Leptospirosis in "Eco-Challenge" athletes, Malaysian Borneo, 2000.

Abstract:

:Adventure travel is becoming more popular, increasing the likelihood of contact with unusual pathogens. We investigated an outbreak of leptospirosis in "Eco-Challenge" multisport race athletes to determine illness etiology and implement public health measures. Of 304 athletes, we contacted 189 (62%) from the United States and 26 other countries. Eighty (42%) athletes met our case definition. Twenty-nine (36%) case-patients were hospitalized; none died. Logistic regression showed swimming in the Segama River (relative risk [RR]=2.0; 95% confidence interval [CI]=1.3 to 3.1) to be an independent risk factor. Twenty-six (68%) of 38 case-patients tested positive for leptospiral antibodies. Taking doxycycline before or during the race was protective (RR=0.4, 95% CI=0.2 to 1.2) for the 20 athletes who reported using it. Increased adventure travel may lead to more frequent exposure to leptospires, and preexposure chemoprophylaxis for leptospirosis (200 mg oral doxycycline/week) may decrease illness risk. Efforts are needed to inform adventure travel participants of unique infections such as leptospirosis.

journal_name

Emerg Infect Dis

authors

Sejvar J,Bancroft E,Winthrop K,Bettinger J,Bajani M,Bragg S,Shutt K,Kaiser R,Marano N,Popovic T,Tappero J,Ashford D,Mascola L,Vugia D,Perkins B,Rosenstein N,Eco-Challenge Investigation Team.

doi

10.3201/eid0906.020751

subject

Has Abstract

pub_date

2003-06-01 00:00:00

pages

702-7

issue

6

eissn

1080-6040

issn

1080-6059

journal_volume

9

pub_type

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