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dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorBarroso, Maria
dc.contributor.authorSalvador Velez, Fernando M
dc.contributor.authorSánchez Montalvá, Adrián
dc.contributor.authorBosch Nicolau, Pau
dc.contributor.authorMolina Romero, Israel
dc.date.accessioned2019-05-02T11:22:20Z
dc.date.available2019-05-02T11:22:20Z
dc.date.issued2019-03-12
dc.identifier.citationBarroso M, Salvador F, Sánchez-Montalvá A, Bosch-Nicolau P, Molina I. Strongyloides stercoralis infection: A systematic review of endemic cases in Spain. PLoS Negl Trop Dis. 2019 Mar 12;13(3):e0007230.
dc.identifier.issn1935-2735
dc.identifier.urihttp://hdl.handle.net/11351/4054
dc.descriptionStrongyloides stercoralis; Systematic review; Spain
dc.description.abstractBACKGROUND: 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.
dc.language.isoeng
dc.publisherPublic Library of Science
dc.relation.ispartofseriesPLoS Neglected Tropical Diseases;13(3)
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourceScientia
dc.subjectIntestins - Infeccions
dc.subjectHelmints
dc.subjectEpidemiologia - Espanya
dc.subject.meshStrongyloidiasis
dc.subject.meshSpain
dc.subject.meshEosinophilia
dc.subject.mesh/epidemiology
dc.subject.meshEndemic Diseases
dc.titleStrongyloides stercoralis infection: A systematic review of endemic cases in Spain
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.1371/journal.pntd.0007230
dc.subject.decsestrongiloidiasis
dc.subject.decsEspaña
dc.subject.decseosinofilia
dc.subject.decs/epidemiología
dc.subject.decsenfermedades endémicas
dc.relation.publishversionhttps://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0007230
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut Català de la Salut
dc.contributor.authoraffiliation[Barroso M] Primary Health Centre La Marina, Autonomous University of Barcelona, Barcelona, Spain. [Salvador F, Sánchez-Montalvá A, Bosch-Nicolau P, Molina I] Servei de Malalties Infeccioses, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
dc.identifier.pmid30860995
dc.identifier.wosWOS:000463799300036
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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