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[2008年至2012年智利北部某地区人体囊型棘球蚴病分析]

[Analysis of human cyst echinococcosis in a northern Chilean region from 2008 to 2012].

作者信息

Soto-Aguilar Andrea, Junod Tania, Campillay Mauricio, Acosta-Jamett Gerardo, Landaeta-Aqueveque Carlos

机构信息

Facultad de Ciencias Veterinarias, Universidad de Concepción, Chillán, Chile,

Facultad de Ciencias Veterinarias, Universidad Austral de Chile, Valdivia, Chile.

出版信息

Rev Med Chil. 2017 May;145(5):603-609. doi: 10.4067/S0034-98872017000500007.

Abstract

BACKGROUND

The Coquimbo Region in Chile has the highest incidence of hydatidosis in central and northern Chile.

AIM

To analyze the incidence of human cystic echinococcosis (CE) in the Coquimbo Region between 2008 and 2012.

MATERIAL AND METHODS

Official records of reported cases were analyzed. The association of the location, age and sex with the presence/absence of CE was analyzed by means of logistic regressions. The incidence was reported as cases per 100,000 inhabitants.

RESULTS

The mean annual incidence was 2.6 cases per 100,000 inhabitants, which ranged from 3.1 (2010) to 1.9 (2012) cases. The districts with higher incidence were Punitaqui (21.2 cases), Paihuano (9 cases), Rio Hurtado (8 cases), Canela (8.1 cases), Monte Patria (7.9 cases), Vicuña (6.9 cases) and Combarbalá (6.9 cases). The incidence in these locations was significantly higher than elsewhere in the region. Males had a significantly higher incidence than females (3.3 and 1.8 respectively). Incidence increased significantly with age, notably increasing after 45 years of age.

CONCLUSIONS

Rural locations had the highest incidences of CE in the Coquimbo Region. The disease was reported more commonly in adults and mainly in men.

摘要

背景

智利的科金博地区是智利中部和北部包虫病发病率最高的地区。

目的

分析2008年至2012年期间科金博地区人类囊型棘球蚴病(CE)的发病率。

材料与方法

分析报告病例的官方记录。通过逻辑回归分析地点、年龄和性别与CE存在与否的关联。发病率报告为每10万居民中的病例数。

结果

年平均发病率为每10万居民2.6例,范围从2010年的3.1例到2012年的1.9例。发病率较高的地区有普尼塔基(21.2例)、派瓦诺(9例)、里奥乌尔塔多(8例)、卡内拉(8.1例)、蒙特帕特里亚(7.9例)、维库尼亚(6.9例)和孔巴尔巴(6.9例)。这些地区的发病率显著高于该地区其他地方。男性发病率显著高于女性(分别为3.3例和1.8例)。发病率随年龄显著增加,特别是在45岁以后显著上升。

结论

在科金博地区,农村地区CE发病率最高。该病在成年人中报告更为常见,且主要为男性。

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