Laranjo-González Minerva, Devleesschauwer Brecht, Gabriël Sarah, Dorny Pierre, Allepuz Alberto
Centre de Recerca en Sanitat Animal (CReSA)-Institut de Recerca i Tecnologia Agroalimentàries (IRTA), Campus UAB, Bellaterra, Barcelona, 08193, Spain.
Department of Animal Sciences and Emerging Pathogens Institute, University of Florida, Gainesville, FL, USA.
Parasit Vectors. 2016 Feb 10;9:81. doi: 10.1186/s13071-016-1362-3.
Bovine cysticercosis in Europe has been known for centuries but the data showing the occurrence of this zoonosis are scarce. The aim of this paper is to review and present the current knowledge on bovine cysticercosis in Europe.
We conducted a systematic review of studies published between 1990 and November 2014. Qualitative and quantitative data on prevalence, risk factors, burden and interventions were extracted and analysed.
Reports on prevalence were available for 23 European countries, mostly from western and central Europe; for a few of these only data before 1990 were available. Prevalence based on meat inspection was generally low (below 6.2% in 95% of the records) and varied between and within countries. Serology and detailed meat inspection provided a higher prevalence range (0.41-14%). Only few studies analysing risk factors were identified. Reported factors related to access to pastures and risky waters, dairy production and uncontrolled human defecation in the proximity of the farm among others. Only one estimate of the economic impact of the disease could be identified. Recommended interventions were focused on increasing diagnostic tests sensitivity or the application of risk based surveillance strategies.
There is a lack of complete and updated data on most countries, especially in eastern Europe. Further risk factor studies might be needed together with estimates on the burden of the disease in all European countries. Risk-based interventions are being encouraged but current data are limited to guide this approach.
欧洲牛囊尾蚴病已为人所知达数百年，但显示这种人畜共患病发生情况的数据却很稀少。本文旨在回顾并介绍欧洲牛囊尾蚴病的现有知识。
我们对1990年至2014年11月期间发表的研究进行了系统综述。提取并分析了关于患病率、风险因素、负担及干预措施的定性和定量数据。
有23个欧洲国家提供了患病率报告，大多来自西欧和中欧；其中少数国家仅有1990年以前的数据。基于肉类检查的患病率普遍较低（95%的记录中低于6.2%），且在不同国家之间以及同一国家内部存在差异。血清学和详细的肉类检查得出的患病率范围更高（0.41 - 14%）。仅发现了少数分析风险因素的研究。报告的因素包括与牧场和危险水域的接触、乳制品生产以及农场附近人类粪便无控制排放等。仅能确定一项关于该疾病经济影响的评估。推荐的干预措施集中在提高诊断检测的敏感性或应用基于风险的监测策略。
大多数国家缺乏完整和最新的数据，尤其是在东欧。可能需要进一步开展风险因素研究以及对所有欧洲国家的疾病负担进行评估。鼓励采取基于风险的干预措施，但目前的数据有限，难以指导这一方法。
