A hospital-based retrospective survey of human cystic and alveolar echinococcosis in Ningxia Hui Autonomous Region, PR China

Yang, Yu Rong, Cheng, Li, Yang, Shu Kun, Pan, Xiao, Sun, Tao, Xiuping Li,, Hu, Shangping, Craig, Philip S., Vuitton, Dominique A. and McManus, Donald P. (2006) A hospital-based retrospective survey of human cystic and alveolar echinococcosis in Ningxia Hui Autonomous Region, PR China. Acta Tropica, 97 3: 284-297. doi:10.1016/j.actatropica.2005.12.001


Author Yang, Yu Rong
Cheng, Li
Yang, Shu Kun
Pan, Xiao
Sun, Tao
Xiuping Li,
Hu, Shangping
Craig, Philip S.
Vuitton, Dominique A.
McManus, Donald P.
Title A hospital-based retrospective survey of human cystic and alveolar echinococcosis in Ningxia Hui Autonomous Region, PR China
Journal name Acta Tropica   Check publisher's open access policy
ISSN 0001-706X
1873-6254
Publication date 2006-03
Sub-type Article (original research)
DOI 10.1016/j.actatropica.2005.12.001
Volume 97
Issue 3
Start page 284
End page 297
Total pages 14
Place of publication Amsterdam, Netherlands
Publisher Elsevier BV
Language eng
Abstract A retrospective study of in-patient records for the period 1985–2001 collected from 11 hospitals in Ningxia Hui Autonomous Region (NHAR), China revealed a total of 2216 cases of echinococcosis. The survey showed that cystic echinococcosis (CE) occurs throughout NHAR but that human alveolar echinococcosis (AE) cases were only located in a confluence area of three counties, Xiji, Haiyuan and Guyuan. Incidence rates between counties within southern NHAR showed a highly heterogeneous distribution of cases, suggestive of different echinococcal transmission patterns. There was a significant difference in incidence between males and females, and farm labourers accounted for the majority of cases. Radical surgery with or without albendazole/mebendazole drug treatment was the major method of treatment for CE and repeat surgery was common; drug treatment alone was used mainly for AE. Epigastric pain was the main reason for patients seeking medical advice, the liver was the primary location of echinococcosis lesions and the majority of echinococcosis cases were diagnosed by ultrasound. Over a 12 year period, the average bed utilization rate in the Second Provincial Hospital of NHAR for patients with echinococcosis was 78% and echinococcosis cases accounted, on average, for 0.7% among the total hospital in-patients. Taking inflation into account, charges for echinococcosis hospitalization and treatment increased three-fold over the period 1994–2002. This study indicates that echinococcosisis is a significant public health problem in NHAR, especially in the south. The data from the hospital retrospective study are clearly underestimates and community surveys are required to determine the true echinococcosis prevalence levels, especially in the more remote areas of NHAR.
Keyword Ningxia Hui Autonomous Region (NHAR)
Alveolar echinococcosis
Cystic echinococcosis
Retrospective survey
Hospital records
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Population Health Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 9 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 13 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Access Statistics: 49 Abstract Views  -  Detailed Statistics
Created: Thu, 26 Mar 2009, 17:07:26 EST by Jason Parr on behalf of School of Population Health