Factors Related with Leptospirosis in Roi-Et Province

Abstract

This a matched case-control study aims to identify factors related to Leptospirosis that were treated in government hospital of Roi-Et province during January 1, 2013 to December 31, 2014. The cases were 62 leptospirosis patients and the controls were 124 patients without Leptospirosis. The case and control group were matched by sex age± 5 years occupation and village The data were collected using interview questionnaires and from patients’ medical records. For the data analyses, descriptive statistics were used to summarise baseline characteristics of patients. A univariate analysis using simple logistic regression was performed to indentify the factors  related  to leptospirosis patients. A Multivariate analysis using conditional logistic regression.

          The results show that, most patients were female, 69.35%. In univariate analysis, the factors significantly related to leptospirosis were: not wearing  rubber gloves while doing agricultural activitie (OR = 2.08, 95% CI: 1.01 - 4.29). In the multivariate analysis, the factors significantly related with leptospirosis: not wearing shoes while doing agricultural activitie (OR = 2.20,95%CI: 1.11-4.35)

The results of this study can be concluded that the strong risk factors for leptospirosis in Roi-Et province are: not wearing  above  all boots while performing agricultural activities. An intensive Health education is need to prevent or reduce the incidence of leptospirosis in community. The health education should focus on the need to wear boots when performing agricultural in water in water or moist soil.