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Epidemiological characteristics of hepatic echinococcosis, concurrent cerebral echinococcosis, and pulmonary echinococcosis in Ganzi County, Sichuan Province, China.

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机构: [a]Department of Urology, West China Hospital Sichuan University, Institute of Urology, [b]Endocrinology Department, West China Hospital Sichuan University, [c]Endocrinology Department,The First People’s Hospital of Lognquanyi District, Chengdu [d]Hospital Management Department, The First People’s Hospital of Lognquanyi District, Chengdu, [e]Hospital Management Department, People’s Hospital of Ganzi County, Ganzi Tibetan Autonomous Prefecture, [f]Radiology, The First People’s Hospital of Lognquanyi District, Chengdu, Sichuan, China.
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关键词: cerebral echinococcosis hepatic echinococcosis pulmonary echinococcosis risk factors

摘要:
Human echinococcosis has become a major public health problem in most parts of the world. The objective of this article was to study the demographics of patients with hepatic echinococcosis in Ganzi County to elucidate the main risk factors, as well as to report the concurrent prevalence of cerebral echinococcosis and pulmonary echinococcosis.We recruited 195 patients with hepatic echinococcosis from the Datongma area of Ganzi County from January 2018 to November 2018. The patients' demographics, living environments, supported medical resources, knowledge of echinococcosis prevention and control, and hygienic practices were investigated and analyzed. The prevalence of cerebral echinococcosis and pulmonary echinococcosis were also investigated.The data were analyzed to identify risk factors for human echinococcosis. Our analysis showed that the herding Tibetan population within the 20 to 60 age group, and females, in particular, were at the highest risk of human echinococcosis infection. Having stray dogs around habitations and intimate activities with dogs and livestock were also behavioral risk factors. People with poor health literacy and low educational qualifications had possible risks of infection. In terms of hygiene, not using tap water as the drinking water source and lack of medical staff were significantly correlated with echinococcosis prevalence. Four patients were diagnosed with cerebral echinococcosis. Among them, 1 patient had both cerebral echinococcosis and pulmonary echinococcosis.Possible high-risk factors for echinococcosis were being female, herding population, in the 20 to 60 age group, having stray dogs around habitations, having activities with dogs and livestock, having poor health literacy, having low educational qualifications, and not using tap water as a drinking water source. The detection rate for brain echinococcosis in patients with hepatic echinococcosis was high (2.05%). Effective preventive strategies should be implemented in epidemic areas. Head CT scans should be applied for early detection of cerebral echinococcosis to carry out the treatment.

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出版当年[2020]版:
大类 | 4 区 医学
小类 | 4 区 医学:内科
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 医学:内科
第一作者:
第一作者机构: [a]Department of Urology, West China Hospital Sichuan University, Institute of Urology,
通讯作者:
通讯机构: [b]Endocrinology Department, West China Hospital Sichuan University, [*1]Endocrinology Department, West China Hospital Sichuan University, The First People’s Hospital of Lognquanyi District, No. 37 Guo Xue Xiang, Chengdu, Sichuan, China
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