{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:54:18Z","timestamp":1777877658283,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2019,4,25]],"date-time":"2019-04-25T00:00:00Z","timestamp":1556150400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,4,25]],"date-time":"2019-04-25T00:00:00Z","timestamp":1556150400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vector-Borne and Zoonotic Diseases"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>\n                    The article describes the results of a retrospective analysis of medical records of 395 patients with a clinical diagnosis of leptospirosis treated at the Lviv Oblast Infectious Disease Clinical Hospital (Ukraine) between 2002 and 2016. The main risk factors for leptospirosis were contact with rodents or their excrements (26.84%) and bathing in ponds, small lakes, and reservoirs (10.63%). Among 276 patients in whom the anti-leptospira antibodies were detected by the microscopic agglutination test (MAT), the most common serotypes were\n                    <jats:italic toggle=\"yes\">Leptospira icterohaemorrhagiae<\/jats:italic>\n                    (33.33%) and\n                    <jats:italic toggle=\"yes\">Leptospira grippotyphosa<\/jats:italic>\n                    (25.0%). The mortality rate was significantly higher in patients where leptospirosis diagnosis was established based on clinical symptoms without confirmation by MAT (15.13% vs. 5.43%,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.01).\n                  <\/jats:p>","DOI":"10.1089\/vbz.2018.2375","type":"journal-article","created":{"date-parts":[[2018,10,18]],"date-time":"2018-10-18T15:17:02Z","timestamp":1539875822000},"page":"341-346","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Leptospirosis in Ukraine (Lviv Oblast): Clinical and Epidemiological Features"],"prefix":"10.1177","volume":"19","author":[{"given":"Olena","family":"Zubach","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetiana","family":"Telegina","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oksana","family":"Semenyshyn","sequence":"additional","affiliation":[{"name":"State Institution Lviv Oblast Laboratory Center of the Ministry of Health of Ukraine, Lviv, Ukraine."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilya","family":"Vasiunets","sequence":"additional","affiliation":[{"name":"State Institution Lviv Oblast Laboratory Center of the Ministry of Health of Ukraine, Lviv, Ukraine."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksander","family":"Zinchuk","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,4,25]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.16-0033"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2011.11-0276"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(03)00830-2"},{"key":"e_1_3_3_5_1","first-page":"693","article-title":"Deciphering leptospirosis a diagnostic mystery: An insight","volume":"4","author":"Bhatia M","year":"2015","unstructured":"Bhatia M, , Umapathy B. Deciphering leptospirosis a diagnostic mystery: An insight. Int J Med Res Health Sci, 2015; 4:693\u2013701.","journal-title":"Int J Med Res Health Sci"},{"key":"e_1_3_3_6_1","first-page":"619","article-title":"Epidemic of leptospirosis: An ICU experience","volume":"52","author":"Chawla V","year":"2004","unstructured":"Chawla V, , Trivedi T, , Yeolekar M. Epidemic of leptospirosis: An ICU experience. J Assoc Phys India, 2004; 52:619\u2013622.","journal-title":"J Assoc Phys India"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0003898"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.1999.61.731"},{"key":"e_1_3_3_9_1","first-page":"369","article-title":"Leptospirosis and hemorrhagic fever with renal syndrome in northwestern Croatia","volume":"57","author":"Golubi\u0107 D","year":"2003","unstructured":"Golubi\u0107 D, , Markoti\u0107 A. Leptospirosis and hemorrhagic fever with renal syndrome in northwestern Croatia. Acta Med Croatica, 2003; 57:369\u2013372.","journal-title":"Acta Med Croatica"},{"key":"e_1_3_3_10_1","first-page":"65","article-title":"Leptospirosis in humans","volume":"387","author":"Haake D","year":"2015","unstructured":"Haake D, , Levett P. Leptospirosis in humans. Curr Top Microbiol, 2015; 387:65\u201397.","journal-title":"Curr Top Microbiol"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1086\/324084"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)80012-9"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2010.09-0239"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.14.2.296-326.2001"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis403"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365540110077227"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0129236"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.5812\/archcid.32380"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2008.79.911"},{"key":"e_1_3_3_20_1","article-title":"A systematic review of the mortality from untreated leptospirosis","volume":"9","author":"Taylor A","year":"2015","unstructured":"Taylor A, , Paris D, , Newton P. A systematic review of the mortality from untreated leptospirosis. PLoS Negl Trop Dis, 2015; 9:e0003866.","journal-title":"PLoS Negl Trop Dis"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0001991"},{"key":"e_1_3_3_22_1","first-page":"199","article-title":"Leptospirosis diagnosis: Competancy of various laboratory tests","volume":"8","author":"Veerappa Budihal S","year":"2014","unstructured":"Veerappa Budihal S, , Perwez K. Leptospirosis diagnosis: Competancy of various laboratory tests. J Clin Diagn Res, 2014; 8:199\u2013202.","journal-title":"J Clin Diagn Res"},{"key":"e_1_3_3_23_1","article-title":"Commonly used severity scores are not good predictors of mortality in sepsis from severe leptospirosis: A series of ten patients","volume":"2012","author":"Velissaris D","year":"2012","unstructured":"Velissaris D, , Karanikolas M, , Flaris N, , Fligou F, et al. Commonly used severity scores are not good predictors of mortality in sepsis from severe leptospirosis: A series of ten patients. Crit Care Res Pract, 2012; 2012:532376.","journal-title":"Crit Care Res Pract"},{"key":"e_1_3_3_24_1","first-page":"12","article-title":"A study on few biochemical parameters of clinically suspected and laboratory confirmed Leptospirosis cases","volume":"6","author":"Zala DB","year":"2014","unstructured":"Zala DB, , Khan V, , Das VK. A study on few biochemical parameters of clinically suspected and laboratory confirmed Leptospirosis cases. 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