Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Avda, Puerta de Hierro s/n, 28040 Madrid, Spain.
Parasit Vectors. 2014 Mar 24;7:110. doi: 10.1186/1756-3305-7-110.
Canine leishmaniosis (CanL) caused by Leishmania infantum is a widespread endemic disease in SW Europe. This study was designed to determine how veterinarians clinically manage CanL in this region by analysing information collected in a questionnaire completed by local veterinarians working in clinics in France, Portugal, Greece, Spain, Italy and Slovenia.
Over the period 2004-2011, a questionnaire on CanL was sent to 12,546 small animal clinics located in the six countries surveyed. The questionnaire with 10 items comprising open and closed questions sought to obtain comparable data regarding the main clinical manifestations of CanL, the diagnostic methods used, the treatment regimens selected, recommended preventive measures and awareness of the important public health implications of CanL.
The data collected reflect similarities in the clinical manifestations reported although there was some variation in the concurrent diseases described, and wide variation in the clinical management of CanL among the countries examined in terms of dosing regimens, therapeutic agents and the criteria used to diagnose CanL. Most veterinarians properly informed dog owners about the preventive measures available and about the zoonotic implications of CanL.
This survey describes the current situation in SW endemic countries in Europe regarding the clinical management of CanL. The data collected reveal a need to unify criteria from evidence-based medicine to determine and similarly apply the best diagnostic and treatment methods available for this disease in the different countries.
由利什曼原虫引起的犬利什曼病（CanL）是欧洲西南部广泛流行的地方性疾病。本研究旨在通过分析在法国、葡萄牙、希腊、西班牙、意大利和斯洛文尼亚的临床诊所工作的当地兽医填写的调查问卷中收集的信息，确定兽医在该地区如何对 CanL 进行临床管理。
在 2004 年至 2011 年期间，向位于六个调查国家的 12546 家小动物诊所发送了一份关于 CanL 的调查问卷。该问卷有 10 个项目，包括开放和封闭问题，旨在获得关于 CanL 的主要临床表现、使用的诊断方法、选择的治疗方案、推荐的预防措施以及对 CanL 重要公共卫生影响的认识等方面的可比数据。
收集的数据反映了报告的临床表现相似，但描述的并发疾病存在差异，并且在检查的国家之间，CanL 的临床管理在剂量方案、治疗药物和用于诊断 CanL 的标准方面存在广泛差异。大多数兽医都向狗主人正确地介绍了可用的预防措施以及 CanL 的人畜共患病影响。
本调查描述了欧洲西南部流行国家目前在 CanL 临床管理方面的情况。收集的数据表明，需要从循证医学统一标准，以确定并在不同国家类似地应用这种疾病的最佳诊断和治疗方法。
