黑鬼省囊性包虫病的诊断、治疗和监测与控制:“一个健康”模式

G. Mujica, L. Uchiumi, D. Araya, J. C. Salvitti, J. Labanchi, M. Sobrino, E. Herrero, Oscar Panomarenko, P. Blanco, G. Talmón, Hebe Tissot, Claudia Grizmado, M. Arezo, M. Seleiman, C. Mercapide, E. Larrieu
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引用次数: 3

摘要

囊性棘球蚴病(CE)是阿根廷黑鬼省(República)的一种地方性流行病。由于病例数量、手术后住院时间及其相关死亡率,这是一个严重的公共卫生问题,给卫生系统带来了高昂的成本。为了控制该病,自1980年以来开展了初级预防活动,其基础是为狗驱虫和为羔羊接种疫苗;二级预防包括通过血清学或超声筛查积极寻找病例;三级预防的基础是及时治疗,要么通过手术,要么用阿苯达唑进行药物治疗。所有这些预防活动都是根据"一个健康"模式的概念和战略,通过机构间和跨学科的工作,以及在社区的支持、承诺和重要参与下开展的。因此,观察到人类中CE的患病率及其致死率有了显著下降(1997-2020年为0.5%,过去两年没有死亡);此外,由于住院和手术次数的减少,卫生系统的费用也显著下降。
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The Diagnosis, Treatment, Surveillance and Control of Cystic Echinococcosis in the Province of Rio Negro: The “One-Health” Model
Cystic Echinococcosis (CE) is an endemo-epidemic disease in the Rio Negro Province, República Argentina. Due to the number of cases, the length of hospital stays after surgery and its associated mortality, it is a serious public health problem that generates high costs for the health system. Oriented towards its control, primary prevention activities have been carried out since 1980, based on the deworming of dogs and the vaccination of lambs; secondary prevention has consisted in the actively search for cases through serological or ultrasonographic screening; and tertiary prevention has been based on timely treatment, either by surgery or by medical treatment with albendazole. All these prevention activities have been carried out under the concept and strategies of the “One Health” model, through both inter-institutional and interdisciplinary work, as well as with the support, commitment and critical participation of the community. As a result, an important drop has been observed in the prevalence of CE in humans and in its lethality (0.5% in 1997–2020, no deaths in the last two years); moreover, an important decrease has been observed in costs to the health system, due to the reduction of hospitalizations and the number of surgeries.
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