Cystic Echinococcosis in Hospitalized Adult Patients from Western Romania: 2007-2022.

Autor:	Paduraru AA; Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.; Center for Diagnosis and Study of Parasitic Diseases, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.; Patogen Preventia, 300124 Timisoara, Romania.; Clinical Laboratory, Municipal Clinical Emergency Hospital, 300254 Timisoara, Romania., Lupu MA; Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.; Center for Diagnosis and Study of Parasitic Diseases, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.; Patogen Preventia, 300124 Timisoara, Romania.; Clinical Laboratory, Institute of Cardiovascular Diseases, 300310 Timisoara, Romania., Sima L; Discipline of Surgical Semiology I and Thoracic Surgery, Department of Surgery I, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.; General Surgery Clinic, Municipal Clinical Emergency Hospital, 300254 Timisoara, Romania., Cozma GV; Discipline of Surgical Semiology I and Thoracic Surgery, Department of Surgery I, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.; Thoracic Surgery Clinic, Municipal Clinical Emergency Hospital, 300254 Timisoara, Romania., Olariu SD; General Surgery Clinic, County Clinical Emergency Hospital, 300254 Timisoara, Romania.; Discipline of Surgery I, Department of Surgery II, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania., Chiriac SD; Discipline of Surgery III, Department of Surgery II, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania., Totolici BD; Department of General Surgery, Vasile Goldis Western University of Medicine and Pharmacy, 310025 Arad, Romania., Pirvu CA; General Surgery Clinic, County Clinical Emergency Hospital, 300254 Timisoara, Romania.; Discipline of Surgical Emergencies, Department of Surgery II, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania., Lazar F; General Surgery Clinic, County Clinical Emergency Hospital, 300254 Timisoara, Romania.; Discipline of Surgery II, Department of Surgery II, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania., Nesiu A; Department of Biology and Life Sciences, Vasile Goldis Western University of Medicine and Pharmacy, 310025 Arad, Romania.; Department of Urology, Arad County Emergency Clinical Hospital, 310037 Arad, Romania., Mihu AG; Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.; Center for Diagnosis and Study of Parasitic Diseases, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.; Department of Biology and Life Sciences, Vasile Goldis Western University of Medicine and Pharmacy, 310025 Arad, Romania., Cumpanas AA; Discipline of Urology, Department XV, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania., Cretu OM; Discipline of Surgical Semiology I and Thoracic Surgery, Department of Surgery I, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.; General Surgery Clinic, Municipal Clinical Emergency Hospital, 300254 Timisoara, Romania., Olariu TR; Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.; Center for Diagnosis and Study of Parasitic Diseases, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.; Patogen Preventia, 300124 Timisoara, Romania.; Clinical Laboratory, Municipal Clinical Emergency Hospital, 300254 Timisoara, Romania.
Jazyk:	angličtina
Zdroj:	Microorganisms [Microorganisms] 2023 Sep 25; Vol. 11 (10). Date of Electronic Publication: 2023 Sep 25.
DOI:	10.3390/microorganisms11102388
Abstrakt:	Cystic echinococcosis (CE) is a neglected parasitic disease caused by the tapeworm Echinococcus granulosus . The aim of this study was to assess the epidemiological features of human cystic echinococcosis in patients from Western Romania. We retrospectively investigated the medical records of patients hospitalized with CE between 1 January 2007 and 1 September 2022. A total of 366 patients (range 18-90 years) were recorded. The number of hospitalized individuals was higher in patients aged 50-59 years (83/366, 22.7%), in females (194/366, 53%), and in residents of rural areas (225/366, 61.5%). The liver was the most common localization of the cysts (302/366, 82.5%). Ninety-eight patients (26.8%) presented complications, including biliary fistula, allergies, and infection of the cyst. Patients with complications had a longer mean hospital stay (15.7 ± 8.3 days) compared to patients without complications (11.5 ± 7.3 days) ( p < 0.001). The results of this study revealed that patients diagnosed with CE required hospitalization and extended medical care, indicating that this zoonotic disease remains a significant public health problem in Western Romania. Public health authorities should enhance CE surveillance by implementing control programs and mandatory notification of new cases.
Databáze:	MEDLINE
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