Epidemiological profile and treatment of cystic echinococcosis hospitalized cases in Morocco between 2011 and 2021

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Clinical Epidemiology and Global Health Pub Date : 2025-05-01 Epub Date: 2025-04-22 DOI:10.1016/j.cegh.2025.102035

Ilham Benmoujjane , Souad Bouhout , Aicha mehdioui , Houda Chebli , Meryem Zabarra , Mohammed Akrim , Hassan Chrifi , Touria Benamar

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Abstract

Background/objective

Cystic Echinococcosis (CE) is a globally spread zoonotic disease. In Morocco, CE is endemic. The objective was to study Morocco's epidemiological profile and management of hospitalized patients with CE.

Methods

This research was done retrospectively over 11 years (2011–2021). It included 7385 cases from all regions of Morocco.

Results

Between 2011 and 2021, the annual incidence decreased from 4.55 to 1.18 (per 100,000 population). The patients' ages varied from one to 115 years. The sex ratio of women to men was 1.54. Rural areas accounted for 62.96 % of the patients. The diagnostic method commonly used was the ultrasound (67.62 %). The liver (80.85 %) was the most affected organ, followed by the lungs (15.68 %). Type I cysts accounted for 56.35 % of all HC cases. Surgery was performed in 97.33 % of the patients, with 57.01 % being conservative. The outcome was favorable for 98.48 % of the cases. The Average Length of Stay (ALOS) in the hospital for CE patients was 11 days.

Conclusion

Significant progress has been made towards achieving the goal of CE eradication by 2030, but Morocco still faces a significant threat due to the high number of hospitalized cases and resulting deaths.

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2011年至2021年摩洛哥囊性包虫病住院病例的流行病学概况和治疗

背景/目的囊性棘球蚴病是一种全球传播的人畜共患疾病。在摩洛哥，CE是一种地方病。目的是研究摩洛哥的流行病学概况和对住院CE患者的管理。方法回顾性研究11年（2011-2021年）。其中包括来自摩洛哥所有地区的7385例病例。结果2011 - 2021年，年发病率从4.55例（每10万人）下降到1.18例（每10万人）。患者的年龄从1岁到115岁不等。男女性别比为1.54。农村占62.96%。常用的诊断方法为超声（67.62%）。肝脏（80.85%）是最主要的脏器，其次是肺（15.68%）。I型囊肿占所有HC病例的56.35%。97.33%的患者行手术治疗，其中57.01%为保守治疗。98.48%的病例预后良好。CE患者平均住院时间（ALOS）为11天。结论：摩洛哥在实现到2030年根除小儿麻痹症的目标方面取得了重大进展，但由于住院病例和由此导致的死亡人数众多，摩洛哥仍然面临重大威胁。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.