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Recurrence of cystic echinococcosis in an endemic area: a retrospective study

Overview of attention for article published in BMC Infectious Diseases, June 2017
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Title
Recurrence of cystic echinococcosis in an endemic area: a retrospective study
Published in
BMC Infectious Diseases, June 2017
DOI 10.1186/s12879-017-2556-9
Pubmed ID
Authors

Virginia Velasco-Tirado, Ángela Romero-Alegría, Moncef Belhassen-García, Montserrat Alonso-Sardón, Carmen Esteban-Velasco, Amparo López-Bernús, Adela Carpio-Perez, Marcelo Fernando Jimenez López, Juan Luis Muñoz Bellido, Antonio Muro, Miguel Cordero-Sanchez, Javier Pardo-Lledias, Luis Muñoz-Bellvis

Abstract

Cystic echinococcosis (CE) is a chronic, complex and neglected zoonotic disease. CE occurs worldwide. In humans, it may result in a wide spectrum of clinical manifestations, ranging from asymptomatic infection to fatal disease. Clinical management procedures have evolved over decades without adequate evaluation. Despite advances in surgical techniques and the use of chemotherapy, recurrence remains one of the major problems in the management of hydatid disease. The aim of this study was to determine the frequency of CE recurrence and the risk factors involved in recurrence. A descriptive longitudinal-retrospective study was designed. We reviewed all patients diagnosed with CE according to ICD-9 (code 122-0 to 122-9) criteria admitted at Complejo Asistencial Universitario de Salamanca, Spain, between January 1998 and December 2015. Among the 217 patients studied, 25 (11.5%) had a hydatid recurrence after curative intention treatment. Median duration of recurrence's diagnosis was 12.35 years (SD: ±9.31). The likelihood of recurrence was higher [OR = 2.7; 95% CI, 1.1-7.1; p < 0.05] when the cyst was located in organs other than liver and lung, 22.6% (7/31) vs 14.2% (31/217) in the cohort. We detected a chance of recurrence [OR = 2.3; 95% CI, 1.4-6.5; p > 0.05] that was two times higher in those patients treated with a combination of antihelminthic treatments and surgical intervention (20/141, 14.2%) than in patients treated with surgical intervention alone (5/76, 6.6%). Despite advances in diagnosis and therapeutic techniques in hydatid disease, recurrence remains one of the major problems in the management of hydatid disease. The current management and treatment of recurrences is still largely based on expert opinion and moderate-to-poor quality of evidence. Consequently, large prospective and multicenter studies will be needed to provide definitive recommendations for its clinical management.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 33 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 33 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 7 21%
Other 2 6%
Student > Master 2 6%
Professor > Associate Professor 2 6%
Researcher 2 6%
Other 5 15%
Unknown 13 39%
Readers by discipline Count As %
Medicine and Dentistry 11 33%
Veterinary Science and Veterinary Medicine 2 6%
Biochemistry, Genetics and Molecular Biology 2 6%
Unspecified 1 3%
Nursing and Health Professions 1 3%
Other 3 9%
Unknown 13 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 July 2017.
All research outputs
#20,431,953
of 22,985,065 outputs
Outputs from BMC Infectious Diseases
#6,515
of 7,717 outputs
Outputs of similar age
#275,315
of 315,737 outputs
Outputs of similar age from BMC Infectious Diseases
#150
of 185 outputs
Altmetric has tracked 22,985,065 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
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