Diagnosis and management of Q fever - United States, 2013: Recommendations from CDC and the Q Fever Working Group

Alicia Anderson*, Henk Bijlmer, Pierre Edouard Fournier, Stephen Graves, Joshua Hartzell, Gilbert J. Kersh, Gijs Limonard, Thomas J. Marrie, Robert F. Massung, Jennifer H. McQuiston, William L. Nicholson, Christopher D. Paddock, Daniel J. Sexton

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

369 Scopus citations

Abstract

Q fever, a zoonotic disease caused by the bacterium Coxiella burnetii, can cause acute or chronic illness in humans. Transmission occurs primarily through inhalation of aerosols from contaminated soil or animal waste. No licensed vaccine is available in the United States. Because many human infections result in nonspecific or benign constitutional symptoms, establishing a diagnosis of Q fever often is challenging for clinicians. This report provides the first national recommendations issued by CDC for Q fever recognition, clinical and laboratory diagnosis, treatment, management, and reporting for health-care personnel and public health professionals. The guidelines address treatment of acute and chronic phases of Q fever illness in children, adults, and pregnant women, as well as management of occupational exposures. These recommendations will be reviewed approximately every 5 years and updated to include new published evidence.

Original languageEnglish
JournalMMWR Recommendations and Reports
Volume62
Issue number1
StatePublished - 2013
Externally publishedYes

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