Emerg Infect Dis. 2020 Mar;26(3):409-19. doi: 10.3201/eid2603.190785.
Cryptosporidiosis is a parasitic diarrheal infection that is transmitted by the fecal-oral route. We assessed trends in incidence and demographic characteristics for the 3,984 cases diagnosed during 1995-2018 in New York City, New York, USA, and reported to the New York City Department of Health and Mental Hygiene. Reported cryptosporidiosis incidence decreased with HIV/AIDS treatment rollout in the mid-1990s, but the introduction of syndromic multiplex diagnostic panels in 2015 led to a major increase in incidence and to a shift in the demographic profile of reported patients. Incidence was highest among men 20-59 years of age, who consistently represented most (54%) reported patients. In addition, 30% of interviewed patients reported recent international travel. The burden of cryptosporidiosis in New York City is probably highest among men who have sex with men. Prevention messaging is warranted for men who have sex with men and their healthcare providers, as well as for international travelers.
隐孢子虫病是一种寄生虫性腹泻感染，通过粪-口途径传播。我们评估了美国纽约市 1995 年至 2018 年间诊断的 3984 例病例的发病率和人口统计学特征，并向纽约市卫生和心理卫生部报告。随着 20 世纪 90 年代中期艾滋病毒/艾滋病治疗的推出，报告的隐孢子虫病发病率下降，但 2015 年综合征多重诊断检测面板的引入导致发病率大幅上升，并导致报告患者的人口统计特征发生转变。发病率在 20-59 岁的男性中最高，他们始终占报告患者的大多数（54%）。此外，30%的接受采访的患者报告称最近有国际旅行。在纽约市，隐孢子虫病的负担可能在男男性行为者中最高。需要向男男性行为者及其医疗保健提供者以及国际旅行者宣传预防信息。
