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The Retrospective Annual Surgical Incidence of Cystic Echinococcosis in Sivas, Turkey
Author(s) -
Gonlugur U.,
Ozcelik S.,
Gonlugur T. E.,
Arici S.,
Celiksoz A.,
Elagoz S.,
Cevit R.
Publication year - 2009
Publication title -
zoonoses and public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.87
H-Index - 65
eISSN - 1863-2378
pISSN - 1863-1959
DOI - 10.1111/j.1863-2378.2008.01186.x
Subject(s) - medicine , incidence (geometry) , cystic echinococcosis , cyst , echinococcosis , retrospective cohort study , surgery , physics , optics
Summary Cystic echinococcosis is an important public health problem in our region. The aim of this study was to assess the surgical incidence of cystic echinococcosis in Sivas, Turkey. A retrospective follow‐up study was carried out between 1997 and 2004. The mean age of 124 men (39.2%) and 192 women was 36.4 years. The liver was the primary site of cyst development (76.6%), followed by the lungs (19.9%), the spleen (5.4%), the kidneys (3.5%) and the peritoneal cavity (3.2%). Mean annual surgical incidence was 6.4 per 100 000 inhabitants for a 7‐year period. The most common site of recurrence was the liver. Hepatic cysts were more frequently infected than pulmonary cysts ( P < 0.05). In those patients with an infected cyst, the mean circulating eosinophil level was significantly lower than in those without. Rupture and infection were more common in men ( P < 0.01). In conclusion, serious structural, legislative, surveillance, prevention and control measures for echinooccus should be undertaken in our region.