Raimkulov Kursanbek M, Toigombaeva Vera S, Kuttubaev Omurbek T, Smailbekova Zhyldyz S, Adambekova Asel D, Ruzina Maria N, Akhmadishina Lyudmila V, Lukashev Alexander N
Kyrgyz State Medical Academy named after I.K. Akhunbaev, Bishkek, Kyrgyz Republic.
Martsinovsky Institute of Medical Parasitology, Tropical and Vector Borne Diseases, Sechenov University, Moscow, Russia.
Parasitology. 2024 Sep;151(10):1118-1125. doi: 10.1017/S0031182024000763. Epub 2024 Dec 3.
Echinococcosis is a parasitic invasion caused by a cestode of the genus . Kyrgyzstan is a country in Central Asia known for an extremely high incidence of echinococcosis. A total of 10 093 subjects were screened in the Osh, Naryn and Batken regions of Kyrgyzstan in 2015–2017 by ultrasound and questioned for potential risk factors. Cystic echinococcosis (CE) prevalence (combined newly diagnosed and post-surgery cases) ranged between 0.2 and 25.2% across the study regions. Typical factors, such as dog or livestock ownership, weakly affected CE risk (odds ratio [OR] = 1.18–1.83). Use of water from a well and owning a cat had a greater effect on CE risk (OR = 2.02–2.28). The risk factors of CE were highly dissimilar among the study regions, with patterns not always compatible with classical biohelminthosis transmission routes (no risk from livestock in certain areas, significant risk from using well water, owning cats). Therefore, the CE epidemic in Kyrgyzstan is not holistic in terms of potential mechanisms and risk factors, and certain areas can greatly benefit from preventive measures that will have limited efficiency elsewhere.
棘球蚴病是由棘球绦虫属寄生虫引起的侵袭性疾病。吉尔吉斯斯坦是中亚的一个国家，以棘球蚴病的极高发病率而闻名。2015 - 2017年期间，在吉尔吉斯斯坦的奥什、纳伦和巴特肯地区，共有10093名受试者接受了超声筛查，并被询问了潜在风险因素。在整个研究地区，囊型棘球蚴病（CE）患病率（包括新诊断病例和术后病例）在0.2%至25.2%之间。典型因素，如养狗或养牲畜，对CE风险的影响较弱（优势比[OR]=1.18 - 1.83）。使用井水和养猫对CE风险的影响更大（OR = 2.02 - 2.28）。CE的风险因素在各研究地区差异很大，其模式并不总是与经典生物蠕虫病传播途径相符（某些地区不存在来自牲畜的风险，使用井水、养猫存在显著风险）。因此，就潜在机制和风险因素而言吉尔吉斯斯坦的CE流行并非整体性的，某些地区可从预防措施中大大受益，而这些措施在其他地区的效率将有限。
