{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T08:39:04Z","timestamp":1787992744923,"version":"build-2784847793"},"reference-count":37,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,7,3]]},"abstract":"<jats:p>This is the first cross-sectional study of the seroprevalence and risk factors for <jats:italic>Coxiella burnetii<\/jats:italic> in Jordan. A total of 781 individuals from 11 governorates of Jordan were tested by SERION ELISA classic <jats:italic>C. burnetii<\/jats:italic> IgG Phase 2. A validated and pretested questionnaire was used to collect risk factors and demographic data. The overall seroprevalence for <jats:italic>C. burnetii<\/jats:italic> was 24.2% (95% CI; 21.3\u201327.3%). Unadjusted odds ratios showed that governorate of residence, consumption of raw milk, and ownership of sheep, goats, and dogs were significantly (<jats:italic>P<\/jats:italic> \u2264 0.05) associated with <jats:italic>C. burnetii<\/jats:italic> seropositivity. The multivariate logistic regression showed that individuals who own small ruminants had three times greater odds of seropositivity than those who do not own a small ruminant, after controlling for age, gender, raw milk consumption, and ownership of dogs. In addition, individuals who live in Al-Karak, Az-Zarqa, and Al-Tafilah had significantly greater odds of seropositivity compared with individuals who live in the capital city, Amman (OR = 3.6, 4.8, and 2.7, respectively). This study suggests that preventive measures should be practiced in ruminant farms in Jordan to avoid <jats:italic>C<\/jats:italic>. <jats:italic>burnetii<\/jats:italic> infection. <jats:italic>Coxiella burnetii<\/jats:italic> should also be considered in the differential diagnosis of febrile-like illnesses in Jordan, especially among farmers and veterinarians.<\/jats:p>","DOI":"10.4269\/ajtmh.19-0049","type":"journal-article","created":{"date-parts":[[2019,5,21]],"date-time":"2019-05-21T07:01:13Z","timestamp":1558422073000},"page":"40-44","source":"Crossref","is-referenced-by-count":19,"title":["Seroprevalence and Risk Factors for Coxiella burnetii in Jordan"],"prefix":"10.4269","volume":"101","author":[{"given":"Mohammad M.","family":"Obaidat","sequence":"first","affiliation":[{"name":"Department of Veterinary Pathology and Public Health, Faculty of Veterinary Medicine, Jordan University of Science and Technology, Irbid, Jordan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lile","family":"Malania","sequence":"additional","affiliation":[{"name":"National Center for Disease Control and Public Health, Tbilisi, Georgia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paata","family":"Imnadze","sequence":"additional","affiliation":[{"name":"National Center for Disease Control and Public Health, Tbilisi, Georgia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amira A.","family":"Roess","sequence":"additional","affiliation":[{"name":"Department of Global Health, Milken Institute School of Public Health, George Washington University, Washington, District of Columbia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaa E.","family":"Bani Salman","sequence":"additional","affiliation":[{"name":"Department of Veterinary Pathology and Public Health, Faculty of Veterinary Medicine, Jordan University of Science and Technology, Irbid, Jordan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan J.","family":"Arner","sequence":"additional","affiliation":[{"name":"Ryan Arner Science Consulting, LLC, Freeport, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Appl Environ Microbiol","first-page":"1697","article-title":"Presence and persistence of Coxiella burnetii in the environments of goat farms associated with a Q fever outbreak","volume":"79","author":"Kersh","year":"2013"},{"key":"b2","series-title":"BMC Infect Dis","first-page":"488","article-title":"Human dose response relation for airborne exposure to Coxiella burnetii","volume":"13","author":"Brooke","year":"2013"},{"key":"b3","series-title":"Clin Infect Dis","first-page":"1433","article-title":"A large Q fever outbreak in an urban school in central Israel","volume":"50","author":"Amitai","year":"2010"},{"key":"b4","series-title":"New Microbes New 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