our<br />

investigations it can be concluded that in Croatia wild swine are natural reservoirs of<br />

Brucella suis biovar 2, representing in this way a permanent and potential source of<br />

brucellosis for domestic and wild animals.<br />

20- HUMAN BRUCELLOSIS IN GEORGIA.<br />

Ts. Zakaraia 1 , N. Tarkhashvili 2 , I. Antadze 3 , O. Zenaishvili 1 , G. Chubabria 1 , N. Iashvili 1 . (1) Institute of<br />

Medical Parasitology and Tropical Medicine, (2) National Center for Disease Control, (3) Institute<br />

“Bacteriophage”, Georgia.<br />

<strong>Brucellosis</strong> represents one of the major public health problems for Georgia. In<br />

the Institute of Medical Parasitology and Tropical Medicine brucellosis registration<br />

started since 1949. We reviewed medical charts and epidemiological data since<br />

1993. Information from the charts was abstracted using a standardised<br />

questionnaire.<br />

Based on these data we found out that a total of 1282 cases of brucellosis<br />

have been registered in our Institute during the last decade. 686 patients out of 1282<br />

were hospitalized. B. primaria accounts 59% of cases, 31% - for B. latenta, 6 % - B<br />

recidiva, 4% - statust post brucellosis. Serologically brucellosis was diagnosed in<br />

every patient, but bacteriologically only in 17,2% of cases recovered causative agent<br />

– B. melitensis, biovar III. No other serotypes and biotypes have been detected<br />

during the last decade. Eastern Georgia accounts majority of cases (90%), were the<br />

source of infection is a sheep, while in the western Georgia source proved to be<br />

cows. Seasonal pattern is detected as well. <strong>Brucellosis</strong> picked in May-June<br />

accounting 29% cases. This pattern of seasonality is associated with deliveries of<br />

sheep. Most cases among humans were male (91%), aged 20-39 years old (49%).<br />

The most common source of infection was infected amniotic fluid of sheep. Clinical<br />

presentation of brucellosis tends to become “milder”. Compared with previous years,<br />

prolonged fever and joint pain rarely are observed, mainly due to antimicrobial<br />

therapy. Severe cases commonly are attributed to contacts with goat rather than<br />

sheep.<br />

<strong>Brucellosis</strong> incidence still remains high. Additional efforts are needed to<br />

prevent brucellosis among humans and animals in Georgia.<br />

21- CURRENT STATUS OF HUMAN BRUCELLOSIS IN KOREA.<br />

Park, M. S., Y. S. Choi, J. S. Lee, S. K. Shim, H. K. Lee, J. H. Kim and M. Y. Park. Department of<br />

Bacteriology, National Institute of Health, Seoul, Korea.<br />

<strong>Brucellosis</strong> may imitated as other infections and asymptomatic conditions and<br />

therefore, the diagnosis of the disease is like to be missed or delayed because of the<br />

wide spectrum of its clinical manifestations. Despite of multi-outbreak of bovine<br />

brucellosis during the last decade in Korea (a total 2,700 cows with brucellosis were<br />

slaughtered during last 3 years), human brucellosis has very few occurred unusually<br />

since the first identification of Brucella abortus in 1939. But from the middle of last<br />

year to this June, 9 cases of human brucellosis were found among 23 occupational<br />

exposurer in 2 different provincial areas where were spread bovine brucellosis at that<br />

<strong>Brucellosis</strong> <strong>2003</strong> International Research Conference<br />

99

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