2024-03-28T18:56:31Zhttps://gredos.usal.es/oai/requestoai:gredos.usal.es:10366/1406982024-02-13T13:00:27Zcom_10366_3897com_10366_3824com_10366_3823col_10366_3898
Gestión del Repositorio Documental de la Universidad de Salamanca
author
Belhassen García, Moncef
author
Alonso Sardón, Montserrat
author
Martínez Pérez, Ángela
author
Soler, Cristina
author
Carranza Rodríguez, Cristina
author
Pérez Arellano, José Luis
author
Muro Álvarez, Antonio
author
Salvador, Fernando
2020-01-27T16:35:44Z
2020-01-27T16:35:44Z
2017-12-28
Belhassen-García M, Alonso-Sardón M, Martinez-Perez A, Soler C, Carranza-Rodriguez C, Pérez-Arellano JL, et al. (2017) Surveillance of strongyloidiasis in Spanish in-patients (1998–2014). PLoS ONE 12(12):e0189449. https://doi.org/10.1371/journal.pone.0189449
http://hdl.handle.net/10366/140698
https://doi.org/10.1371/journal.pone.0189449
1932-6203
[EN]Background:
Strongyloides stercoralis is a parasite that causes strongyloidiasis, a neglected tropical disease.
S. stercoralis is a soil-transmitted helminth that is widely distributed in tropical and
subtropical regions of the world. Strongyloidiasis can occur without any symptoms or as a
chronic infection characterized by mild, unspecific symptoms such as pruritus, abdominal
pain or discomfort; respiratory impairment also may manifest as a potentially fatal hyperinfection
or disseminated infection. Most studies on strongyloidiasis in Spain have been
related to chronic forms in immigrants or travellers from endemic zones and have mainly
analysed out-patient populations. Studies of the impact of strongyloidiasis cases admitted to
hospitals in Spain are lacking. Therefore, the aim of this study was to analyse the impact of
strongyloidiasis in hospital care in Spain.
Methodology:
We designed a retrospective descriptive study using the Minimum Basic Data Set (MBDS,
CMBD in Spanish) for inpatients with ICD-9: 127.2 (strongyloidiasis) diagnoses admitted to
hospitals in the Spanish National Health System between 1998 and 2014.
Principal findings:
A total of 507 hospitalizations with diagnosis of strongyloidiasis were recorded, 324 cases
(63.9%) were males. The mean (±SD) age was 42.1±20.1 years. The impact of strongyloidiasis
on the total population of Spain was 0.06 cases per 105 person-years, and the infection
burden increased progressively over time (from 0.01 cases per 105 person-years in 1999 to
0.10 cases per 105 person-years in 2014). 40 cases (7.9%) died. The total cost was approximately
€8,681,062.3, and the mean cost per patient was €17,122.4±97,968.8.
Conclusions:
Our data suggest that strongyloidiasis is frequent in Spain and is increasing in incidence.
Therefore, it would be desirable to improve the oversight and surveillance of this condition.
Due to the fact that strongyloidiasis can be fatal, we believe that there is a need to establish
risk categories for inclusion in national guidelines/protocols for screening individuals at risk
of developing strongyloidiasis.
eng
Attribution-NonCommercial-NoDerivatives 4.0 Internacional
Strongyloidiasis
Estrongiloidiasis
Surveillance of strongyloidiasis in Spanish in-patients (1998–2014)
info:eu-repo/semantics/article
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