Seroprevalence of Coxiella burnetii in Occupational Settings: A Meta-Analysis of Italian Studies

Abstract

Coxiella burnetii (C. burnetii) can cause a serious human disease known as Q Fever (QF). Our study summarized seroprevalence data from occupational settings in Italy, a country characterized by low notification rates of QF (17 cases between 2015 and 2021). Through systematic research on 3 databases (PubMed, EMBASE, MedRxiv), all studies including seroprevalence rates of C. burnetii in Italy were retrieved, and their results summarized and compared. We identified a total of 7 articles for a total of 1178 workers, mostly from agricultural settings. A pooled seroprevalence of 44.0% (95% Confidence Interval [95%CI] 27.6 to 61.8) was calculated. Subgroup estimates ranged from 2.8% (95%CI 0.9–6.3) in forestry rangers to 49.2% (95%CI 26.8–72.0) in livestock farmers, and peaked at 73.7% (95%CI 56.9–86.6) and 75.9% (95%CI 13.4–98.5) in abattoir workers and veterinary professionals, respectively. Seroprevalence rates for C. burnetii largely exceeded the official notification rates, suggesting its substantial underreporting in Italy.