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Homelessness and Organ Donor–Derived Bartonella quintana Infection
Rachel Henderson, Emily Mosites, Jane E. Koehler, Carl Boodman, and Grace E. Marx
Author affiliation: University of Colorado School of Medicine, Fort Collins, Colorado, USA (R. Henderson); Multnomah County Health Department, Portland, Oregon, USA (E. Mosites); University of California, San Francisco, California, USA (J.E. Koehler); University of Manitoba, Winnipeg, Manitoba, Canada (C. Boodman); Institute of Tropical Medicine, Antwerp, Belgium (C. Boodman); Centers for Disease Control and Prevention, Fort Collins, Colorado, USA (G.E. Marx)
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Figure 3
Figure 3. Conceptual framework for reducing transmission of Bartonella quintana in the United States among PEH and among organ transplant recipients through universal access to hygiene services, prevention and treatment of body lice infestation, and early diagnosis and treatment of B. quintana infection. Diagnostic testing for B. quintana includes bacterial culture with prolonged incubation time (minimum 14 days), serology, and molecular diagnostic methods (e.g., PCR or microbial cell-free DNA testing). PEH, persons experiencing homelessness.
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