Cross sectional analysis of factors associated with leptospirosis cases treated at district general hospital, Matara, Sri Lanka during 2015-2018

Authors

  • Nayana Y. Samaraweera Health Services Office, Paramulla, Matara, Sri Lanka
  • Upali Karunaratne Health Services Office, Paramulla, Matara, Sri Lanka
  • Malkanthi K. Mediwaka District General Hospital, Matara, Sri Lanka
  • Deepika Patabendige Health Services Office, Hambanthota, Sri Lanka
  • Janaka Jagathpathi Health Services Office, Paramulla, Matara, Sri Lanka
  • Buddhini S. Wijayasiriwardhana Medical Research Institute, Colombo, Sri Lanka
  • Deepthi Senanayake Health Services Office, Paramulla, Matara, Sri Lanka
  • Sheran Amarasiri Health Services Office, Paramulla, Matara, Sri Lanka
  • Somarathna Wanniarachchi Health Services Office, Paramulla, Matara, Sri Lanka

DOI:

https://doi.org/10.18203/2349-3933.ijam20220422

Keywords:

Leptospirosis, Risk factors, Cross sectional study

Abstract

Background: Leptospirosis is a zoonotic illness with a global disease burden impacting both developed and developing nations and is caused by pathogenic spirochetes of the genus Leptospira. In this study, selected characteristics of confirmed leptospirosis cases were studied; hence modifiable risk factors were elucidated. This information would be useful to prevent further transmission of leptospirosis by public health care workers in Sri Lanka and take appropriate administrative decisions regarding leptospirosis control in the community.

 Methods: This was a descriptive cross sectional survey of Bed Head Tickets (BHTs), Case Surveillance Forms of confirmed leptospirosis cases treated at district general hospital, Matara during 2015-2018. The study was conducted from 21.02.2019 to 01.03.2019.

Results: Age >35 years (OR 3.92:, 95% CI:2.72-5.65), male sex (OR:2.30, 95% CI:1.61-3.29), paddy field as source of infection (OR:2.45, 95% CI:1.69-3.54), positive history of recent skin lesions/injury (OR:2.29, 95% CI:1.58-3.34), (OR:3.14, 95% CI:1.62-6.06), (OR:2.88, 95% CI:1.31-6.36), (OR:2.13, 95% CI:1.27-3.58) were risk factors for leptospirosis. Positive history of chemo prophylactic treatment (doxycycline administration) and its duration were not associated with leptospirosis

Conclusions: Age >35 years (OR 3.92:, 95% CI:2.72-5.65), male sex (OR:2.30, 95% CI:1.61-3.29), paddy field as source of infection (OR:2.45, 95% CI:1.69-3.54), positive history of recent skin lesions/injury (OR:2.29, 95% CI:1.58-3.34) were risk factors for leptospirosis.

 

Author Biographies

Nayana Y. Samaraweera, Health Services Office, Paramulla, Matara, Sri Lanka

Health Department

Consultant Community Physician

Upali Karunaratne, Health Services Office, Paramulla, Matara, Sri Lanka

Director of Health services,Matara

Deepika Patabendige, Health Services Office, Hambanthota, Sri Lanka

Deputy Health Director, Matara

Janaka Jagathpathi, Health Services Office, Paramulla, Matara, Sri Lanka

Director, District General Hospital, Matara, Sri Lanka

Buddhini S. Wijayasiriwardhana, Medical Research Institute, Colombo, Sri Lanka

Medical Officer

Deepthi Senanayake, Health Services Office, Paramulla, Matara, Sri Lanka

Medical Officer

Sheran Amarasiri, Health Services Office, Paramulla, Matara, Sri Lanka

Medical Officer

Somarathna Wanniarachchi, Health Services Office, Paramulla, Matara, Sri Lanka

Medical Officer

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Published

2022-02-23

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Original Research Articles