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2011年至2014年拉扎维霍拉桑省包虫囊肿患者的流行病学和临床特征

Epidemiological and Clinical Characteristics of Patients with Hydatid Cysts in Khorasan Razavi Province, from 2011 to 2014.

作者信息

Khazaei Salman, Rezaeian Shahab, Khazaei Zaher, Goodarzi Elham, Khazaei Somayeh, Mohammadian Mahdi, Salehiniya Hamid, Ayubi Erfan, Mohammadian-Hafshejani Abdollah

机构信息

Dept. of Epidemiology and Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.

Dept. of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Iran J Parasitol. 2016 Jul-Sep;11(3):364-370.

Abstract

BACKGROUND

This study aimed to investigate the epidemiological and clinical aspects of patients with hydatid cyst during 2011 to 2014.

METHODS

This cross-sectional study was conducted in Khorasan Razavi Province, the Northeast of Iran, from 2011 to 2014. The study population was all cases with hydatid cyst who diagnosed in governmental and private laboratories, hospitals and health centers (HC) in Khorasan Razavi Province during 2011-14.

RESULTS

The prevalence rate of hydatidosis was 1.44 per 100000 individuals. Of 357 cases, 54.9% were women, 40.3% rural, 45.8% housewives, and 3.4% were Afghan. The mean age of women was higher than that of men (39.13±18.9 compared to 34.7±17.9 yr, respectively, -value=0.025). The highest proportion of cases (39.2%) was in the age group of 21-40 yr old. Abdominal pain was reported in 42.3% of cases. Liver involvement was the most common localization of hydatid cyst reported in 59.4% of patients, and 8.4% had multiple organ involvement. The common diagnosis methods of the disease were radiology (42.3%) followed by CT scan (37.8%). 45.9% of patients had domestic dog and hygiene principles of washing the vegetables was adhered by 6.7% of patients.

CONCLUSION

The prevalence of human hydatidosis, as a most important neglected disease, should be considered by health policy-makers in public health domain. In addition, educational programs to better recognition of the disease symptoms, and to identify the infection sources are needed in high risk group of population.

摘要

背景

本研究旨在调查2011年至2014年期间包虫囊肿患者的流行病学和临床情况。

方法

本横断面研究于2011年至2014年在伊朗东北部的呼罗珊拉扎维省进行。研究人群为2011 - 2014年期间在呼罗珊拉扎维省的政府和私立实验室、医院及健康中心确诊的所有包虫囊肿病例。

结果

包虫病患病率为每10万人中有1.44例。在357例病例中,54.9%为女性,40.3%来自农村,45.8%为家庭主妇,3.4%为阿富汗人。女性的平均年龄高于男性(分别为39.13±18.9岁和34.7±17.9岁,P值 = 0.025)。病例比例最高的年龄段为21 - 40岁(39.2%)。42.3%的病例报告有腹痛。肝脏受累是最常见的包虫囊肿定位,59.4%的患者有肝脏受累,8.4%有多个器官受累。该疾病的常见诊断方法依次为放射学检查(42.3%)和CT扫描(37.8%)。45.9%的患者家中养狗,6.7%的患者遵守蔬菜清洗卫生原则。

结论

作为一种最重要的被忽视疾病,人类包虫病的患病率应得到公共卫生领域卫生政策制定者的重视。此外,需要针对高风险人群开展教育项目,以更好地识别疾病症状并确定感染源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f369/5256053/c6d105e4c48f/IJPA-11-364-g001.jpg

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