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[阿根廷内乌肯省人类包虫病流行病学]

[Epidemiology of human hydatidosis in the Province of Río Negro, Argentina].

作者信息

Larrieu P E, Lester R, Rodríguez Jauregui J, Odriozzola M, Medina M, Aguero A M

出版信息

Acta Gastroenterol Latinoam. 1986;16(2):93-108.

PMID:3577624
Abstract

The number of human cases with hydatidosis in the Province de Río Negro in the period 1969-1983 was determined by a retrospective exam of the registers at the Provincial Ministry of Health. From 1216 cases the yearly numbers between 59.4 in 1969-78 and 124.4 cases between 1979-83. This implies a yearly of 3.24 X 10,000 and with the most frequent localization in the liver. The average days of hospitalization was 29.2 per patient. The highest correspond to the southern departments of the Province 6.57 X 10,000 in the 40 Sanitary Zone. Eighty two and thirty five per cent of the cases had immunological confirmation with DD5, before surgery. The census allowed us to determine that rates of prevalence were in school children 1.09%, in conscripts, 0.28% and in adult settlers 2.58%. The average of positive serological cases in the province, was 0.77%. The yearly number of cases diagnoses is estimated in 4% of the existent carriers and is the highest in the world. The followup and control of children who had surgery, allowed us to detect that 30% of the cases presented new hydatid cyst before the 5 year lapse. Different factors put Río Negro with the highest rates of denounced human hydatidosis. These are related to living conditions around cattle farms and the socio economics and educational factors, which are analyzed in this paper. Modifications in the Programme for the control of hydatidosis has been put into action by the sanitary authorities.

摘要

通过对里奥内格罗省卫生部登记册的回顾性审查,确定了1969 - 1983年期间该省包虫病的人类病例数。在1216例病例中,1969 - 1978年期间的年病例数为59.4例,1979 - 1983年期间为124.4例。这意味着年发病率为3.24×10000,最常见的发病部位是肝脏。每位患者的平均住院天数为29.2天。发病率最高的是该省南部各部门,在第40个卫生区为6.57×10000。82%和35%的病例在手术前通过DD5进行了免疫确诊。此次普查使我们能够确定,学龄儿童的患病率为1.09%,应征入伍者为0.28%,成年定居者为2.58%。该省血清学阳性病例的平均比例为0.77%。估计每年诊断出的病例数占现有携带者的4%,是世界上最高的。对接受手术儿童的随访和监测使我们发现,30%的病例在5年期限前出现了新的包虫囊肿。多种因素导致里奥内格罗省成为报告人类包虫病发病率最高的地区。这些因素与养牛场周边的生活条件以及社会经济和教育因素有关,本文对此进行了分析。卫生当局已对包虫病控制计划进行了调整。

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