Epidemiological considerations about hydatid disease in Constanta county, Romania
Abstract number: 1733_49
Dumitru I., Rugina S., Dumitru E.
Introduction: Hydated disease represent a public health problem in Constanta county because of its high prevalence and multiple health and social implications. The high number of domestic animals (sheep, cattles, goats) and communitarian dogs in this region are the most important causes of this situation.
Objective: To analyse the epidemiology of hydated disease in Constanta county.
Materials and Methods: We performed a study on 340 patients admitted in our department of parasitology in the last 5 years. The diagnosis was based on ELISA reaction for Echinococcus granulosus, chest x-ray, ultrasonography and computed tomography.
Results: The prevalence of hydated disease in our region was high, more than 50 cases/100.000 inhabitants, mainly in urban area (72%). The prevalence was higher in women (57%), the most affected group age was between 50 and 59 years with the highest age at diagnosis beeing 82 years. According to race, the highest prevalence was among romanians, followed by aromanians, turks, tatars and rroms. The epidemiolgical conditions were positive in the majority of cases, most of the patients documented the contact with animals. There were nine familial clusters. Echinococcosis had different locations, involving liver (261), lung (87), spleen (7), kidney (6), brain (2), pericardial (2), mediastinal (1), peritoneum (11) and retro peritoneum (3), muscles (5), bone (2), and parotid glands (1). Secondary hydatidosis was reported in 22.18% cases and multiple cysts were found in 35% cases with liver, pulmonary, muscular, bone, peritoneal and parotid glands hidatidosis and multiple locations in 17% cases. Regarding the treatment, 70% of cases were treated with albendazole, 29% with surgery followed by albendazole and 1% with percutaneous ultrasonography-quided puncture (PAIR).
Conclusions: The prevalence of hydated disease is high in our region. This disease require a particularly attention and health programmes for a better management
|Session name:||European Society of Clinical Microbiology and Infectious Diseases|
|Location:||ICC, Munich, Germany|
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