Homelessness and Organ Donor–Derived Bartonella quintana Infection

Louseborne Bartonella quintana infections in the United States occur almost exclusively among persons experiencing homelessness because of inadequate access to hygiene resources. Homelessness is increasing, and persons experiencing homelessness can be organ donors, despite barriers to receiving don...

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Main Authors: Rachel Henderson, Emily Mosites, Jane E. Koehler, Carl Boodman, Grace E. Marx
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2024-12-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/30/12/24-0389_article
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author Rachel Henderson
Emily Mosites
Jane E. Koehler
Carl Boodman
Grace E. Marx
author_facet Rachel Henderson
Emily Mosites
Jane E. Koehler
Carl Boodman
Grace E. Marx
author_sort Rachel Henderson
collection DOAJ
description Louseborne Bartonella quintana infections in the United States occur almost exclusively among persons experiencing homelessness because of inadequate access to hygiene resources. Homelessness is increasing, and persons experiencing homelessness can be organ donors, despite barriers to receiving donated organs themselves. Recent reports have documented B. quintana transmission via organs transplanted from donors who had recently experienced homelessness. Those reports demonstrate the threat of severe bartonellosis in immunosuppressed organ transplant recipients after donor-derived B. quintana infection. Addressing the root causes of B. quintana transmission could improve the quality of life for persons experiencing homelessness and simultaneously mitigate risk for donor-derived B. quintana transmission. Interventions include improved access to housing, consistent access to hot water for showers and laundry, early treatment of body lice infestation and B. quintana infection, and B. quintana testing and prophylactic treatment of recipients of organs from donors who have experienced risk factors for B. quintana, including homelessness.
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spelling doaj-art-1676cf2d60fe4804a5e06eedd7475fa92025-08-20T02:07:23ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592024-12-0130122459246610.3201/eid3012.240389Homelessness and Organ Donor–Derived Bartonella quintana InfectionRachel HendersonEmily MositesJane E. KoehlerCarl BoodmanGrace E. Marx Louseborne Bartonella quintana infections in the United States occur almost exclusively among persons experiencing homelessness because of inadequate access to hygiene resources. Homelessness is increasing, and persons experiencing homelessness can be organ donors, despite barriers to receiving donated organs themselves. Recent reports have documented B. quintana transmission via organs transplanted from donors who had recently experienced homelessness. Those reports demonstrate the threat of severe bartonellosis in immunosuppressed organ transplant recipients after donor-derived B. quintana infection. Addressing the root causes of B. quintana transmission could improve the quality of life for persons experiencing homelessness and simultaneously mitigate risk for donor-derived B. quintana transmission. Interventions include improved access to housing, consistent access to hot water for showers and laundry, early treatment of body lice infestation and B. quintana infection, and B. quintana testing and prophylactic treatment of recipients of organs from donors who have experienced risk factors for B. quintana, including homelessness. https://wwwnc.cdc.gov/eid/article/30/12/24-0389_articleBartonella quintanabartonellosisbacterialouselicehomeless
spellingShingle Rachel Henderson
Emily Mosites
Jane E. Koehler
Carl Boodman
Grace E. Marx
Homelessness and Organ Donor–Derived Bartonella quintana Infection
Emerging Infectious Diseases
Bartonella quintana
bartonellosis
bacteria
louse
lice
homeless
title Homelessness and Organ Donor–Derived Bartonella quintana Infection
title_full Homelessness and Organ Donor–Derived Bartonella quintana Infection
title_fullStr Homelessness and Organ Donor–Derived Bartonella quintana Infection
title_full_unstemmed Homelessness and Organ Donor–Derived Bartonella quintana Infection
title_short Homelessness and Organ Donor–Derived Bartonella quintana Infection
title_sort homelessness and organ donor derived bartonella quintana infection
topic Bartonella quintana
bartonellosis
bacteria
louse
lice
homeless
url https://wwwnc.cdc.gov/eid/article/30/12/24-0389_article
work_keys_str_mv AT rachelhenderson homelessnessandorgandonorderivedbartonellaquintanainfection
AT emilymosites homelessnessandorgandonorderivedbartonellaquintanainfection
AT janeekoehler homelessnessandorgandonorderivedbartonellaquintanainfection
AT carlboodman homelessnessandorgandonorderivedbartonellaquintanainfection
AT graceemarx homelessnessandorgandonorderivedbartonellaquintanainfection