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Echinococcosis in Austria.

H Auer1, H Aspöck

  • 1Abteilung für Medizinische Parasitologie, Universität Wien.

Zentralblatt Fur Bakteriologie : International Journal of Medical Microbiology
|April 1, 1990
PubMed
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Human echinococcosis, including cystic (CE) and alveolar (AE) forms, was studied in Austria from 1982-1988. Most AE and CE cases involved Austrian nationals, with foreign patients originating mainly from Mediterranean countries.

Area of Science:

  • Veterinary Public Health
  • Infectious Diseases
  • Parasitology

Background:

  • Human echinococcosis, caused by Echinococcus granulosus (cystic echinococcosis, CE) and Echinococcus multilocularis (alveolar echinococcosis, AE), poses a significant public health concern.
  • Understanding the prevalence and distribution of echinococcosis is crucial for implementing effective control strategies.

Purpose of the Study:

  • To investigate the prevalence and epidemiological characteristics of human echinococcosis in Austria.
  • To identify the geographical distribution and patient demographics for both CE and AE in Austria.

Main Methods:

  • Retrospective data collection on patients diagnosed with CE and AE between 1982 and 1988.
  • Analysis of patient nationality, country of origin, geographical distribution of cases within Austria, and age at diagnosis.

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Main Results:

  • Data from 188 CE and 16 AE patients were analyzed. Austrian nationals constituted a significant portion of both CE (42%) and AE (15/16) cases.
  • Autochthonous CE cases were reported across various Austrian provinces, predominantly in the eastern regions. Autochthonous AE cases were identified in Tyrol, Carinthia, and Lower Austria.
  • Austrian patients with AE (E. multilocularis) and CE (E. granulosus) were significantly older at diagnosis (49 and 55 years, respectively) compared to foreign CE patients (34 years). Liver was the primary site for both CE (78%) and AE (100%) infections.

Conclusions:

  • The study highlights the presence of both cystic and alveolar echinococcosis in Austria, with distinct geographical distributions and demographic profiles.
  • Findings suggest a higher burden of disease in older Austrian nationals compared to younger foreign patients, emphasizing the need for targeted surveillance and prevention efforts.