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Q-FEVER IN 2003:
REPORT OF THE CROATIAN NATIONAL INSTITUTE OF PUBLIC HEALTH
Tatjana
Vilibić Čavlek,
Branko
Turković,
Bernard
Kaić,
Sunčanica
Ljubin
Sternak,
Mladen
Smoljanović,
Gordana Mlinarić Galinović
- Croatian National Institute of Public Health, Split-Dalmatia
County Institute of Public Health
Materials:
•
serum samples (180 paired and 90 single specimens) from
270 patients with suspected Q-fever
were tested from January to December 2003
•
according to clinical symptoms, the patients were divided
into three groups:
– group I: patients with clinical picture of atypical
pneumonia (N=164)
–
group II: patients with acute febrile disease (N=30)
–
group III: asymptomatic patients, referred for testing
because they stayed in the endemic area (N=76)
Methods:
•
diagnosis was confirmed serologically by detection of
specific antibodies to phase II C. burnetti using the
complement-fixation test (micromethod)
• a fourfold or greater increase in antibody titer in paired
sera as well as single titer >1:32 was considered positive
finding
Etiologic diagnosis of Q-fever: 98/270 (36%) of patients
Incidence of Q-fever in
Croatia in 2003 according to patient age and sex
Incidence of Q-fever in Croatia in 2003 according to clinical
symptoms
Seasonal distribution of Q-fever in Croatia in 2003
Geographical distribution of Q-fever in Croatia in 2003
Conclusion
• in 2003, the most cases of Q-fever (95%) in Croatia were registered
in Dalmatia with the epidemic reported in February and March on
the Zagreb-Split highway construction site
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