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oai:recercat.cat:11351/40542026-04-04T03:10:49Zcom_2072_378070com_2072_378040col_2072_378092

urn:hdl:11351/4054 Strongyloides stercoralis infection: A systematic review of endemic cases in Spain Barroso, Maria Sánchez Montalvá, Adrián Bosch Nicolau, Pau Molina Romero, Israel Salvador Velez, Fernando M Intestins - Infeccions Helmints Epidemiologia - Espanya DISEASES::Parasitic Diseases::Helminthiasis::Nematode Infections::Secernentea Infections::Rhabditida Infections::Strongyloidiasis GEOGRAPHICALS::Geographic Locations::Europe::Spain DISEASES::Hemic and Lymphatic Diseases::Hematologic Diseases::Leukocyte Disorders::Eosinophilia Other subheadings::Other subheadings::Other subheadings::/epidemiology HEALTH CARE::Environment and Public Health::Public Health::Endemic Diseases ENFERMEDADES::enfermedades parasitarias::helmintiasis::infecciones por nematodos::infecciones por Secernentea::infecciones por Rhabditida::estrongiloidiasis DENOMINACIONES GEOGRÁFICAS::Ubicaciones Geográficas::Europa (Continente)::España ENFERMEDADES::enfermedades hematológicas y linfáticas::enfermedades hematológicas::trastornos leucocitarios::eosinofilia Otros calificadores::Otros calificadores::Otros calificadores::/epidemiología ATENCIÓN DE SALUD::ambiente y salud pública::salud pública::enfermedades endémicas Strongyloides stercoralis; Systematic review; Spain Strongyloides stercoralis; Revisió sistemàtica; Espanya Strongyloides stercoralis; Revisión sistemática; España BACKGROUND: Strongyloides stercoralis infection, a neglected tropical disease, is widely distributed. Autochthonous cases have been described in Spain, probably infected long time ago. In recent years the number of diagnosed cases has increased due to the growing number of immigrants, travelers and refugees, but endemically acquired cases in Spain remains undetermined. METHODOLOGY: We systematically searched the literature for references on endemic strongyloidiasis cases in Spain. The articles were required to describe Strongyloides stercoralis infection in at least one Spanish-born person without a history of travel to endemic areas and be published before 31st May 2018. Epidemiological data from patients was collected and described individually as well as risk factors to acquisition of the infection, diagnostic technique that lead to the diagnosis, presence of eosinophilia and clinical symptoms at diagnosis. FINDINGS: Thirty-six studies were included, describing a total of 1083 patients with an average age of 68.3 years diagnosed with endemic strongyloidiasis in Spain. The vast majority of the cases were described in the province of Valencia (n = 1049). Two hundred and eight of the 251 (82.9%) patients in whom gender was reported were male, and most of them had current or past dedication to agriculture. Seventy percent had some kind of comorbidity. A decreasing trend in the diagnosed cases per year is observed from the end of last decade. However, there are still nefigw diagnoses of autochthonous cases of strongyloidiasis in Spain every year. CONCLUSIONS: With the data provided by this review it is likely that in Spain strongyloidiasis might have been underestimated. It is highly probable that the infection remains undiagnosed in many cases due to low clinical suspicion among Spanish population without recent travel history in which the contagion probably took place decades ago. 2019-05-02T11:22:20Z 2019-05-02T11:22:20Z 2019-03-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion PLoS Neglected Tropical Diseases;13(3) https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0007230 Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess Public Library of Science Scientia