Background: Bartonellosis affects small Andean communities in Peru, Colombia and Ecuador. Research in this area has been limited.
Methods: Retrospective review of 191 cases of bartonellosis managed in Caraz District Hospital, Peru, during the last outbreak (2003).
Results: The majority of cases (65%) were 14 years old and younger. There was a peak in acute cases after the rainy season; chronic cases presented more constantly throughout the year. The sensitivity of blood smear against blood culture in acute disease was 25%. The most commonly used treatment for chronic disease was rifampicin; chloramphenicol was used to treat most acute cases. Complications arose in 6.8% and there were no deaths.
Conclusions: Diagnostic and treatment algorithms for acute and chronic bartonellosis have been developed without a strong evidence base. Preparation of ready-to-go operational research protocols for future outbreaks would strengthen the evidence base for diagnostic and treatment strategies and enhance opportunities for control.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4798250 | PMC |
| http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0150525 | PLOS |
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