Prevalence and Risk Factors for Human Cystic Echinococcosis in the Cusco Region of the Peruvian Highlands Diagnosed Using Focused Abdominal Ultrasound

Brunetti, Enrico; Hou, Amy; White, A. Clinton; Chen, Lin; Mozo, Karen; Bascope, Ruben; Giordani, Maria Teresa; Tamarozzi, Francesca; Morales Fernández, María Luisa; Vilca, Freddy; Cabada, Miguel M.

dc.contributor.author	Tamarozzi, Francesca
dc.contributor.author	Hou, Amy
dc.contributor.author	Morales Fernández, María Luisa
dc.contributor.author	Giordani, Maria Teresa
dc.contributor.author	Vilca, Freddy
dc.contributor.author	Mozo, Karen
dc.contributor.author	Bascope, Ruben
dc.contributor.author	White, A. Clinton
dc.contributor.author	Brunetti, Enrico
dc.contributor.author	Chen, Lin
dc.contributor.author	Cabada, Miguel M.
dc.date.accessioned	2019-01-25T15:28:08Z
dc.date.available	2019-01-25T15:28:08Z
dc.date.issued	2017
dc.identifier.uri	https://hdl.handle.net/20.500.12866/4729
dc.description.abstract	Latin America is among the highly endemic regions for cystic echinococcosis (CE). In Peru, an estimated 1,139 disability-adjusted life years are lost annually from surgical treatment of CE. This is comparable with the combined total for Argentina, Brazil, Uruguay, and Chile. The prevalence of human infection has been investigated in the central Peruvian Andes, but there are no community-based screening data from other regions of Peru. We carried out a population survey in January 2015 using abdominal ultrasound to estimate the prevalence of abdominal CE in the Canas and Canchis provinces, in the Cusco region of Peru. Among 1,351 subjects screened, 41 (3%) had CE. There was significant variation between communities with similar socioeconomic features in a small geographical area. A history of CE was reported by 4.1% of the screened subjects, among whom 30.3% still had CE on ultrasound. Among patients reporting previous CE treatment, 14.9% had CE in active stages. Limited education, community of residence, and knowing people with CE in the community were associated with CE. These results demonstrate a significant burden of CE in the region and suggest the need for further investigations, control activities, and optimization of clinical management for CE in this area.	en_US
dc.language.iso	eng
dc.publisher	American Society of Tropical Medicine and Hygiene
dc.relation.ispartofseries	American Journal of Tropical Medicine and Hygiene (ASTMH Journal)
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	Abdomen/diagnostic imaging/parasitology	en_US
dc.subject	Adult	en_US
dc.subject	Echinococcosis/diagnostic imaging/epidemiology	en_US
dc.subject	Female	en_US
dc.subject	Humans	en_US
dc.subject	Male	en_US
dc.subject	Mass Screening	en_US
dc.subject	Middle Aged	en_US
dc.subject	Peru/epidemiology	en_US
dc.subject	Pilot Projects	en_US
dc.subject	Prevalence	en_US
dc.subject	Quality-Adjusted Life Years	en_US
dc.subject	Risk Factors	en_US
dc.subject	Ultrasonography	en_US
dc.subject	Young Adult	en_US
dc.title	Prevalence and Risk Factors for Human Cystic Echinococcosis in the Cusco Region of the Peruvian Highlands Diagnosed Using Focused Abdominal Ultrasound	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.4269/ajtmh.16-0882
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.06
dc.relation.issn	1476-1645