Moein, Doroodgar
(School of Medicine, Shahid Beheshti University of Medical Sciences)
,
Masoud, Doroodgar
(School of Medicine, Shahid Beheshti University of Medical Sciences)
,
Saeed, Mahboobi
(Kashan University of Medical Sciences, Vice Chancellor of Health, Group of Communicable Diseases)
,
Abbas, Doroodgar
(Department of Medical Parasitology, School of Medicine, Kashan University of Medical Sciences)
Cutaneous leishmaniasis (CL) can be seen in 2 forms, zoonotic and anthroponotic, in Iran. In this study, epidemiological aspects of CL were studied during an 8-year period (2009-2016) in city of Kashan, central Iran. The demographic and epidemiological data, including age, sex, occupation, number an...
Cutaneous leishmaniasis (CL) can be seen in 2 forms, zoonotic and anthroponotic, in Iran. In this study, epidemiological aspects of CL were studied during an 8-year period (2009-2016) in city of Kashan, central Iran. The demographic and epidemiological data, including age, sex, occupation, number and site of the lesions, treatment regimen, past history of CL, and season of all patients were gathered from the health centers. Descriptive statistics were used to describe features of the study data. Total 2,676 people with CL were identified. The highest annual incidence was estimated to be 182 per 100,000 population in 2009 and the least was in 2016 (47 per 100,000 population). The highest frequency affected age groups were observed in 20-29 year-old patients (20.9%). More than 51% of the patients were under 30 years old. The maximum frequency of the disease, 1,134 (43.3%), was seen in autumn. The most common location of lesions was hands (61.4%). Most of the patients (81.6%) were treated by systemic glucantime regimen. In the city of Kashan, the incidence rate of the CL disease is significantly higher than many other regions of Iran. To reduce the risk of disease, control of reservoir hosts and vectors of disease, and education of individual protection are strongly recommended.
Cutaneous leishmaniasis (CL) can be seen in 2 forms, zoonotic and anthroponotic, in Iran. In this study, epidemiological aspects of CL were studied during an 8-year period (2009-2016) in city of Kashan, central Iran. The demographic and epidemiological data, including age, sex, occupation, number and site of the lesions, treatment regimen, past history of CL, and season of all patients were gathered from the health centers. Descriptive statistics were used to describe features of the study data. Total 2,676 people with CL were identified. The highest annual incidence was estimated to be 182 per 100,000 population in 2009 and the least was in 2016 (47 per 100,000 population). The highest frequency affected age groups were observed in 20-29 year-old patients (20.9%). More than 51% of the patients were under 30 years old. The maximum frequency of the disease, 1,134 (43.3%), was seen in autumn. The most common location of lesions was hands (61.4%). Most of the patients (81.6%) were treated by systemic glucantime regimen. In the city of Kashan, the incidence rate of the CL disease is significantly higher than many other regions of Iran. To reduce the risk of disease, control of reservoir hosts and vectors of disease, and education of individual protection are strongly recommended.
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문제 정의
This report aimed to provide epidemiological information on CL in city of Kashan over the past 8 years (2009-2016). During this period, total 2,676 CL cases were detected.
제안 방법
The checklist used included patients' demographic characteristics such as age, gender, occupation, place or num-ber of acute lesion(s), date of occurrence of lesion(s), history of travel in the past to other endemic foci of the disease, location of residence, results of clinical examination and laboratory tests, the type of treatment regimen, and nationality of patients.
대상 데이터
Kashan is one of the largest cities in Isfahan Province where CL has become widespread. This study was carried out to determine the prevalence of this disease in Kashan city in an 8-year period, during 2009-2016.
데이터처리
The samples were taken from patient's lesions by clinical staff and then examined under a light microscope for signs of Leishman parasite. All data obtained were recorded in researcher-constructed checklists and the SPSS version 24 (Chicago, Illinois, USA) for Windows was used to perform a chi-square test for relationships between variables. The checklist used included patients' demographic characteristics such as age, gender, occupation, place or num-ber of acute lesion(s), date of occurrence of lesion(s), history of travel in the past to other endemic foci of the disease, location of residence, results of clinical examination and laboratory tests, the type of treatment regimen, and nationality of patients.
성능/효과
The declining trend might be due to significant activities undertaken in CL control program, including control of the parasite vectors and reservoir hosts, early diagnosis and treatment of the disease, and increasing people's awareness on the use of personal protection methods. The results of our study confirmed that CL is endemic in many parts of rural and urban areas of Kashan district. According to many reasons, including socioeconomic and psychological problems, the disease should be controlled.
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