在不丹的囊性球菌病的负担和分布:一项回顾性研究
Chador Tenzin1, Tashi Dendup2, P R Torgerson3
1Punakha General Hospital, Punakha, Bhutan.
Parasitology
|November 8, 2024
概括
在不丹,囊性赤道球菌病 (CE) 每年每10万人中发生4.4例,主要影响肝脏和肺部. 有针对性的公共卫生干预对于管理这种被忽视的动物传染病至关重要.
科学领域:
- * 兽医公共卫生 兽医公共卫生
- * 传染病 传染病
- * 流行病学 流行病学
背景情况:
- * 囊性球菌 (CE) 是一种被忽视的动物性疾病,由Echinococcus granulosus s.l.引起. *,在全球范围内造成重大公共卫生问题.
- * 关于不丹人类CE的流行率和特征的数据有限,需要集中研究.
研究的目的:
- * 调查与不丹人类CE相关的负担,地理分布和潜在风险因素.
- *为控制该地区的CE提供公共卫生战略和干预措施的信息.
主要方法:
- *从2015年1月到2019年12月,对159例CE病例进行了回顾性分析,利用了Jigme Dorji Wangchuck国家推医院和六个地区医院的数据.
- * 用描述性统计,残疾调整寿命年 (DALYs) 估计和波松回归模型来分析发病率,疾病负担和风险因素.
主要成果:
- * 每年平均每10万人口发生4.4例,肝脏 (78%) 和肺部 (13%) 是最常见的感染部位.
- * 估计的疾病负担为治疗病例的每年大约39 DALY (5.2 DALY/100,000/年),包括未治疗病例 (10.2 DALY/100,000/年) 在内,可能达到80 DALY/年.
- *超过82%的病例需要手术,超过47%的病例住院时间超过4天.
结论:
- *CE在不丹是一个重大的公共卫生挑战,其疾病负担和发病率很高.
- * 建议有针对性的干预措施,重点关注社区参与,教育,高风险群体和特定的流行地区.
- * 建立一个强大的监督系统对于有效的政策制定和不丹的CE控制至关重要.
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