Discordance Therapeutic Protocol of Cystic Echinococcosis With WHO Guideline: A Descriptive Study Based on Liver Ultra-Sonographic Data in North Khorasan Province, Northeastern of Iran

被引：4

作者：

Shafiei, Reza ^{[1
]}

Mohajerzadeh, Mina Sadat ^{[2
]}

Masomi, Hajar Farah Abad ^{[3
]}

Tavakoli, Maryam ^{[2
]}

Turki, Habibollah ^{[4
]}

Firouzeh, Nima ^{[1
]}

机构：

[1] North Khorasan Univ Med Sci, Vector Borne Dis Res Ctr, Bojnurd, Iran

[2] North Khorasan Univ Med Sci, Sch Med, Dept Radiol & Med Phys, Bojnurd, Iran

[3] North Khorasan Univ Med Sci, Student Res Comm, Bojnurd, Iran

[4] Hormozgan Univ Med Sci, Hormozgan Hlth Inst, Infect & Trop Dis Res Ctr, Bandar Abbas, Iran

来源：

JOURNAL OF ULTRASOUND IN MEDICINE | 2024年 / 43卷 / 07期

关键词：

cystic echinococcosis; staging; therapeutic protocol; ultrasound; SEROLOGY;

D O I：

10.1002/jum.16452

中图分类号：

O42 [声学];

学科分类号：

070206 ; 082403 ;

摘要：

Background Cystic echinococcosis (CE), a helminth-associated zoonosis caused by Echinococcus granulosus, poses a significant public health problem, particularly in pastoral-rearing regions. The lack of uniform guidelines led to variations in CE management. Based on ultrasound data, the World Health Organization Informal Working Group on Echinococcosis (WHO-IWGE) classification system categorizes cysts into active, transitional, and inactive groups. This study assesses whether the therapeutic approach from liver human operation cases in North Khorasan province aligns with the WHO-IWGE reference based on ultrasound data. Methods The research is based on ultrasound data from liver CE human operation cases collected between 2018 and 2022. This retrospective study investigates the therapeutic protocol for (CE) in North Khorasan Province, Iran, comparing it with the WHO-IWGE guidelines. We collect data from previously registered patients' medical information from our studied area's main CE surgical hospital. Moreover, as the first hospitalized survey in Iran, this study reveals insights into patient demographics, cyst stage prevalence, and treatment modalities. Results Notably, more than half of the patients were treated for CE1 stage cysts, and CE4 cases, which generally do not require surgery, underwent open surgery. The results suggest a need for adherence to the "watch-and-wait" approach in specific cases. All patients underwent successful surgeries, but we do not have access to follow-up data from patients after discharge. Conclusions This descriptive study contributes to understanding the implementation of WHO guidelines in a regional context, shedding light on the challenges and variations in CE management. It seems, retraining courses for surgeons are required to update their knowledge of standard CE diagnostic and treatment methods.

引用

页码：1279 / 1287

页数：9