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Rickettsial infection among military personnel deployed in Northern Sri Lanka

Overview of attention for article published in BMC Infectious Diseases, December 2014
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Title
Rickettsial infection among military personnel deployed in Northern Sri Lanka
Published in
BMC Infectious Diseases, December 2014
DOI 10.1186/s12879-014-0688-8
Pubmed ID
Authors

Ranjan Premaratna, Nimalka Ariyaratna, Champaka Attanayake, Wijesinghe Bandara, Nilmini Chandrasena, H Janaka de Silva

Abstract

BackgroundMilitary personnel deployed in field actvities report on frequent tick bites. Therefore they may run the risk of exposure to rickettsial organisms.MethodsIn order to assess the risk of exposure to rickettsial organisms, two groups of military personnel who were deployed in field activities of Nothern Sri Lanka were investigated. The first group was studied in order to assess the sero-prevalence of rickettsioses and consisted of soldiers who were admitted following injuries during field activities. The second group was studied to identify the incidence of acute rickettsioses during their acute febrile presentations. They were tested with IFA-IgG against spotted fever group rickettsioses (SFG), scrub typhus (ST) and murine typhus.ResultsIn the first group, 48/57 (84%) military personnel had serological evidence of exposure to rickettsioses (in all, IFA-IgG titer¿¿¿1:128): 33/50 (66%) to SFG rickettsioses, 1/50 (2%) to ST and 14/50 (28%) had mixed titers for both (in all, titers were higher for SFG). While all of them were in military uniform most of the time and frequently slept on scrub land, 35/57 (61.4%) had never used insect repellents and none were on doxycycline prophylaxis. 48/57 (84%) had experienced tick bites during field activity.In the second group, there were 49 who presented with acute febrile illness with a mean duration of 8.5 days (SD 3.2). 33/49 (67.3%) were serologically positive for acute rickettsioses (IgG ¿1:256); 26 (79%) due to ST and 7 (21%) due to SFG rickettsioses,ConclusionsExposure to rickettsial disease was common among soldiers who were deployed in Northern Sri Lanka. Scrub typhus was the predominent species accounting for acute febrile illness. Further studies are needed to understand the reasons for very high sero-prevalence for SFG rickettsioses with no anticedent febrile illness. Use of preventive measures was not satisfactory. The high sero-prevelence of SFG rickettsioses is likely to interfere with serological diagnosis of acute SFG rickettsioses in this population.

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The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 41 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Sri Lanka 2 5%
United States 1 2%
Brazil 1 2%
Unknown 37 90%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 12%
Student > Ph. D. Student 4 10%
Student > Postgraduate 4 10%
Student > Master 4 10%
Student > Bachelor 3 7%
Other 10 24%
Unknown 11 27%
Readers by discipline Count As %
Medicine and Dentistry 10 24%
Agricultural and Biological Sciences 6 15%
Social Sciences 3 7%
Veterinary Science and Veterinary Medicine 2 5%
Computer Science 2 5%
Other 6 15%
Unknown 12 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 October 2015.
All research outputs
#14,792,641
of 22,775,504 outputs
Outputs from BMC Infectious Diseases
#4,068
of 7,669 outputs
Outputs of similar age
#198,029
of 353,184 outputs
Outputs of similar age from BMC Infectious Diseases
#94
of 196 outputs
Altmetric has tracked 22,775,504 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,669 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.6. This one is in the 42nd percentile – i.e., 42% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 353,184 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 41st percentile – i.e., 41% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 196 others from the same source and published within six weeks on either side of this one. This one is in the 46th percentile – i.e., 46% of its contemporaries scored the same or lower than it.