INENCO   05446
INSTITUTO DE INVESTIGACIONES EN ENERGIA NO CONVENCIONAL
Unidad Ejecutora - UE
artículos
Título:
GEOHELMINTIASIS EN LA ARGENTINA UNA REVISIÓN SISTEMÁTICA
Autor/es:
SOCIAS, E; FERNANDEZ, A; GIL, JF; KROLEWIECKI, AJ
Revista:
MEDICINA (BUENOS AIRES)
Editorial:
MEDICINA (BUENOS AIRES)
Referencias:
Lugar: Buenos Aires; Año: 2014 vol. 74 p. 29 - 36
ISSN:
0025-7680
Resumen:
A systematic review of surveys performed between 1980 and 2011
(published in MEDLINE/Pubmed and/or LILACS indexed journals, available
in the baseline data from a Mass Deworming National Program (MDNP, 2005)
was used to identify the prevalence, distribution and detection of risk
areas for soil transmitted helminth infections (STH) in Argentina. We
found 310 publications in the database using the pre-defined key-words
(medical subject headings) for research purposes. Only 24 articles with
26 surveillance sites in 8 provinces and a total of 5495 surveyed
individuals fulfilled the inclusion criteria. Frequency rates for STH
had a wide range: Ascaris lumbricoides: 0-67%, hookworms: 0-90%,
Trichuris trichiura: 0-24.6 and Strongyloides stercoralis: 0-83%. The
estimated combined incidence varied from 0.8% to 88.6%. Baseline surveys
from the MDNP reporting on 1943 children from 12 provinces confirmed
the heterogeneity, with combined STH frequency rates ranging from 0 to
42.7%. Surveys included in this review showed that the distribution of
STH in Argentina is not homogeneous, with areas of high incidence (>
20%) in the northeastern and northwestern provinces where mass deworming
activities would be highly beneficial. In several surveys, the high
overall incidence was mostly due to hookworms and S. stercoralis, a
situation to be considered when selecting diagnostic and therapeutic
control strategies. The scarcity or absence of data from various
provinces and the availability of less than 8000 surveyed individuals
should be considered.