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Surveillance of strongyloidiasis in Spanish in-patients (1998-2014).

Abstract 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.
PMID
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Authors

Mayor MeshTerms

Population Surveillance

Keywords
Journal Title plos one
Publication Year Start




PMID- 29284005
OWN - NLM
STAT- MEDLINE
DCOM- 20180129
LR  - 20180129
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 12
IP  - 12
DP  - 2017
TI  - Surveillance of strongyloidiasis in Spanish in-patients (1998-2014).
PG  - e0189449
LID - 10.1371/journal.pone.0189449 [doi]
AB  - 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 euro8,681,062.3, and the mean cost per patient was
      euro17,122.4+/-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.
FAU - Belhassen-Garcia, Moncef
AU  - Belhassen-Garcia M
AUID- ORCID: 0000-0002-2230-1256
AD  - Servicio de Medicina Interna, Seccion de Enfermedades Infecciosas, Complejo
      Asistencial Salamanca (CAUSA), Salamanca, Spain.
AD  - Centro de Investigacion de Enfermedades Tropicales de la Universidad de Salamanca
      (CIETUS), Salamanca, Spain.
AD  - Institute for Biomedical Research of Salamanca (IBSAL), University Hospital of
      Salamanca, University of Salamanca, Spanish National Research Council (CSIC),
      Salamanca, Spain.
FAU - Alonso-Sardon, Montserrat
AU  - Alonso-Sardon M
AD  - Centro de Investigacion de Enfermedades Tropicales de la Universidad de Salamanca
      (CIETUS), Salamanca, Spain.
AD  - Institute for Biomedical Research of Salamanca (IBSAL), University Hospital of
      Salamanca, University of Salamanca, Spanish National Research Council (CSIC),
      Salamanca, Spain.
AD  - Area de Medicina Preventiva y Salud Publica, Facultad de Medicine, Universidad de
      Salamanca, Salamanca, Spain.
FAU - Martinez-Perez, Angela
AU  - Martinez-Perez A
AD  - Consorci de Atencio Primaria de Salut Barcelona Esquerra, Hospital Clinic,
      Barcelona, Spain.
FAU - Soler, Cristina
AU  - Soler C
AD  - Unitat de Medicina Tropical i Salut Internacional, Servei de Medicina Interna,
      Hospital de Santa Caterina, Girona, Spain.
FAU - Carranza-Rodriguez, Cristina
AU  - Carranza-Rodriguez C
AD  - Unidad de Enfermedades Infecciosas, Complejo Hospitalario Universitario Insular
      Materno Infantil, Las Palmas de Gran Canaria, Spain.
FAU - Perez-Arellano, Jose Luis
AU  - Perez-Arellano JL
AD  - Unidad de Enfermedades Infecciosas, Complejo Hospitalario Universitario Insular
      Materno Infantil, Las Palmas de Gran Canaria, Spain.
FAU - Muro, Antonio
AU  - Muro A
AD  - Centro de Investigacion de Enfermedades Tropicales de la Universidad de Salamanca
      (CIETUS), Salamanca, Spain.
AD  - Institute for Biomedical Research of Salamanca (IBSAL), University Hospital of
      Salamanca, University of Salamanca, Spanish National Research Council (CSIC),
      Salamanca, Spain.
AD  - Laboratorio de Inmunologia Parasitaria y Molecular, Facultad de Farmacia,
      Universidad de Salamanca, Salamanca, Spain.
FAU - Salvador, Fernando
AU  - Salvador F
AD  - Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS,
      Barcelona, Spain.
CN  - Soil-Transmitted Helminths Study Group of the SEMTSI
LA  - eng
PT  - Historical Article
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20171228
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Adult
MH  - Female
MH  - History, 20th Century
MH  - History, 21st Century
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Population Surveillance
MH  - Spain/epidemiology
MH  - Strongyloidiasis/*epidemiology
MH  - Young Adult
PMC - PMC5746217
EDAT- 2017/12/29 06:00
MHDA- 2018/01/30 06:00
CRDT- 2017/12/29 06:00
PHST- 2017/07/11 00:00 [received]
PHST- 2017/11/24 00:00 [accepted]
PHST- 2017/12/29 06:00 [entrez]
PHST- 2017/12/29 06:00 [pubmed]
PHST- 2018/01/30 06:00 [medline]
AID - 10.1371/journal.pone.0189449 [doi]
AID - PONE-D-17-26018 [pii]
PST - epublish
SO  - PLoS One. 2017 Dec 28;12(12):e0189449. doi: 10.1371/journal.pone.0189449.
      eCollection 2017.