Decreasing trends of ultrasonographic prevalence of cystic echinococcosis in a rural Greek area

Varbobitis, Ioannis; Pappas, Georgios; Karageorgopoulos, Drosos E.; Anagnostopoulos, Ioannis; Falagas, Matthew E.

doi:10.1007/s10096-009-0858-6

Cited by 6 publications

(10 citation statements)

References 12 publications

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“…Our study supports the above findings, alongside with a previous study in the same area, that determined ultrasonograhic prevalence of Echinococcus [10]. Moreover, similar results were found in a study in the island of Crete, that determined Echinococcous seroprevalence with counterimmunoelectrophoresis (CIE) [11].…”

Section: Discussionsupporting

confidence: 92%

Seroprevalence of IgG Antibodies against Echinococcus granulosus in the Population of the Region of Thessaly, Central Greece

et al. 2012

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Echinococcosis notification rate in Greece, based on the most recent data, is below 0.25 per 100,000 population. To further investigate the epidemiology of echinococcosis in Greece a study was designed to determine the seroprevalence of Echinococcus granulosus antibodies in the population of Thessaly, Central Greece. Five hundred and forty two left over blood samples in Thessaly laboratories, were collected using a stratified convenient sampling procedure. Samples were analyzed with enzyme linked immunosorbent assay. The seropositivity found was 1.1%(95% C.I., 0.5–2.5), with 5 out of 6 seropositive results to be in the age group of over 65 (OR = 17.95, 95%CI 2.04–157.11, p value 0.009). Rural residence was also found as a risk factor to seropositivity (RR = 7.60, 95% CI 0.89–64.64, p value 0.039). Surveillance data and our study results converge that echinococcosis is being reduced in Greece, with older population to be affected mostly. These might be due to the disease transmission restriction, by the control measures being implemented. Efforts should be continued, in both animals and humans side, by increasing training campaigns and public awareness.

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Section: Discussionsupporting

confidence: 92%

Seroprevalence of IgG Antibodies against Echinococcus granulosus in the Population of the Region of Thessaly, Central Greece

et al. 2012

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“…Considerably more studies have investigated the prevalence of hepatic hemangioma than of focal fatty sparing, FNH, and adenoma [ 6 , 7 , 9 , 11 , 21 ]. The majority of the more recent ultrasound-based prevalence studies show significantly higher prevalence figures than older ultrasound-based studies (Table 4 ).…”

Section: Discussionmentioning

confidence: 99%

“…The number of recent ultrasound studies on the prevalence of benign liver lesions is relatively limited. In the past 10 years, comparatively few ultrasound-based studies have appeared on this subject [ 6 – 9 ]. Comparison of the study results is also difficult, because the studies differ with regard to the selection of the population investigated, the number of individuals investigated, and the diagnostic method used [ultrasound (US), computed tomography (CT), magnetic resonance imaging (MRI) or autopsy].…”

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confidence: 99%

“…This is also ultimately reflected in the prevalence rates determined in the respective studies. Published values for the prevalence of hepatic hemangiomas range from 0.1% to 20.0% [ 6 , 7 , 10 , 11 ] and those for hepatic cysts from 0.06% to 17.8% [ 7 , 9 , 10 ]. Only a few studies have determined the prevalence of FNH, hepatic adenoma and focal fatty sparing.…”

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confidence: 99%

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Prevalence of benign focal liver lesions: ultrasound investigation of 45,319 hospital patients

et al. 2016

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PurposeThe aim of the study was to determine the sonographic prevalence of benign focal liver lesions on the basis of a population of hospital patients.Methods The ultrasound results in a population of (n = 45,319) hospital patients over a period of 10 years were examined retrospectively and evaluated for the diagnosis of benign focal liver lesions [hepatic cysts, hepatic hemangioma, focal nodular hyperplasia (FNH), hepatic adenoma, and focal fatty sparing]. Results that were incomplete or ambiguous were excluded from this study.ResultsAt least one of the lesions to be investigated was diagnosed in 15.1% (n = 6839) of the patients of the total population. The most commonly recorded lesion, with a total prevalence of 6.3% (n = 2839), was focal fatty sparing, followed by hepatic cysts with 5.8% (n = 2631). The prevalence of hepatic hemangioma was 3.3% (n = 1640), while that of FNH was 0.2% (n = 81) and that of hepatic adenoma was 0.04% (n = 19). An association between the occurrence of benign focal liver lesions and age was observed.ConclusionsThe calculated prevalence of benign focal liver lesions shows that on the fortuitous discovery of space-occupying lesions of the liver, first consideration should be given to focal fatty sparing, simple hepatic cysts and hemangiomas. The finding of a FNH or an adenoma is rarely a random discovery.

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“…Cystic echinococcosis (Echinococcusgranulosus) remains a major zoonotic issue, particularly in Central Asia, South America, North Africa (and probably sub-Saharan Africa), directly related to inadequate public health practices [20]. The incidence of the disease in southern European countries, however, seems to have been significantly lower in recent years [21]. The extended period needed for disease recognition compli cates accurate statistical evaluation of incidence trends and the global burden of disease.…”

Section: Prion Zoonosesmentioning

confidence: 99%

Parasitic, fungal and prion zoonoses: an expanding universe of candidates for human disease

Akritidis

2011

Clinical Microbiology and Infection

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Zoonotic infections have emerged as a burden for millions of people in recent years, owing to re-emerging or novel pathogens often causing outbreaks in the developing world in the presence of inadequate public health infrastructure. Among zoonotic infections, those caused by parasitic pathogens are the ones that affect millions of humans worldwide, who are also at risk of developing chronic disease. The present review discusses the global effect of protozoan pathogens such as Leishmania sp., Trypanosoma sp., and Toxoplasma sp., as well as helminthic pathogens such as Echinococcus sp., Fasciola sp., and Trichinella sp. The zoonotic aspects of agents that are not essentially zoonotic are also discussed. The review further focuses on the zoonotic dynamics of fungal pathogens and prion diseases as observed in recent years, in an evolving environment in which novel patient target groups have developed for agents that were previously considered to be obscure or of minimal significance.

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Decreasing trends of ultrasonographic prevalence of cystic echinococcosis in a rural Greek area

Cited by 6 publications

References 12 publications

Seroprevalence of IgG Antibodies against Echinococcus granulosus in the Population of the Region of Thessaly, Central Greece

Seroprevalence of IgG Antibodies against Echinococcus granulosus in the Population of the Region of Thessaly, Central Greece

Prevalence of benign focal liver lesions: ultrasound investigation of 45,319 hospital patients

Parasitic, fungal and prion zoonoses: an expanding universe of candidates for human disease

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