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Volume 22, Number 5—May 2016
Dispatch

Q Fever, Scrub Typhus, and Rickettsial Diseases in Children, Kenya, 2011–2012

Alice N. MainaComments to Author , Christina M. Farris, Antony Odhiambo, Ju Jiang, Jeremiah Laktabai, Janice Armstrong, Thomas Holland, Allen L. Richards, and Wendy P. O’Meara
Author affiliations: Naval Medical Research Center, Silver Spring, Maryland, USA (A.N. Maina, C.M. Farris, A. Odhiambo, J. Jiang, A.L. Richards); Moi University College of Health Sciences, Eldoret, Kenya (J. Laktabai, J. Armstrong, W.P. O’Meara); Duke Global Health Institute and Duke University School of Medicine, Durham, North Carolina, USA (T. Holland, W.P. O’Meara)

Main Article

Table 2

Analysis of variables across Coxiella burnetii, SFGR, and STGO infections in febrile children attending Webuye District Hospital, Bungoma, Kenya, November 2011–December 2012*

Variable C. burnetii
 SFGR
 STGO
Positive, n = 25† Negative, n = 256† p value Positive, n = 63† Negative, n = 218† p value Positive, n = 10† Negative, n = 271† p value
Mean age, y (SD)
 3.8 (0.48)
 4.5 (0.18)
 0.283
3.8 (0.35)
 4.6 (0.19)
 0.065
4.8 (0.87)
4.4 (0.17)
 0.669
Sex
M 39 47 0.452 31.8 51.1 0.007‡ 20 47.6 0.086
F
 61
 52
68.2
 48.9
80
 52.4
Symptom
Rash 0 1.6 0.548 1.6 1.4 0.901 0 1.5 0.7
Vomiting 21.7 16.7 0.536 25.4 14.7 0.046§ 30 16.6 0.269
Cough 73.9 48 0.018# 54 49.1 0.495 60 49.8 0.527
Diarrhea 17.4 10.5 0.31 15.9 9.6 0.164 30 10.3 0.051
Difficulty breathing 0 1.6 0.548 1.6 1.4 0.901 0 1.5 0.7
Inability to drink or breastfeed
13
 7.4
 0.331
9.5
 7.3
 0.57
10
 7.8
 0.795
Admitted to hospital
 30.4
 23.6
 0.466
20.6
 25.2
 0.453
10
 24.7
 0.286
Treatment administered at hospital
Antimicrobial drug 73.9 54.7 0.074 61.9 59.7 0.746 50 57.2 0.505
Antimalarial drug
 82.6
 81
 0.851
81
 81.2
 0.966
90
 80.8
 0.466
Recovered after treatment
100
 92.6
 0.158
98.4
 92.3
 0.076
100
 92.7
 0.372
Malaria diagnosed by clinician 100 89.8 0.094 95.2 89.1 0.138 100 90.2 0.294

*SFGR, spotted fever group rickettsiae, STGO, scrub typhus group orientiae.
†Values are percentages unless otherwise specified.
‡Being a girl was indicated as a possible risk factor for SFGR infection (p<0.05).
§Children with SFGR were more likely to report vomiting (p<0.05).
#Children with C. burnetii were more likely to report cough (p<0.05).

Main Article

Page created: April 13, 2016
Page updated: April 13, 2016
Page reviewed: April 13, 2016
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