Q fever in children: an emerging public health issue in Queensland

Barralet, Jennifer H; Parker, Neil R

doi:10.5694/j.1326-5377.2004.tb06106.x

Cited by 21 publications

(12 citation statements)

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“…Rural areas with a similar risk could be easily determined through an analysis of routine notification data by SLA. Further research is needed before recommendations for younger children are formulated 2 . In the meantime, clinicians should make individual decisions for children <15 who engage in high‐risk farm activities, particularly butchering and birthing.…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

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A serosurvey of Coxiella burnetii infection in children and young adults in South West Queensland

Parker

Robson

Bell

2010

Australian and New Zealand Journal of Public Health

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Objective: To describe the seroepidemiology of Coxiella burnetii, the causative agent of Q fever, in those under 25 years of age in South West Queensland. Methods: A convenience sample of residual sera from a diagnostic laboratory was tested for C. burnetii antibodies by immunofluorescence at 1:10 dilution. Prevalence and annual incidence were calculated from the results. Results: Twenty‐nine of 447 (6.5%, 95% CI 4.5%‐9.2%) samples were positive. Seropositivity increased from 2.5% in those <15 (95% CI 1.0%‐5.5%) to 11.0% in those 15‐24 years old (95% CI 7.4%‐16.0%). The estimated annual incidence for the latter age group was 7.7 per 1,000. Conclusions: Q fever is a relatively common infection in South West Queensland, even in those aged <15 years for whom the vaccine is not recommended. Implications: Vaccination programs, such as the federally funded National Q fever Management Program, are needed in this and similar high risk rural areas.

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Section: Conclusion and Recommendationsmentioning

confidence: 99%

“…Q fever is a worldwide zoonosis causing a wide spectrum of disease in adults, and is increasingly recognised as an issue for children 1,2 . The vaccine licensed in Australia is not recommended for children under 15 years of age and requires prevaccination screening, including history, serology and skin testing 3 .…”

mentioning

confidence: 99%

A serosurvey of Coxiella burnetii infection in children and young adults in South West Queensland

Parker

Robson

Bell

2010

Australian and New Zealand Journal of Public Health

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“…Although no children were identified in this study, Q fever in paediatric groups has been described. 8,9 Few studies to date have looked at the relation between Q fever and the age of the patient. Based on the limited data available, it would seem that increasing age is a risk factor for Q-fever-related morbidity.…”

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confidence: 99%

Q fever cases at a North Queensland centre during 1994–2006

Gale¹,

Ketheesan²,

Govan³

et al. 2007

Internal Medicine Journal

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This study reviewed the epidemiological features, management and outcomes of patients with Q fever treated at a tertiary facility in North Queensland during the period from July 1994 to January 2006. Twenty-seven patients were identified. Our findings were consistent with the observations about Q fever that have been made in other regions of Australia. A diagnosis of Q fever should be considered in patients with a non-specific febrile illness.

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“…Knowledge of Q fever has increased over the last decades, but research has mainly focused on adults. Data in children are scarce; current knowledge is mostly based on case reports [4]–[17] and small case series [3], [18]–[22]. Fever and pneumonia are most frequently reported in these cases, followed by central nervous system infection and myocarditis.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Acute Q Fever Mimics Other Common Childhood Illnesses

et al. 2014

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Knowledge of Q fever has increased over the last decades, but research has mainly focused on adults. Data in children are scarce, and current knowledge is mostly based on case reports. The aim of this study was to determine predictors for acute Q fever in children in the general population. We retrospectively studied all children tested for Coxiella burnetii by serology and/or PCR upon request of their general practitioner in the regional laboratory for Medical Microbiology of the Jeroen Bosch during the Q fever outbreak in the Netherlands between 2007 and 2011. A total of 1061 patients was analyzed. Influenza-like illness and respiratory tract infection were the most common presentations of acute Q fever, mimicking other common childhood illnesses. None of the reported symptoms was significantly related to a positive test outcome and therefore presenting signs or symptoms have no predictive value in diagnosing Q-fever in children. Only diagnostic tests are reliable. As the infection generally follows a mild and uncomplicated course, we question if the difficulty of recognizing pediatric Q fever is a problem worth solving.

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Q fever in children: an emerging public health issue in Queensland

Cited by 21 publications

References 1 publication

A serosurvey of Coxiella burnetii infection in children and young adults in South West Queensland

A serosurvey of Coxiella burnetii infection in children and young adults in South West Queensland

Q fever cases at a North Queensland centre during 1994–2006

Pediatric Acute Q Fever Mimics Other Common Childhood Illnesses

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