Abstract:
Cystic echinococcosis (CE), caused by the cestode Echinococcus granulosus (sensu lato), is a serious neglected zoonotic disease in many parts of the world, including Egypt. Thus far, the actual incidence of CE in the Egyptian population remains unknown. Infection with E. granulosus (s.l.) is common among stray dogs in rural and suburban areas owing to the spread of parasite eggs. Herein, we present an updated review of published data on the incidence of CE in humans and animals as well as the genotypes prevalent in Egypt. CE occurs in most parts of Egypt; however, available data are mostly from northern Egypt, particularly Cairo and Giza. In southern Egypt, the disease is likely to be underdiagnosed or underreported. A few risk factors were studied. In the Egyptian population, residency in rural areas, farming, and age were significant factors for acquiring CE. In livestock, age, sex and season have been associated with high prevalence of CE. Several genotypes have been identified among livestock (G1, G4, G5, G6 and G7) and humans (G1, G6 and G7). This literature review underscores the need for a precise national surveillance system to track CE distribution in humans and animals and design appropriate preventive and control strategies for this disease.
摘要:
囊性包虫病(CE),由细粒棘球蚴(sensulato)引起,是世界上许多地方严重被忽视的人畜共患疾病,包括埃及。到目前为止,埃及人群中CE的实际发病率仍然未知。由于寄生虫卵的传播,在农村和郊区的流浪狗中很常见。在这里,我们对已发表的关于人类和动物CE发病率以及埃及流行基因型的数据进行了最新综述.CE发生在埃及大部分地区;然而,现有数据主要来自埃及北部,特别是开罗和吉萨。在埃及南部,这种疾病很可能被诊断不足或报告不足。研究了几个危险因素。在埃及人口中,居住在农村地区,农业,年龄是获得CE的重要因素。在牲畜中,年龄,性别和季节与CE的高患病率相关。已经在家畜(G1、G4、G5、G6和G7)和人(G1、G6和G7)中鉴定了几种基因型。这篇文献综述强调需要一个精确的国家监测系统来跟踪人类和动物的CE分布,并为这种疾病设计适当的预防和控制策略。