Aydin Mehmet Fatih, Adigüzel Emre
Faculty of Health Sciences, University of Karamanoglu Mehmetbey, Karaman, Turkey.
Iran J Public Health. 2019 Dec;48(12):2232-2239.
We aimed to investigate the cystic echinococcosis (CE) epidemiology in Karaman Province from 2010 to 2017 using data from the provincial state hospital.
Overall, 482 cases were determined from Karaman State Hospital, Karaman Province, Turkey from 2010 to 2017. Records were investigated in terms of year, gender, age, cyst location, rural and urban households and duration of hospital stay.
The CE incidence was 22.40 per 100 000 people after final diagnosis with focused abdominal ultrasound. Totally, 482 people including 166 (34.4%) male and 316 (65.6%) female were with CE. The mean age of patients was 50.3±17.48 yr. More CE cases were reported in the age group of 51-60 yr than in the other age groups. CE was mostly seen in liver (470, 97.5%). Moreover, 28.4% of patients were resided in rural areas. The observed frequencies of demographic features of female gender, infected liver, residence in provincial centers, referral to general surgery policlinic and no hospitalization were significantly higher than expected frequencies (<0.05). Sixty (12.4%) patients with CE had been hospitalized. There was a statistically significant positive relationship between age of hospitalized patients and duration of hospitalization (<0.05). Of the patients 73.2% were admitted to general surgery.
CE is of great importance to public health considerations in the Karaman Province and we advocate the implementation of eradication programs to decrease the CE cases number.
我们旨在利用该省国立医院的数据，调查2010年至2017年卡拉曼省的囊型包虫病（CE）流行病学情况。
总体而言，2010年至2017年期间，从土耳其卡拉曼省卡拉曼国立医院确定了482例病例。对记录进行了年份、性别、年龄、囊肿位置、农村和城市家庭以及住院时间方面的调查。
经聚焦腹部超声最终诊断后，CE发病率为每10万人22.40例。共有482人患有CE，其中男性166人（34.4%），女性316人（65.6%）。患者的平均年龄为50.3±17.48岁。51 - 60岁年龄组报告的CE病例比其他年龄组更多。CE最常见于肝脏（470例，97.5%）。此外，28.4%的患者居住在农村地区。观察到的女性性别、肝脏感染、居住在省级中心、转诊至普通外科门诊以及未住院等人口统计学特征的频率显著高于预期频率（<0.05）。60例（12.4%）CE患者住院治疗。住院患者年龄与住院时间之间存在统计学上显著的正相关关系（<0.05）。73.2%的患者被收治到普通外科。
CE对卡拉曼省的公共卫生考量至关重要，我们主张实施根除计划以减少CE病例数量。
