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dc.contributor.authorHerrador, Zaida 
dc.contributor.authorSiles-Lucas, Mar
dc.contributor.authorAparicio, Pilar 
dc.contributor.authorLopez-Velez, Rogelio
dc.contributor.authorGherasim, Alin 
dc.contributor.authorGarate, Teresa 
dc.contributor.authorBenito, Agustin
dc.identifier.citationPLoS Negl Trop Dis. 2016 Aug 22;10(8):e0004942.es_ES
dc.description.abstractBACKGROUND: Cystic echinococcosis (CE) is a parasitic disease caused by the tapeworm Echinococcus granulosus. Although present throughout Europe, deficiencies in the official reporting of CE result in under-reporting and misreporting of this disease, which in turn is reflected in the wrong opinion that CE is not an important health problem. By using an alternative data source, this study aimed at describing the clinical and temporal-spatial characteristics of CE hospitalizations in Spain between 1997 and 2012. METHODOLOGY/PRINCIPAL FINDINGS: We performed a retrospective descriptive study using the Hospitalization Minimum Data Set (CMBD in Spanish). All CMBD's hospital discharges with echinococcosis diagnosis placed in first diagnostic position were reviewed. Hospitalization rates were computed and clinical characteristics were described. Spatial and temporal distribution of hospital discharges was also assessed. Between 1997 and 2012, 14,010 hospitalizations with diagnosis of CE were recorded, 55% were men and 67% were aged over 45 years. Pediatric hospitalizations occurred during the whole study period. The 95.2% were discharged at home, and only 1.7% were exitus. The average cost was 8,439.11 €. The hospitalization rate per 100,000 per year showed a decreasing trend during the study period. All the autonomous communities registered discharges, even those considered as non-endemic. Maximum rates were reached by Extremadura, Castilla-Leon and Aragon. Comparison of the CMBD data and the official Compulsory Notifiable Diseases (CND) reports from 2005 to 2012 showed that official data were lower than registered hospitalization discharges. CONCLUSIONS: Hospitalizations distribution was uneven by year and autonomous region. Although CE hospitalization rates have decreased considerably due to the success of control programs, it remains a public health problem due to its severity and economic impact. Therefore, it would be desirable to improve its oversight and surveillance, since officially reported data are underestimating the real burden of CE in Spain.es_ES
dc.description.sponsorshipSupported by the European Regional Development Fund (FEDER) from European Comission. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.es_ES
dc.publisherPublic Library of Sciencees_ES
dc.relation.isversionofPublisher's versiones_ES
dc.subject.meshAdult es_ES
dc.subject.meshAnimals es_ES
dc.subject.meshChild es_ES
dc.subject.meshCost of Illness es_ES
dc.subject.meshDisease Notification es_ES
dc.subject.meshEchinococcosis es_ES
dc.subject.meshEchinococcus granulosus es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHospital Records es_ES
dc.subject.meshHospitalization es_ES
dc.subject.meshHumans es_ES
dc.subject.meshMale es_ES
dc.subject.meshMiddle Aged es_ES
dc.subject.meshPrevalence es_ES
dc.subject.meshRetrospective Studies es_ES
dc.subject.meshSpain es_ES
dc.subject.meshSpatio-Temporal Analysis es_ES
dc.subject.meshTime Factors es_ES
dc.titleCystic Echinococcosis Epidemiology in Spain Based on Hospitalization Records, 1997-2012es_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.contributor.funderConselho Nacional de Desenvolvimento Científico e Tecnológico (Brasil)es_ES
dc.contributor.funderCAPES: Coordenação de aperfeiçoamento de pessoal de nivel superior (Brasil)es_ES
dc.contributor.funderFundação de Amparo à Pesquisa do Estado de São Pauloes_ES
dc.identifier.journalPLoS neglected tropical diseaseses_ES
dc.repisalud.centroISCIII::Centro Nacional de Microbiologíaes_ES

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