Günal, Özgür Gaziosmanpaşa University - School of Medicine - Department of Infectious Diseases and Clinical Microbiology, Turkey , Demirturk, Fazlı Gaziosmanpaşa University - School of Medicine - Department of Obstetrics and Gynecology, Turkey , Barut, Şener Gaziosmanpaşa University - School of Medicine - Department of Infectious Diseases and Clinical Microbiology, Turkey , Kılıç, Selçuk Republic of Turkey Ministry of Health Health Agency of Turkey - Zoonotic Diseases Section, Turkey , Erkorkmaz, Ünal Sakarya University - School of Medicine - Department of Medical Statistics, Turkey , Aytekin, Feyza Yıldız Gaziosmanpaşa University - School of Medicine - Department of Infectious Diseases and Clinical Microbiology, Turkey , Aysal, Tülay Gaziosmanpaşa University - School of Medicine - Department of Obstetrics and Gynecology, Turkey

A preliminary report of relationship between abortion and Q fever in Central Black Sea Region Turkish woman

33431

Aim. Q fever, which is a zoonosis caused by Coxiella burnetii, may result in abortions in infected animals and pregnant women. In our study, we searched the association between Q fever serology and abortion in a region where Q fever is endemic. Method. This study was conducted inGaziosmanpaşa University Hospital between March and May 2012. A total of 100 women, from these, 64 had a history of spontaneus abortion (cases) and 36 had live births with no complicated obstetrics history or complicated partum (controls), enrolled in the study. Both groups were compared according to where they live, underlying diseases, contact with farm animals or pets and village connectivity. Results. IgG seroprevalence of Coxiella in our study group with the history of abortion was 15.6%, and 11.1% in the control group (p 0.05). When case and control groups were compared, the frequency of inhabitants of the village (p=0.012), subjects who had contact with farm animals [p=0.026, especially cattle (p=0.013)] or domestic animals (p=0.018) in case group were more common than the control group. When all the samples were analyzed, it was seen that the only significant variable affecting Coxiella IgG seropositivity was residency in rural area or visiting rural area (p=0.018). Conclusions. We have found that the relation between abortion and Q fever infection was not statistically significant. On this issue, multicenter studies which have the higher number of samples are needed in our country.

337

Q fever , spontaneous abortions , endemic region

Cumhuriyet Medical Journal

343