Cystic Hydatid Disease in Children in Gorgan from 2014 to 2021

IF 0.4 4区医学 Q4 PEDIATRICS

Iranian Journal of Pediatrics Pub Date : 2023-10-16 DOI:10.5812/ijp-136687

Leila Barati, Lobat Shahkar, Amirmohammad Raeiji, Gholamreza Veghari

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引用次数: 0

Abstract

Background: Cystic hydatid disease is a serious human cestode infection caused by the larval stage of Echinococcus granulosus. Hydatidosis is an important health and economic problem in Iran. Objectives: This study aims to investigate clinical manifestations, laboratory findings, and imaging of hydatidosis in children. Methods: This cross-sectional descriptive study was conducted based on the information recorded in the files of patients hospitalized due to hydatidosis at the Taleghani Children's Hospital in Gorgan from 2014 to 2021. The data was analyzed with the help of SPSS software version 25, utilizing descriptive statistics and the chi-square test. Results: Out of 58,974 patients admitted to Taleghani Hospital during 2014 - 2021, the frequency of hydatidosis was 42 (0.071%) cases. The patients comprised 78.5% boys and 21.5% girls, with an average age of 8.5 years ranging from 3 to 17 years old. A significant statistical difference was seen between the sexes (P = 0.012). There was a history of close contact with animals in 76.2% of patients and 73.9% of children in the village. The frequency of the total cyst was 75, and the most common location of the cyst was in the liver (60%) in the right lobe of the liver (54.6%) and then in the lung (36%) in the RLL region (17.4%). Single cysts (57.1%), unifocal cysts (61.9%), and CE1 cysts (40%) had the highest frequency. The most common symptom of liver involvement was abdominal pain (59.5%) and chronic cough in lung cysts (45.2%). Cysts with a size of 5 - 10 cm had the highest frequency (52%), and most were hypoechoic (48%). Positive serology test was reported in 11 cases (26.2%) and positive pathology in 22 cases (52.4%). The chance of hydatidosis in boys was 2.5 times higher than in girls, and in rural areas, it was more than three times higher than in urban areas. Conclusions: In this study, hydatidosis was more common in village boys aged 3-9. The liver and lung involvement were common, which required surgery in most cases. Considering the high prevalence of this disease in Gorgan, it is necessary to design an intervention plan to reduce children's burden, and a multidisciplinary approach should be planned to reduce its mortality and morbidity among children.

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2014 - 2021年戈尔根地区儿童囊性包虫病

背景:囊性包虫病是由细粒棘球绦虫幼虫期引起的一种严重的人类囊虫感染。在伊朗，包虫病是一个重要的健康和经济问题。目的:本研究旨在探讨儿童包虫病的临床表现、实验室检查和影像学检查。方法:基于2014年至2021年在戈尔根市Taleghani儿童医院因包虫病住院的患者档案中记录的信息进行横断面描述性研究。数据分析采用SPSS软件25版，采用描述性统计和卡方检验。结果:2014 - 2021年Taleghani医院收治的58,974例患者中，包虫病发生率为42例(0.071%)。患者中男孩占78.5%，女孩占21.5%，平均年龄8.5岁，3 ~ 17岁。性别间差异有统计学意义(P = 0.012)。全村76.2%的患者和73.9%的儿童有动物密切接触史。总囊肿发生率为75例，最常见部位为肝脏(60%)、肝右叶(54.6%)、肺(36%)、RLL区(17.4%)。单发囊肿(57.1%)、单灶性囊肿(61.9%)和CE1囊肿(40%)发生率最高。累及肝脏最常见的症状是腹痛(59.5%)和肺囊肿慢性咳嗽(45.2%)。囊肿大小为5 - 10cm的发生率最高(52%)，大多数为低回声(48%)。血清学检测阳性11例(26.2%)，病理检测阳性22例(52.4%)。男孩患包虫病的几率是女孩的2.5倍，农村地区比城市地区高出3倍以上。结论:在本研究中，包虫病以3-9岁农村男孩多见。累及肝脏和肺部是常见的，在大多数情况下需要手术。考虑到该病在戈尔根地区的高患病率，有必要设计一项减轻儿童负担的干预计划，并计划多学科的方法来降低儿童的死亡率和发病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Iranian Journal of Pediatrics 医学-小儿科

CiteScore

0.90

自引率

20.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Iranian Journal of Pediatrics (Iran J Pediatr) is a peer-reviewed medical publication. The purpose of Iran J Pediatr is to increase knowledge, stimulate research in all fields of Pediatrics, and promote better management of pediatric patients. To achieve the goals, the journal publishes basic, biomedical, and clinical investigations on prevalent diseases relevant to pediatrics. The acceptance criteria for all papers are the quality and originality of the research and their significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by minimum three anonymous reviewers. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as the material cannot be returned. Final acceptance or rejection rests with the Editors.