Epidemiological Study of Cutaneous Leishmaniasis in the Population Covered by Shahid Beheshti University of Medical Sciences in Iran from 2011 to 2021

H. Hatami, A. Ramezankhani, Elham Hasannezhad, Alireza Souri
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Abstract

Background: The World Health Organization has introduced leishmaniosis as one of the eight major tropical parasitic diseases in the world, which is reported in 98 countries, including Iran. According to available reports, 2 million people develop the disease on an annual basis. Objectives: The present descriptive-analytical study aimed to examine the patients with cutaneous leishmaniasis referring to health centers from 2011 to 2021 in order to improve prevention and treatment methods for high-risk individuals and provide appropriate health services for reducing the incidences of disease in high-risk areas. Methods: A total of 2119 patients afflicted with cutaneous leishmaniosis due to skin lesions were examined. The data were analyzed after entering the data into SPSS software, vol 26. Tables and graphs were used for displaying the qualitative variables; central indicators and dispersion were used for indicating quantitative variables, and chi-square test was used for analyzing the data. The level of P ≤ 0.05 was considered as the level of significance. Results: The mean age of 2119 patients was 28.32 ± 20.38 years. Furthermore, 65.2% of male patients and 34.8% of female ones were infected with the disease. As for the nationality of the patients, 81.8% of them were Iranians and 18.1% of them were Afghans, and 88.9% of them had a history of traveling to other areas. More than 51% of the cases occurred in the young age group, the age group of 21 to 30 years had the highest incidence (18.4%), and the incidence rate of the disease did not decrease. There was a statistically significant relationship between patients’ nationality and travel history, gender, and occupation (P = 0.0001). There was no statistically significant relationship between the incidence season and travel history (P = 0.221). Conclusions: Due to the patients’ travel to endemic areas, providing them with training on effective methods for preventing mosquito bites may have had a great impact on reducing the incidences of cutaneous leishmaniosis.
2011 - 2021年伊朗Shahid Beheshti医学科学大学覆盖人群皮肤利什曼病流行病学研究
背景:世界卫生组织已将利什曼病列为世界八大热带寄生虫病之一,包括伊朗在内的98个国家都报告了该病。根据现有的报告,每年有200万人患上这种疾病。目的:本研究旨在对2011 - 2021年就诊于卫生中心的皮肤利什曼病患者进行描述性分析,以改进高危人群的预防和治疗方法,为降低高危地区的疾病发病率提供适当的卫生服务。方法:对2119例因皮肤病变引起的皮肤利什曼病患者进行检查。将数据输入SPSS软件,第26卷后进行分析。采用表格和图表显示定性变量;定量变量采用中心指标和离散度,数据分析采用卡方检验。以P≤0.05为显著性水平。结果:2119例患者平均年龄28.32±20.38岁。此外,65.2%的男性患者和34.8%的女性患者感染该病。从患者的国籍来看,伊朗人占81.8%,阿富汗人占18.1%,88.9%的患者有其他地区旅行史。51%以上的病例发生在年轻年龄组,21 ~ 30岁年龄组发病率最高(18.4%),发病率没有下降。患者的国籍与旅行史、性别、职业有统计学意义(P = 0.0001)。发病季节与旅行史无统计学意义(P = 0.221)。结论:由于患者经常到流行地区旅行,对其进行蚊虫叮咬预防培训对降低皮肤利什曼病的发病率有重要作用。
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