Department of Preventive Medicine and Public Health and Medical Immunology and Microbiology, Rey Juan Carlos University, Madrid, Spain.
Am J Trop Med Hyg. 2011 Nov;85(5):820-5. doi: 10.4269/ajtmh.2011.11-0310.
All the records from the Spanish information system for hospital data of patients diagnosed with leishmaniasis during a 12-year period (1997-2008) were studied. The 2,028 individuals were hospitalized because of leishmaniasis, as indicated by the principal diagnostic code. The average hospitalization rate was 0.41/100,000 inhabitants. One-third of them were co-infected with human immunodeficiency virus (HIV). The incidence of hospitalization in the adult population with leishmaniasis co-infected with HIV increased with age, peaked at 35-39 years of age and subsequently declined. In the pediatric population, all leishmaniasis cases occurred in HIV-negative children. Incidence of hospitalizations was highest in Madrid and in the Mediterranean coast. The cost per inpatient hospital care was $9,601 corresponding to an annual direct cost of more than $1.5 million for inpatient care alone. The economical burden of leishmaniasis is not neglectable and in the 12-year study period it represented more than $19 million.
对 1997 年至 2008 年期间，因利什曼病住院的患者的西班牙医院数据信息系统的所有记录进行了研究。共有 2028 人因主要诊断代码指示的利什曼病住院。平均住院率为 0.41/100,000 居民。其中三分之一的人同时感染了人类免疫缺陷病毒 (HIV)。合并 HIV 感染的成人利什曼病患者的住院发病率随年龄增长而增加，在 35-39 岁时达到峰值，随后下降。在儿科人群中，所有利什曼病病例均发生在 HIV 阴性儿童中。马德里和地中海沿岸的住院率最高。每位住院患者的住院费用为 9601 美元，仅住院治疗的直接年度费用就超过 150 万美元。利什曼病的经济负担不容忽视，在 12 年的研究期间，这一数字超过 1900 万美元。
