Abstract

ROMANI-ROMANI, Franco. Prevalence and treatment outlines for Carrion’ disease (human bartonellosis) in an Amazonas’ district. An. Fac. med. [online]. 2008, vol.69, n.4, pp.227-232. ISSN 1025-5583.

Objectives: To determine the frequency of Bartonellosis in the district of Ocalli, Luya, Amazonas, and to describe treatment outlines at the Ocalli’s Health center. Design: Observational, transverse and retrospective study. Setting: District of Ocalli, province of Luya, department of Amazonas. Patients: Persons with Carrion’s Disease. Interventions: Review of acute anemic febrile records and follow-up of Bartonellosis cases at Ocalli’s Health Center between January 1998 and December 2008. Main outcome measures: Prevalence and treatment outlines for Carrion’s Disease. Results: In 111 registered cases of Bartonellosis the average age was 15,7 years. The most affected age group was from 2 to 7 years with 47 (42,3%) patients; 61 (54,9%) patients were female. The prevalence was 25,4 cases per 1000 and the death rate 2,7%. In the acute phase, 82 (73,9%) patients were registered, other 12 (10,8%) had acute complicated Bartonellosis, 14 (12,6%) had the eruptive phase and 3 (2,7%) were probable cases. Most patients with acute non-complicated Bartonellosis were treated with chloramphenicol (53,6%) and ciprofloxacin (44%) and the eruptive phase with rifampicin. Conclusions: Carrion’s Disease is endemic in Ocalli’s district, Luya province high forest. It mainly affected the pediatric age. The antibiotic most used in the acute phase was chloramphenicol and ciprofloxacin, and rifampicin in the eruptive phase.

Keywords : Carrion disease; Bartonella baciliformis; antibiotics.

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