Epidemiological investigation and physician awareness regarding the diagnosis and management of Q fever in South Korea, 2011 to 2017.

<h4>Background</h4>In South Korea, the number of Q fever cases has rapidly increased since 2015. Therefore, this study aimed to characterize the epidemiological and clinical features of Q fever in South Korea between 2011 and 2017.<h4>Methods/principal findings</h4>We analyze...

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Autores principales:	Yong Chan Kim, Hye Won Jeong, Dong-Min Kim, Kyungmin Huh, Sang-Ho Choi, Hee Young Lee, Yunjung Jung, Yeol Jung Seong, Eun Jin Kim, Young Hwa Choi, Jung Yeon Heo
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/3b277e2ff48d4918b788ccc6d3d02002
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spelling	oai:doaj.org-article:3b277e2ff48d4918b788ccc6d3d020022021-11-25T06:33:09ZEpidemiological investigation and physician awareness regarding the diagnosis and management of Q fever in South Korea, 2011 to 2017.1935-27271935-273510.1371/journal.pntd.0009467https://doaj.org/article/3b277e2ff48d4918b788ccc6d3d020022021-06-01T00:00:00Zhttps://doi.org/10.1371/journal.pntd.0009467https://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735<h4>Background</h4>In South Korea, the number of Q fever cases has rapidly increased since 2015. Therefore, this study aimed to characterize the epidemiological and clinical features of Q fever in South Korea between 2011 and 2017.<h4>Methods/principal findings</h4>We analyzed the epidemiological investigations and reviewed the medical records from all hospitals that had reported at least one case of Q fever from 2011 to 2017. We also conducted an online survey to investigate physicians' awareness regarding how to appropriately diagnose and manage Q fever. The nationwide incidence rate of Q fever was annually 0.07 cases per 100,000 persons. However, there has been a sharp increase in its incidence, reaching up to 0.19 cases per 100,000 persons in 2017. Q fever sporadically occurred across the country, with the highest incidences in Chungbuk (0.53 cases per 100,000 persons per year) and Chungnam (0.27 cases per 100,000 persons per year) areas. Patients with acute Q fever primarily presented with mild illnesses such as hepatitis (64.5%) and isolated febrile illness (24.0%), whereas those with chronic Q fever were likely to undergo surgery (41.2%) and had a high mortality rate (23.5%). Follow-up for 6 months after acute Q fever was performed by 24.0% of the physician respondents, and only 22.3% of them reported that clinical and serological evaluations were required after acute Q fever diagnosis.<h4>Conclusions</h4>Q fever is becoming an endemic disease in the midwestern area of South Korea. Given the clinical severity and mortality of chronic Q fever, physicians should be made aware of appropriate diagnosis and management strategies for Q fever.Yong Chan KimHye Won JeongDong-Min KimKyungmin HuhSang-Ho ChoiHee Young LeeYunjung JungYeol Jung SeongEun Jin KimYoung Hwa ChoiJung Yeon HeoPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 15, Iss 6, p e0009467 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
spellingShingle	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Yong Chan Kim Hye Won Jeong Dong-Min Kim Kyungmin Huh Sang-Ho Choi Hee Young Lee Yunjung Jung Yeol Jung Seong Eun Jin Kim Young Hwa Choi Jung Yeon Heo Epidemiological investigation and physician awareness regarding the diagnosis and management of Q fever in South Korea, 2011 to 2017.
description	<h4>Background</h4>In South Korea, the number of Q fever cases has rapidly increased since 2015. Therefore, this study aimed to characterize the epidemiological and clinical features of Q fever in South Korea between 2011 and 2017.<h4>Methods/principal findings</h4>We analyzed the epidemiological investigations and reviewed the medical records from all hospitals that had reported at least one case of Q fever from 2011 to 2017. We also conducted an online survey to investigate physicians' awareness regarding how to appropriately diagnose and manage Q fever. The nationwide incidence rate of Q fever was annually 0.07 cases per 100,000 persons. However, there has been a sharp increase in its incidence, reaching up to 0.19 cases per 100,000 persons in 2017. Q fever sporadically occurred across the country, with the highest incidences in Chungbuk (0.53 cases per 100,000 persons per year) and Chungnam (0.27 cases per 100,000 persons per year) areas. Patients with acute Q fever primarily presented with mild illnesses such as hepatitis (64.5%) and isolated febrile illness (24.0%), whereas those with chronic Q fever were likely to undergo surgery (41.2%) and had a high mortality rate (23.5%). Follow-up for 6 months after acute Q fever was performed by 24.0% of the physician respondents, and only 22.3% of them reported that clinical and serological evaluations were required after acute Q fever diagnosis.<h4>Conclusions</h4>Q fever is becoming an endemic disease in the midwestern area of South Korea. Given the clinical severity and mortality of chronic Q fever, physicians should be made aware of appropriate diagnosis and management strategies for Q fever.
format	article
author	Yong Chan Kim Hye Won Jeong Dong-Min Kim Kyungmin Huh Sang-Ho Choi Hee Young Lee Yunjung Jung Yeol Jung Seong Eun Jin Kim Young Hwa Choi Jung Yeon Heo
author_facet	Yong Chan Kim Hye Won Jeong Dong-Min Kim Kyungmin Huh Sang-Ho Choi Hee Young Lee Yunjung Jung Yeol Jung Seong Eun Jin Kim Young Hwa Choi Jung Yeon Heo
author_sort	Yong Chan Kim
title	Epidemiological investigation and physician awareness regarding the diagnosis and management of Q fever in South Korea, 2011 to 2017.
title_short	Epidemiological investigation and physician awareness regarding the diagnosis and management of Q fever in South Korea, 2011 to 2017.
title_full	Epidemiological investigation and physician awareness regarding the diagnosis and management of Q fever in South Korea, 2011 to 2017.
title_fullStr	Epidemiological investigation and physician awareness regarding the diagnosis and management of Q fever in South Korea, 2011 to 2017.
title_full_unstemmed	Epidemiological investigation and physician awareness regarding the diagnosis and management of Q fever in South Korea, 2011 to 2017.
title_sort	epidemiological investigation and physician awareness regarding the diagnosis and management of q fever in south korea, 2011 to 2017.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/3b277e2ff48d4918b788ccc6d3d02002
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Epidemiological investigation and physician awareness regarding the diagnosis and management of Q fever in South Korea, 2011 to 2017.

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