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神经囊虫病:厄瓜多尔瓜亚基尔一家大型公立医院收治患者的发病率下降。

Neurocysticercosis: declining incidence among patients admitted to a large public hospital in Guayaquil, Ecuador.

机构信息

Neurological Service, Hospital Regional Teodoro Maldonado Carbo, Instituto Ecuatoriano de Seguridad Social, Ecuador.

出版信息

Pathog Glob Health. 2012 Sep;106(5):310-1. doi: 10.1179/2047773212Y.0000000044.

Abstract

It has been stated that new cases of neurocysticercosis (NCC) are declining in some endemic regions over the past years. To confirm this assertion, we evaluated all NCC patients (n = 362) admitted to the Neurological Service of our Hospital from 1982 to 2011, and we noted a significant reduction in the incidence of NCC, when compared with the total number of patients admitted to the Service over the study years (6.4% of 2,723 patients from 1982 to 1991, 2.7% of 3,056 patients from 1992 to 2001, and 3.5% of 2,996 patients from 2002 to 2012; p < 0.0001). It is likely that improved sanitation, together with increased availability of neuroimaging machines which allow prompt recognition and management of NCC cases avoiding disease progression, were the main responsibles for our findings.

摘要

据报道,过去几年一些流行地区的神经囊虫病(NCC)新发病例正在减少。为了证实这一说法,我们评估了 1982 年至 2011 年期间我院神经科收治的所有 NCC 患者(n = 362),并注意到与研究期间收治的该科患者总数相比,NCC 的发病率显著下降(1982 年至 1991 年的 2723 名患者中有 6.4%,1992 年至 2001 年的 3056 名患者中有 2.7%,2002 年至 2012 年的 2996 名患者中有 3.5%;p < 0.0001)。卫生条件的改善,以及神经成像设备可用性的提高,这些设备可以及时识别和治疗 NCC 病例,避免疾病进展,可能是我们发现的主要原因。

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