caa a22 4500 606156054 CHVBK 20210128100606.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s10096-015-2368-z doi (NATIONALLICENCE)springer-10.1007/s10096-015-2368-z Cystic echinococcosis in Bulgaria 1996-2013, with emphasis on childhood infections [Elektronische Daten] [D. Jordanova, R. Harizanov, I. Kaftandjiev, I. Rainova, T. Kantardjiev] The objective of this study was to determine some features of cystic echinococcosis among children and adolescents, such as epidemiology, diagnosis, organ localization, treatment, and social and environmental factors favoring transmission of the disease. The 18-year study period (1996-2013) includes officially registered primary cases treated surgically, and/or with drug therapy, and/or with the puncture, aspiration, injection, reaspiration technique. Organ localization of the cysts and the most common diagnostic procedures were studied from the patients' medical records. Groups of diseased and healthy children were surveyed to outline some of the environmental and social factors influencing morbidity. From 1996 to 2013, the average annual incidence of cystic echinococcosis in the country was 6.7 per 100,000, but with significant variations in the incidence between different age groups. The hydatid cysts in children aged 0 to 9 years may most frequently be found in the lungs, in contrast to patients from other age groups. Almost 90% of the affected children had sustained contact with dogs. At present, among the countries of the European Union, Bulgaria holds the highest incidence and prevalence of cystic echinococcosis. Childhood echinococcosis remains a serious health problem for the country. Therefore, the study of cystic echinococcosis in children has important epidemiological significance concerning the intensity of transmission. Springer-Verlag Berlin Heidelberg, 2015 Jordanova D. Department of Parasitology and Tropical Medicine, National Center of Infectious and Parasitic Diseases, 26, Yanko Sakazov Blvd., 1504, Sofia, Bulgaria aut Harizanov R. Department of Parasitology and Tropical Medicine, National Center of Infectious and Parasitic Diseases, 26, Yanko Sakazov Blvd., 1504, Sofia, Bulgaria aut Kaftandjiev I. Department of Parasitology and Tropical Medicine, National Center of Infectious and Parasitic Diseases, 26, Yanko Sakazov Blvd., 1504, Sofia, Bulgaria aut Rainova I. Department of Parasitology and Tropical Medicine, National Center of Infectious and Parasitic Diseases, 26, Yanko Sakazov Blvd., 1504, Sofia, Bulgaria aut Kantardjiev T. Department of Microbiology, National Center of Infectious and Parasitic Diseases, 26, Yanko Sakazov Blvd., 1504, Sofia, Bulgaria aut European Journal of Clinical Microbiology & Infectious Diseases Springer Berlin Heidelberg 34/7(2015-07-01), 1423-1428 0934-9723 34:7<1423 2015 34 10096 https://doi.org/10.1007/s10096-015-2368-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10096-015-2368-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Jordanova D. Department of Parasitology and Tropical Medicine, National Center of Infectious and Parasitic Diseases, 26, Yanko Sakazov Blvd., 1504, Sofia, Bulgaria aut NATIONALLICENCE 700 1- Harizanov R. Department of Parasitology and Tropical Medicine, National Center of Infectious and Parasitic Diseases, 26, Yanko Sakazov Blvd., 1504, Sofia, Bulgaria aut NATIONALLICENCE 700 1- Kaftandjiev I. Department of Parasitology and Tropical Medicine, National Center of Infectious and Parasitic Diseases, 26, Yanko Sakazov Blvd., 1504, Sofia, Bulgaria aut NATIONALLICENCE 700 1- Rainova I. Department of Parasitology and Tropical Medicine, National Center of Infectious and Parasitic Diseases, 26, Yanko Sakazov Blvd., 1504, Sofia, Bulgaria aut NATIONALLICENCE 700 1- Kantardjiev T. Department of Microbiology, National Center of Infectious and Parasitic Diseases, 26, Yanko Sakazov Blvd., 1504, Sofia, Bulgaria aut NATIONALLICENCE 773 0- European Journal of Clinical Microbiology & Infectious Diseases Springer Berlin Heidelberg 34/7(2015-07-01), 1423-1428 0934-9723 34:7<1423 2015 34 10096