Populations at risk for alveolar echinococcosis, France.
Identifieur interne : 000144 ( Main/Exploration ); précédent : 000143; suivant : 000145Populations at risk for alveolar echinococcosis, France.
Auteurs : Martine Piarroux [France] ; Renaud Piarroux ; Jenny Knapp ; Karine Bardonnet ; Jérôme Dumortier ; Jérôme Watelet ; Alain Gerard ; Jean Beytout ; Armand Abergel ; Solange Bresson-Hadni ; Jean GaudartSource :
- Emerging infectious diseases [ 1080-6059 ] ; 2013.
Descripteurs français
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adult, Albendazole (therapeutic use), Animals, Anthelmintics (therapeutic use), Echinococcosis, Hepatic (drug therapy), Echinococcosis, Hepatic (epidemiology), Echinococcosis, Hepatic (parasitology), Echinococcosis, Hepatic (transmission), Echinococcus multilocularis (drug effects), Echinococcus multilocularis (physiology), Endemic Diseases, Female, Foxes (parasitology), France (epidemiology), Humans, Liver (drug effects), Liver (parasitology), Male, Mebendazole (therapeutic use), Middle Aged, Registries, Retrospective Studies, Risk Factors, Rural Population, Socioeconomic Factors.
- MESH :
- chemical , therapeutic use : Albendazole, Anthelmintics, Mebendazole.
- geographic , epidemiology : France.
- drug effects : Echinococcus multilocularis, Liver.
- drug therapy : Echinococcosis, Hepatic.
- epidemiology : Echinococcosis, Hepatic.
- parasitology : Echinococcosis, Hepatic, Foxes, Liver.
- physiology : Echinococcus multilocularis.
- transmission : Echinococcosis, Hepatic.
- Adult, Animals, Endemic Diseases, Female, Humans, Male, Middle Aged, Registries, Retrospective Studies, Risk Factors, Rural Population, Socioeconomic Factors.
Abstract
During 1982-2007, alveolar echinococcosis (AE) was diagnosed in 407 patients in France, a country previously known to register half of all European patients. To better define high-risk groups in France, we conducted a national registry-based study to identify areas where persons were at risk and spatial clusters of cases. We interviewed 180 AE patients about their way of life and compared responses to those of 517 controls. We found that almost all AE patients lived in 22 départements in eastern and central France (relative risk 78.63, 95% CI 52.84-117.02). Classification and regression tree analysis showed that the main risk factor was living in AE-endemic areas. There, most at-risk populations lived in rural settings (odds ratio [OR] 66.67, 95% CI 6.21-464.51 for farmers and OR 6.98, 95% CI 2.88-18.25 for other persons) or gardened in nonrural settings (OR 4.30, 95% CI 1.82-10.91). These findings can help sensitization campaigns focus on specific groups.
DOI: 10.3201/eid1905.120867
PubMed: 23647623
Affiliations:
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Le document en format XML
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xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">During 1982-2007, alveolar echinococcosis (AE) was diagnosed in 407 patients in France, a country previously known to register half of all European patients. To better define high-risk groups in France, we conducted a national registry-based study to identify areas where persons were at risk and spatial clusters of cases. We interviewed 180 AE patients about their way of life and compared responses to those of 517 controls. We found that almost all AE patients lived in 22 départements in eastern and central France (relative risk 78.63, 95% CI 52.84-117.02). Classification and regression tree analysis showed that the main risk factor was living in AE-endemic areas. There, most at-risk populations lived in rural settings (odds ratio [OR] 66.67, 95% CI 6.21-464.51 for farmers and OR 6.98, 95% CI 2.88-18.25 for other persons) or gardened in nonrural settings (OR 4.30, 95% CI 1.82-10.91). These findings can help sensitization campaigns focus on specific groups.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Provence-Alpes-Côte d'Azur</li></region><settlement><li>Marseille</li></settlement></list><tree><noCountry><name sortKey="Abergel, Armand" sort="Abergel, Armand" uniqKey="Abergel A" first="Armand" last="Abergel">Armand Abergel</name><name sortKey="Bardonnet, Karine" sort="Bardonnet, Karine" uniqKey="Bardonnet K" first="Karine" last="Bardonnet">Karine Bardonnet</name><name sortKey="Beytout, Jean" sort="Beytout, Jean" uniqKey="Beytout J" first="Jean" last="Beytout">Jean Beytout</name><name sortKey="Bresson Hadni, Solange" sort="Bresson Hadni, Solange" uniqKey="Bresson Hadni S" first="Solange" last="Bresson-Hadni">Solange Bresson-Hadni</name><name sortKey="Dumortier, Jerome" sort="Dumortier, Jerome" uniqKey="Dumortier J" first="Jérôme" last="Dumortier">Jérôme Dumortier</name><name sortKey="Gaudart, Jean" sort="Gaudart, Jean" uniqKey="Gaudart J" first="Jean" last="Gaudart">Jean Gaudart</name><name sortKey="Gerard, Alain" sort="Gerard, Alain" uniqKey="Gerard A" first="Alain" last="Gerard">Alain Gerard</name><name sortKey="Knapp, Jenny" sort="Knapp, Jenny" uniqKey="Knapp J" first="Jenny" last="Knapp">Jenny Knapp</name><name sortKey="Piarroux, Renaud" sort="Piarroux, Renaud" uniqKey="Piarroux R" first="Renaud" last="Piarroux">Renaud Piarroux</name><name sortKey="Watelet, Jerome" sort="Watelet, Jerome" uniqKey="Watelet J" first="Jérôme" last="Watelet">Jérôme Watelet</name></noCountry><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Piarroux, Martine" sort="Piarroux, Martine" uniqKey="Piarroux M" first="Martine" last="Piarroux">Martine Piarroux</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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