原创力文档seropositivity of lyme borreliosis and associated risk factors a population-based study in children and adolescents in germany (kiggs)血清阳性的莱姆莱姆疏螺旋体病和相关危险因素以人群为基础的研究在儿童和青少年在德国(kiggs).pdfVIP
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seropositivity of lyme borreliosis and associated risk factors a population-based study in children and adolescents in germany (kiggs)血清阳性的莱姆莱姆疏螺旋体病和相关危险因素以人群为基础的研究在儿童和青少年在德国(kiggs)
Seropositivity of Lyme Borreliosis and Associated Risk
Factors: A Population-Based Study in Children and
Adolescents in Germany (KiGGS)
1 2 2 3 4 ´ 1
Manuel Dehnert , Volker Fingerle , Christiane Klier , Thomas Talaska , Martin Schlaud , Gerard Krause ,
Hendrik Wilking1*, Gabriele Poggensee1
1 Department for Infectious Disease Epidemiology, Robert Koch-Institute, Berlin, Germany, 2 National Reference Centre for Borrelia, Bavarian Food and Health Safety
Authority, Oberschleißheim, Germany, 3 Institute for Tickborne Diseases, Brieskow-Finkenheerd, Germany, 4 Department of Epidemiology and Health Reporting, Robert
Koch-Institute, Berlin, Germany
Abstract
Background: Lyme borreliosis (LB) caused by spirochetes of the Borrelia burgdorferi sensu lato complex is the most common
tick-borne disease in the northern hemisphere. Data on the distribution and on risk factors in Germany are sketchy.
Methodology/Principal Findings: Blood samples of a nationwide population-based cross-sectional study from 2003–2006
in children and adolescents aged 1 to 17 years in Germany (KiGGS) were analysed (n = 12,614) to assess the seroprevalence
of anti-Borrelia antibodies. Data from standardized interviews were used to assess potential risk factors. First, sera were
screened for anti-Borrelia antibodies by ELISA. The overall prevalence was 4.8% (95% confidence interval (CI) 4.3–5.4%).
Positive and borderline ELISA test results were confirmed by a line blot revealing a combined prevalence of 4.0% (95% CI
3.6–4.5%). Seroprevalence of ELISA was significantly higher in males (odds ratio (OR) = 1.37; CI 1.15–1.63) and in the
southern part of Germany (OR = 1.41; CI 1.09–1.83), but significantly lower in
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