Worldwide occurrence and impact of human trichinellosis, 1986-2009.
Worldwide occurrence and impact of human trichinellosis, 1986-2009.
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DOI：
10.3201/eid1712.110896
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发表时间：
2011-12
影响因子：
11.8
通讯作者：
Pozio E
中科院分区：
文献类型：
--
作者：
Murrell KD;Pozio E
为了评估人类旋毛虫病的全球发病率和临床影响，我们分析了1986-2009年的疫情报告数据。在6个国际数据库中检索，共获得494份报告。在应用严格的相关性和可靠性标准后，我们选择了261份报告进行数据提取。从1986年到2009年，41个国家报告了65，818例病例和42例死亡。世界卫生组织欧洲区域占病例的87%;其中50%发生在罗马尼亚，主要发生在1990-1999年。该区域的发病率为每100 000人1.1至8.5例。旋毛虫病主要影响成年人（中位年龄33.1岁），男性（51%）和女性的影响大致相同。根据5，377例详细描述的病例，主要的临床影响是肌痛、腹泻、发热、面部水肿和头痛。猪肉是主要的感染源;野生动物来源也经常报告。这些数据将对估计全球疾病有价值。
To assess the global incidence and clinical effects of human trichinellosis, we analyzed outbreak report data for 1986–2009. Searches of 6 international databases yielded 494 reports. After applying strict criteria for relevance and reliability, we selected 261 reports for data extraction. From 1986 through 2009, there were 65,818 cases and 42 deaths reported from 41 countries. The World Health Organization European Region accounted for 87% of cases; 50% of those occurred in Romania, mainly during 1990–1999. Incidence in the region ranged from 1.1 to 8.5 cases per 100,000 population. Trichinellosis affected primarily adults (median age 33.1 years) and about equally affected men (51%) and women. Major clinical effects, according to 5,377 well-described cases, were myalgia, diarrhea, fever, facial edema, and headaches. Pork was the major source of infection; wild game sources were also frequently reported. These data will be valuable for estimating the illness worldwide.