Cargando…
High Prevalence of Strongyloidiasis in Spain: A Hospital-Based Study
Introduction: Strongyloidiasis is a prevailing helminth infection ubiquitous in tropical and subtropical areas, however, seroprevalence data are scarce in migrant populations, particularly for those coming for Asia. Methods: This study aims at evaluating the prevalence of S. stercoralis at the hospi...
Autores principales: | , , , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7167856/ https://www.ncbi.nlm.nih.gov/pubmed/32053864 http://dx.doi.org/10.3390/pathogens9020107 |
_version_ | 1783523603371786240 |
---|---|
author | Requena-Méndez, Ana Salas-Coronas, Joaquin Salvador, Fernando Gomez-Junyent, Joan Villar-Garcia, Judith Santin, Miguel Muñoz, Carme González-Cordón, Ana Cabezas Fernández, Maria Teresa Sulleiro, Elena Arenas, Maria del Mar Somoza, Dolors Vazquez-Villegas, Jose Treviño, Begoña Rodríguez, Esperanza Valls, Maria Eugenia Llaberia-Marcual, Jaume Subirá, Carme Muñoz, Jose |
author_facet | Requena-Méndez, Ana Salas-Coronas, Joaquin Salvador, Fernando Gomez-Junyent, Joan Villar-Garcia, Judith Santin, Miguel Muñoz, Carme González-Cordón, Ana Cabezas Fernández, Maria Teresa Sulleiro, Elena Arenas, Maria del Mar Somoza, Dolors Vazquez-Villegas, Jose Treviño, Begoña Rodríguez, Esperanza Valls, Maria Eugenia Llaberia-Marcual, Jaume Subirá, Carme Muñoz, Jose |
author_sort | Requena-Méndez, Ana |
collection | PubMed |
description | Introduction: Strongyloidiasis is a prevailing helminth infection ubiquitous in tropical and subtropical areas, however, seroprevalence data are scarce in migrant populations, particularly for those coming for Asia. Methods: This study aims at evaluating the prevalence of S. stercoralis at the hospital level in migrant populations or long term travellers being attended in out-patient and in-patient units as part of a systematic screening implemented in six Spanish hospitals. A cross-sectional study was conducted and systematic screening for S. stercoralis infection using serological tests was offered to all eligible participants. Results: The overall seroprevalence of S. stercoralis was 9.04% (95%CI 7.76–10.31). The seroprevalence of people with a risk of infection acquired in Africa and Latin America was 9.35% (95%CI 7.01–11.69), 9.22% (7.5–10.93), respectively. The number of individuals coming from Asian countries was significantly smaller and the overall prevalence in these countries was 2.9% (95%CI −0.3–6.2). The seroprevalence in units attending potentially immunosuppressed patients was significantly lower (5.64%) compared with other units of the hospital (10.20%) or Tropical diseases units (13.33%) (p < 0.001). Conclusions: We report a hospital-based strongyloidiasis seroprevalence of almost 10% in a mobile population coming from endemic areas suggesting the need of implementing strongyloidiasis screening in hospitalized patients coming from endemic areas, particularly if they are at risk of immunosuppression. |
format | Online Article Text |
id | pubmed-7167856 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-71678562020-04-21 High Prevalence of Strongyloidiasis in Spain: A Hospital-Based Study Requena-Méndez, Ana Salas-Coronas, Joaquin Salvador, Fernando Gomez-Junyent, Joan Villar-Garcia, Judith Santin, Miguel Muñoz, Carme González-Cordón, Ana Cabezas Fernández, Maria Teresa Sulleiro, Elena Arenas, Maria del Mar Somoza, Dolors Vazquez-Villegas, Jose Treviño, Begoña Rodríguez, Esperanza Valls, Maria Eugenia Llaberia-Marcual, Jaume Subirá, Carme Muñoz, Jose Pathogens Article Introduction: Strongyloidiasis is a prevailing helminth infection ubiquitous in tropical and subtropical areas, however, seroprevalence data are scarce in migrant populations, particularly for those coming for Asia. Methods: This study aims at evaluating the prevalence of S. stercoralis at the hospital level in migrant populations or long term travellers being attended in out-patient and in-patient units as part of a systematic screening implemented in six Spanish hospitals. A cross-sectional study was conducted and systematic screening for S. stercoralis infection using serological tests was offered to all eligible participants. Results: The overall seroprevalence of S. stercoralis was 9.04% (95%CI 7.76–10.31). The seroprevalence of people with a risk of infection acquired in Africa and Latin America was 9.35% (95%CI 7.01–11.69), 9.22% (7.5–10.93), respectively. The number of individuals coming from Asian countries was significantly smaller and the overall prevalence in these countries was 2.9% (95%CI −0.3–6.2). The seroprevalence in units attending potentially immunosuppressed patients was significantly lower (5.64%) compared with other units of the hospital (10.20%) or Tropical diseases units (13.33%) (p < 0.001). Conclusions: We report a hospital-based strongyloidiasis seroprevalence of almost 10% in a mobile population coming from endemic areas suggesting the need of implementing strongyloidiasis screening in hospitalized patients coming from endemic areas, particularly if they are at risk of immunosuppression. MDPI 2020-02-11 /pmc/articles/PMC7167856/ /pubmed/32053864 http://dx.doi.org/10.3390/pathogens9020107 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Requena-Méndez, Ana Salas-Coronas, Joaquin Salvador, Fernando Gomez-Junyent, Joan Villar-Garcia, Judith Santin, Miguel Muñoz, Carme González-Cordón, Ana Cabezas Fernández, Maria Teresa Sulleiro, Elena Arenas, Maria del Mar Somoza, Dolors Vazquez-Villegas, Jose Treviño, Begoña Rodríguez, Esperanza Valls, Maria Eugenia Llaberia-Marcual, Jaume Subirá, Carme Muñoz, Jose High Prevalence of Strongyloidiasis in Spain: A Hospital-Based Study |
title | High Prevalence of Strongyloidiasis in Spain: A Hospital-Based Study |
title_full | High Prevalence of Strongyloidiasis in Spain: A Hospital-Based Study |
title_fullStr | High Prevalence of Strongyloidiasis in Spain: A Hospital-Based Study |
title_full_unstemmed | High Prevalence of Strongyloidiasis in Spain: A Hospital-Based Study |
title_short | High Prevalence of Strongyloidiasis in Spain: A Hospital-Based Study |
title_sort | high prevalence of strongyloidiasis in spain: a hospital-based study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7167856/ https://www.ncbi.nlm.nih.gov/pubmed/32053864 http://dx.doi.org/10.3390/pathogens9020107 |
work_keys_str_mv | AT requenamendezana highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT salascoronasjoaquin highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT salvadorfernando highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT gomezjunyentjoan highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT villargarciajudith highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT santinmiguel highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT munozcarme highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT gonzalezcordonana highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT cabezasfernandezmariateresa highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT sulleiroelena highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT arenasmariadelmar highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT somozadolors highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT vazquezvillegasjose highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT trevinobegona highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT rodriguezesperanza highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT vallsmariaeugenia highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT llaberiamarcualjaume highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT subiracarme highprevalenceofstrongyloidiasisinspainahospitalbasedstudy AT munozjose highprevalenceofstrongyloidiasisinspainahospitalbasedstudy |