Yazıcı Vesile, Oruç Tahir, Oren Elif, Ertabaklar Hatice
Kocaeli Derince Eğitim ve Araştırma Hastanesi, Tıbbi Mikrobiyoloji Kliniği, Kocaeli, Türkiye, Turkey.
Turkiye Parazitol Derg. 2012;36(4):219-21. doi: 10.5152/tpd.2012.53.
Cystic echinococcosis (CE) is caused by metacestodes of Echinococcus granulosus, which is one of the most widespread zoonotic diseases in humans in both developing and developed countries, and also in Turkey. The aim of this retrospective study was to evaluate the situation of hydatid disease in Kocaeli.
The specific anti-Echinococcus granulosus indirect haemagglutination test results of 225 patients, who were referred with probable CE to the Centre Laboratory of the Kocaeli Derince Education and Research Hospital during December 2009-May 2011 was assessed retrospectively. Positive cases were also reassessed clinically.
Of the total, 151 (67.1%) were female and 74 (32.8%) were male. The seropositivity ratio of IHA test was found to be 8% (18 patients), borderline ratio as 2.2% (5 patients), and seronegative ratio as 89.8% (202 patients). In 15 of the 23 seropositive and borderline patients, CE compatible radiological lesions were determined, while 4 of the remaining patients showed no lesion and the other 4 had no radiological data.
Considering that hospital records can represent only a small part of the CE cases, it can be said that CE still subsists and retains its importance in our city. Essential precautions should be taken for the prevention and protection for this disease.
囊性棘球蚴病（CE）由细粒棘球绦虫的中绦期幼虫引起，是发展中国家和发达国家以及土耳其最广泛流行的人畜共患病之一。这项回顾性研究的目的是评估科贾埃利地区包虫病的情况。
回顾性评估了2009年12月至2011年5月期间转诊至科贾埃利德林塞教育与研究医院中心实验室、疑似患有CE的225例患者的特异性抗细粒棘球绦虫间接血凝试验结果。对阳性病例也进行了临床重新评估。
总共有151例（67.1%）为女性，74例（32.8%）为男性。发现间接血凝试验的血清阳性率为8%（18例患者），临界率为2.2%（5例患者），血清阴性率为89.8%（202例患者）。在23例血清阳性和临界患者中，15例确定有与CE相符的放射学病变，其余患者中有4例未发现病变，另外4例没有放射学数据。
考虑到医院记录可能仅代表CE病例的一小部分，可以说CE在我市仍然存在并保持其重要性。应采取必要的预防措施来预防和防范这种疾病。
