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Hospitalization for Chagas disease, dengue, filariasis, leishmaniasis, schistosomiasis, strongyloidiasis, and Taenia solium taeniasis/cysticercosis, Italy, 2011–2016
Infection ( IF 5.4 ) Pub Date : 2020-05-16 , DOI: 10.1007/s15010-020-01443-2
Marta Tilli 1 , Annarita Botta 1 , Alessandro Bartoloni 1, 2, 3 , Giampaolo Corti 1, 2 , Lorenzo Zammarchi 1, 2, 3
Affiliation  

To analyze epidemiology and burden of Neglected Tropical Diseases (NTDs) in Italy. We used Hospital Discharge Records and number of residents in Italy to calculate number and rate of hospitalization for Chagas disease, dengue, filariasis, leishmaniasis, schistosomiasis, strongyloidiasis, Taenia solium taeniasis, and cysticercosis by sex, citizenship group, and region in the period 2011–2016. 7195 hospitalizations for NTDs were retrieved, accounting for 7375 diagnoses, 60% in Italians and 40% in foreigners. Male-to-female ratio was 2; the age group more commonly affected was 25–44 years (32.5%). The most common diagnoses were leishmaniasis (34%), schistosomiasis (29%), strongyloidiasis (12%), Chagas disease (8%), and dengue (8%). Average yearly hospitalization rate per 100,000 residents for all NTDs was 2.05, 1.33, and 10.39 in general population, Italians, and foreign citizens, respectively. Hospitalization rates higher than 100 per 100,000 subjects were found in citizens from Sub-Saharan Africa (SSA) and Bolivia. NTDs have a not negligible burden in Italy. The most clinically relevant NTDs in Italy are leishmaniasis and schistosomiasis, followed by strongyloidiasis, Chagas disease, and dengue. Cystic echinococcosis, that was not included in the analysis since a similar study on this disease was recently published, should also be listed among the leading NTD in Italy. While schistosomiasis has its highest burden on population coming from highly endemic areas such as SSA, leishmaniasis is especially relevant in Italian-born residents of southern regions. Education at university and post-graduate levels, to increase the awareness of healthcare professionals on these topics, as well as targeted public health interventions (such as screening or presumptive treatment in high-risk groups), are an asset to improve clinical management and control of these diseases.

中文翻译:

南美锥虫病、登革热、丝虫病、利什曼病、血吸虫病、类圆线虫病和猪带绦虫病/囊尾蚴病住院,意大利,2011–2016 年

分析意大利被忽视热带病 (NTD) 的流行病学和负担。我们使用出院记录和意大利居民人数来计算 2011 年期间按性别、公民群体和地区分列的南美锥虫病、登革热、丝虫病、利什曼病、血吸虫病、类圆线虫病、带绦虫病和囊尾蚴病的住院人数和住院率–2016 年。检索到 7195 例 NTD 住院病例,其中诊断出 7375 例,其中意大利人占 60%,外国人占 40%。男女比例为2;更常受影响的年龄组是 25-44 岁(32.5%)。最常见的诊断是利什曼病 (34%)、血吸虫病 (29%)、类圆线虫病 (12%)、恰加斯病 (8%) 和登革热 (8%)。在一般人群中,所有 NTDs 每 100,000 名居民的平均年住院率分别为 2.05、1.33 和 10.39,分别是意大利人和外国公民。来自撒哈拉以南非洲 (SSA) 和玻利维亚的公民的住院率高于每 100,000 名受试者中的 100 名。NTD 在意大利的负担不容忽视。意大利临床上最相关的 NTD 是利什曼病和血吸虫病,其次是类圆线虫病、南美锥虫病和登革热。囊性棘球蚴病由于最近发表了一项关于该疾病的类似研究而未包括在分析中,也应被列为意大利主要的 NTD。虽然血吸虫病对来自 SSA 等高流行地区的人口造成的负担最大,但利什曼病与南部地区意大利出生的居民尤其相关。大学和研究生阶段的教育,以提高医疗保健专业人员对这些主题的认识,
更新日期:2020-05-16
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