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Indoor and peridomestic transmission of American cutaneous leishmaniasis in northwestern Argentina: a retrospective case-control study. | LitMetric

Indoor and peridomestic transmission of American cutaneous leishmaniasis in northwestern Argentina: a retrospective case-control study.

Am J Trop Med Hyg

Communicable Diseases Program, Division of Disease Prevention and Control, Pan American Health Organization, Washington, District of Columbia 20037-2895, USA.

Published: May 2003

AI Article Synopsis

  • A case-control study conducted in Santiago del Estero, Argentina, from 1990 to 1994 aimed to identify risk factors for American cutaneous leishmaniasis (ACL) by comparing 171 cases to 308 matched controls.
  • Key risk factors associated with ACL included living conditions such as having few rooms, dirt floors, open windows, and proximity to ponds or woodlands, as well as behaviors like sleeping outdoors and engaging in agricultural activities.
  • The findings suggest that ACL transmission primarily occurs indoors and in surrounding areas, highlighting the need for further research and targeted control measures in these environments.

Article Abstract

A case-control study was carried out during 1990-1994 to identify risk factors associated with American cutaneous leishmaniasis (ACL) in Santiago del Estero, Argentina. The study subjects consisted of 171 cases and 308 controls matched by age, sex, and place of residence. The analysis was performed by conditional logistic regression. Risk factors found to be significantly associated with ACL were related to indoor transmission (few rooms in the house, dirt floor, and a permanent opening in lieu of a window); peridomestic transmission (presence of a pond or woodland within 150 m of the house and an agricultural area within 200 m of the house); and human behavior (sleeping in the backyard, collecting water, bathing, and performing agricultural activities). Most transmission appears to have occurred indoors and in the peridomicile. These environments should be included in further research and control policies.

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Source
http://dx.doi.org/10.4269/ajtmh.2003.68.519DOI Listing

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