Pseudoepidemic of Q fever at an animal research facility

Vector Borne Zoonotic Dis. 2004 Winter;4(4):343-350. doi: 10.1089/vbz.2004.4.343.

Abstract

Serum samples from people exposed to sheep at a research facility were evaluated by a commercial laboratory and resulted in an overall Coxiella burnetii seroprevalence of 75%. We interviewed individuals to determine exposure history and compatible illness, and retested their sera. Analysis indicated that the commercial laboratory was misinterpreting its results; when corrected, the seroprevalence dropped to 27%. Test kits of the brand used by the commercial laboratory gave equivalent results to the in-house CDC assay when tested in parallel at CDC. Upon final analysis, only the attending veterinarian was confirmed as a Q fever case. This event resulted in increased risk reduction protocols at the research facility and improved public health communication among health authorities. This pseudoepidemic resulted from a lapse in laboratory quality control for testing. Similar errors can be avoided through standardization and improved review of laboratory procedures.

MeSH terms

  • Animals
  • Antibodies, Bacterial / blood
  • Centers for Disease Control and Prevention, U.S.
  • Clinical Laboratory Techniques / standards*
  • Coxiella burnetii / immunology
  • Disease Outbreaks
  • Enzyme-Linked Immunosorbent Assay
  • Florida / epidemiology
  • Humans
  • Laboratories / standards*
  • Q Fever / diagnosis*
  • Q Fever / epidemiology
  • Q Fever / microbiology
  • Quality Control
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Seroepidemiologic Studies
  • Sheep
  • Sheep Diseases / diagnosis*
  • Sheep Diseases / epidemiology
  • Sheep Diseases / microbiology
  • United States

Substances

  • Antibodies, Bacterial