Paracoccidioidomycosis in Colombia : an ecological study

ABSTRACT: The natural habitat of Paracoccidioides brasiliensis, agent of paracoccidioidomycosis (PCM), remains unknown. This study is aimed at establishing associations between the ecological variables present in all Colombian municipalities and the incidence of PCM. Records of 940 patients were stu...

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Autores:
Calle Salazar, Daniel Alberto
Rosero Cuesta, David Santiago
Orozco Vargas, Luis Carlos
Camargo Orozco, Diana
Castañeda del Gordo, Elizabeth
Restrepo Moreno, Ángela
Tipo de recurso:
Article of investigation
Fecha de publicación:
2001
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/27811
Acceso en línea:
http://hdl.handle.net/10495/27811
Palabra clave:
Paracoccidioidomicosis
Paracoccidioidomycosis
Colombia
Estudios Ecológicos
Ecological Studies
Rights
openAccess
License
http://creativecommons.org/licenses/by/2.5/co/
Description
Summary:ABSTRACT: The natural habitat of Paracoccidioides brasiliensis, agent of paracoccidioidomycosis (PCM), remains unknown. This study is aimed at establishing associations between the ecological variables present in all Colombian municipalities and the incidence of PCM. Records of 940 patients were studied and several ecological variables analysed, as well as their association to amount of patients per total rural population in each municipality, determined through a multivariate analysis. All 940 patients came from 216 municipalities (20±3%), out of which, 93 were birthplace and place of long-term residence for 121 patients. The Incidence Rate Ratio (IRR) was determined for these 93 municipalities. The following variables fitted the model: altitude from 1000 to 1499 metres above sea level (IRR ̄6±37), rainfall from 2000 to 2999 mm (IRR ̄2±15), presence of humid forests (Holdridge) (IRR ̄1±79) and coffee (IRR ̄1±95), tobacco (IRR ̄3±59) crops. These results indicate that these municipalities constitute reserareas for P. brasiliensis (Borelli).