Abstract
To identify and describe the epidemiological status of human leptospirosis or Weil's disease, we searched scientific publications and reports issued by health control authorities from 2006 to 2013. Information extraction was done independently and the methodological quality of the articles was evaluated using a checklist created for that purpose. The country with the highest incidence of human leptospirosis was Trinidad & Tobago (22 cases per 100,000 people) and the highest percentage of cases occurred in Guyana (60%). In Colombia, the department with the highest percentage of cases was Antioquia (85.7%) and the highest incidence was in Cordoba (67.9%). Contact with animals is possibly the highest risk factor; its diagnosis is commonly accomplished using a microscopic agglutination test. The analyzed data presented various epidemiological aspects, making it difficult to merge the information. Only in some countries is the academic and governmental interest and awareness evident in the area of public health.
Highlights
To identify and describe the epidemiological status of human leptospirosis or Weil's disease, we searched scientific publications and reports issued by health control authorities from 2006 to 2013
Estas labores se dan bajo condiciones ambientales y culturales, que favorecen la diseminación de la bacteria, por lo anterior, con el presente documento se busca presentar información actualizada con respecto a los aspectos epidemiológicos de la leptospirosis humana en Centroamérica, Suramérica y el Caribe, con el fin de ubicar en un mapa los datos obtenidos para que de manera gráfica sea posible una interpretación a la situación actual, asociada además a posibles factores de riesgo, metodologías o avances tecnológicos en el diagnóstico
Se excluyeron 313 artículos en los cuales la metodología utilizada no era adecuada, no estaba descrita, no se reportaba proporción de casos, no se reportaban posibles factores de riesgo, no se indicaba la técnica utilizada para el diagnóstico o se encontraban repetidos en más de una base de datos (Figura 1)
Summary
Epidemiology of human leptospirosis in Central America, South America and the Caribbean
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