{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:20:04Z","timestamp":1787840404332,"version":"build-2784847793"},"reference-count":56,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Q fever is endemic in Iran, thus, we conducted a systematic review and meta-analysis on epidemiology of\n                      <jats:italic toggle=\"yes\">Coxiella burnetii<\/jats:italic>\n                      among humans and animals in Iran.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      A systematic search was performed to identify all articles reporting\n                      <jats:italic toggle=\"yes\">C. burnetii<\/jats:italic>\n                      prevalence in Iranian humans or animals, published from January 2000 to January 2015. Data from articles were extracted, and a pooled estimate of prevalence with corresponding 95% confidence interval (CI) was calculated using random effect method.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In this review, 27 papers were identified. The pooled seroprevalence of Q fever in animals was 27% (CI 95%: 23%\u201332%). The prevalence was 33% (CI 95%: 22%\u201345%) in goats, 27% (CI 95%: 21%\u201332%) in sheep, and 17% (CI 95%: 5%\u201328%) in cattle. The bacterial DNA was detected in 5% (95% CI: 3%\u20139%) of milk samples, and it was higher in cattle (10%; 95% CI: 6%\u201316%) than sheep (2%; 95% CI: 0\u20137%) and goats (4%; 95% CI: 0\u201312%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">C. burnetii<\/jats:italic>\n                      DNA or its antibody has been frequently detected among ruminants. Since these animals can transmit the infection to humans, Q fever could be a potential health problem in Iran.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jrms.jrms_586_17","type":"journal-article","created":{"date-parts":[[2017,12,21]],"date-time":"2017-12-21T06:59:48Z","timestamp":1513839588000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":15,"title":["Epidemiology of Q fever in Iran: A systematic review and meta-analysis for estimating serological and molecular prevalence"],"prefix":"10.4103","volume":"22","author":[{"given":"Zary","family":"Nokhodian","sequence":"first","affiliation":[{"name":"Infectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Awat","family":"Feizi","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Behrooz","family":"Ataei","sequence":"additional","affiliation":[{"name":"Nosocomial Infection Research Center, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shervin Ghaffari","family":"Hoseini","sequence":"additional","affiliation":[{"name":"Infectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ehsan","family":"Mostafavi","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Pasteur Institute of Iran, Tehran, Iran"},{"name":"Research Centre for Emerging and Reemerging Infectious Diseases (National Reference Center for Diagnosis and Research on Plague, Tularemia and Q Fever), Pasteur Institute of Iran, Akanlu, Kabudar Ahang, Hamadan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,11,28]]},"reference":[{"key":"R1-20250827","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1051\/vetres:2005010","article-title":"Is Q fever an emerging or re-emerging zoonosis?","volume":"36","author":"Arricau-Bouvery","year":"2005","journal-title":"Vet Res"},{"key":"R2-20250827","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1016\/S0140-6736(06)68266-4","article-title":"Q fever","volume":"367","author":"Parker","year":"2006","journal-title":"Lancet"},{"key":"R3-20250827","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1051\/vetres:2003017","article-title":"Experimental Coxiella burnetii infection in pregnant goats: Excretion routes","volume":"34","author":"Arricau Bouvery","year":"2003","journal-title":"Vet 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