Epidemiological Scenario of Anisakidosis in Spain Based on Associated Hospitalizations: The Tip of the Iceberg
| Autor: | Agustín Benito, Zaida Herrador, Alvaro Daschner, M.J. Perteguer |
|---|---|
| Přispěvatelé: | Unión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF) |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male anisakidosis 0301 basic medicine Microbiology (medical) medicine.medical_specialty Adolescent gastroallergic anisakidosis 030106 microbiology Patient characteristics Anisakis infection Disease Anisakiasis Young Adult 03 medical and health sciences 0302 clinical medicine Cost of Illness Raw Foods Zoonoses Epidemiology medicine Animals Humans 030212 general & internal medicine Hospital Costs Articles and Commentaries Disease burden Aged Retrospective Studies Minimum Data Set Disease surveillance food parasitology business.industry Incidence (epidemiology) Risk of infection Fishes Middle Aged Patient Discharge Hospitalization Infectious Diseases Spain Emergency medicine Female business |
| Zdroj: | Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid Consejería de Sanidad de la Comunidad de Madrid Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America Repisalud Instituto de Salud Carlos III (ISCIII) |
| ISSN: | 1537-6591 1058-4838 |
| DOI: | 10.1093/cid/ciy853 |
| Popis: | Background The risk of infection with Anisakis has been recognized for some time, but it is now emerging due to major awareness, better diagnostic techniques, and increasing preference for raw or lightly cooked food. Spain has the second-highest reported incidence after Japan, though the real anisakidosis burden is unknown because of the scarcity of epidemiological data. This study provides a 19-year review of anisakidosis-related hospitalizations describing epidemiological trends and patient characteristics. Methods We performed a retrospective descriptive study using the Spanish Hospitalization Minimum Data Set from 1997 to 2015. Hospitalization rates were calculated and spatial distribution of cases and their temporal behavior were assessed. Clinical characteristics were described, including related codiagnoses and procedures. Results A total of 2471 hospital discharges were identified. A continuous increasing trend was observed, with several peaks. Most affected communities were located in the northwest inland part of the country. Almost 54% of hospitalized patients were male, with a mean age of 51.3 years. Median length of stay was 5 days, and the hospitalization median cost around €2900. Fatal outcome occurred in 0.5%. Most frequent codiagnoses were digestive diseases, mainly intestinal obstruction. Urticaria, anaphylactic reaction, and angioneurotic edema were only recorded in 2.2%, 2.4%, and 1.2%, respectively. Conclusions Knowing that hospitalization is unusual in anisakidosis, we offer calculations of the real disease burden. Improving disease surveillance in parallel to disease control will be useful both in gaining extended disease knowledge and reducing morbidity and related costs. Anisakidosis is an emerging and underestimated zoonosis in Europe. Spain has the second-highest reported incidence worldwide; however, the real anisakidosis burden remains unknown. We analyzed anisakidosis-related hospitalizations in terms of clinical manifestations and temporal and geographic patterns. |
| Databáze: | OpenAIRE |
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