KMID : 1143420220150523046
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Public Health Weekly Report 2022 Volume.15 No. 52 p.3046 ~ p.3062
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Analysis of the Status of Anaplasmosis Laboratory Diagnosis,2019?2021
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Kim Mi-Yeon
Gill Byoung-Chul Kim Jun-Young Yoo Jae-Il
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Abstract
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Anaplasmosis is a tick-borne zoonotic disease, the causative agent of which is Anaplasma phagocytophilum. This study
analyzed the positivity rate, sex, age, clinical findings, and time period of domestic anaplasmosis infection based on the
results of confirmed diagnosis of anaplasmosis commissioned by the Korea Disease Control and Prevention Agency from 2019 to 2021. In the past three years, a total of 2,024 samples have been referred for suspected anaplasmosis infection, and the number of patients who were finally confirmed positive were 3.4% (31 people) in 2019, 5.6% (31 people) in 2020, and 8.7% (48 people) in 2021. 64.5% (71 female) and 71% (78 people) were identified in the age group over 70 years of age. Clinical findings in patients confirmed to be anaplasmosis positive were based on fever (84%) symptoms, but the highest positivity rate was seen in patients (41.3%) who had both fever and decreased platelet counts. The Seoul area had the largest number of requests for domestic anaplasmosis samples, but the Jeonbuk region showed the highest distribution of anaplasmosis patients with a positivity rate of 25.5%, and it was confirmed that they were concentrated from May to July. Anaplasmosis patients have confirmed a high positivity rate in samples that fully consider the patient's clinical findings such as fever, decreased platelet count, outdoor activity, and tick bite. This study expected to be used as basic data for surveillance, spread, and management of zoonotic diseases.
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KEYWORD
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Anaplasmosis, Anaplasma phagocytophilum, Tick-borne disease, Laboratory diagnosis
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