Table of Contents Author Guidelines Submit a Manuscript
International Journal of Microbiology
Volume 2016, Article ID 7286918, 4 pages
http://dx.doi.org/10.1155/2016/7286918
Research Article

Detection of Anti-Leptospira IgM Antibody in Serum Samples of Suspected Patients Visiting National Public Health Laboratory, Teku, Kathmandu

1Central Department of Microbiology, Tribhuvan University, Kirtipur, Nepal
2Tribhuvan University Teaching Hospital, Kathmandu, Nepal
3National Public Health Laboratory, Teku, Nepal

Received 20 August 2016; Revised 5 November 2016; Accepted 13 November 2016

Academic Editor: Todd R. Callaway

Copyright © 2016 Krishna Prasad Dahal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Leptospirosis is a globally distributed zoonosis with varied clinical outcomes and multiorgan involvement in humans. In this study conducted from July 2011 to December 2011, 178 serum samples from patients suspected of leptospirosis were tested by Panbio IgM ELISA at National Public Health Laboratory, Kathmandu, out of which 51 (28.65%) were positive for anti-Leptospira IgM antibody. Leptospirosis was more common in people in their 2nd and 3rd decades of their life which together comprised 56.86% of the total positive cases. Most of those tested positive were farmers followed by students and housewives. Both animal contact and water contact seemed to play significant roles in disease transmission. Symptoms were vague with the most common being fever, headache, myalgia, abdominal pain, vomiting, jaundice, and diarrhoea. Life style heavily dominated by agronomical and farming activities in Nepal is conducive to leptospirosis transmission. Leptospirosis seems to be a significant public health problem in Nepal but is underestimated. In resource poor countries like Nepal where laboratories performing MAT or maintaining cultures are rarely available, serological test like ELISA could well depict the scenario of the disease prevalence.