Pieron R, Puel M, Lesobre B, Zurbach J, Mafart Y
Sem Hop. 1983 Oct 6;59(35):2457-64.
We studied 18 cases of dracunculosis treated in our department of Internal Medicine in Paris. The mean duration of the hospital stay is 38 days (15 to 90). The cost of this stay, calculated on the basis of the daily charge, accounts for 93.3 % of the total cost. The longest stays are due to serious subcutaneous infections at the site of the worm and to multiple or complex associated diseases. Average charge for laboratory test, roentgenograms or other investigations amounts to 4.4 % of the cost of the hospital stay. A significant part of these investigations is warranted by cellulitis and the diagnosis of associated conditions. Antibodies prescribed for subcutaneous infections account for almost all of the drug expense (2.3 % of the total cost). Thus, investigations and treatment together amount to only 6.7 % of the daily charge. Traditional treatment of dracunculosis is based on manual extraction of the worm. Thiabendazole was added in 12 of the 18 patients. The average duration of hospitalization (34 days) and average charge for investigations and drug treatment (FF 611) were less in these 12 patients than in the 6 others (47 days, FF 1286). However, this result is to be considered with caution as the number of patients in each group is small, treatments were assigned without any statistical rule, subcutaneous infections were more or less serious and associated diseases may have had a bearing on results.
我们研究了在巴黎我们内科治疗的18例麦地那龙线虫病患者。平均住院时间为38天（15至90天）。根据每日收费计算的此次住院费用占总费用的93.3%。住院时间最长的原因是蠕虫部位严重的皮下感染以及多种或复杂的相关疾病。实验室检查、X光片或其他检查的平均费用占住院费用的4.4%。这些检查的很大一部分是由蜂窝织炎和相关病症的诊断所需要的。用于皮下感染的处方抗体几乎占了所有药物费用（占总费用的2.3%）。因此，检查和治疗费用加起来仅占每日收费的6.7%。麦地那龙线虫病的传统治疗方法是手工取出蠕虫。18例患者中有12例加用了噻苯达唑。这12例患者的平均住院时间（34天）以及检查和药物治疗的平均费用（611法郎）低于另外6例患者（47天，1286法郎）。然而，由于每组患者数量较少、治疗分配没有任何统计规则、皮下感染严重程度不一且相关疾病可能对结果有影响，所以对这一结果应谨慎看待。
