ArticleParasites & vectors2019
Epidemiological factors associated with human cystic echinococcosis: a semi-structured questionnaire from a large population-based ultrasound cross-sectional study in eastern Europe and Turkey.
Article in Parasites & vectors, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence of Liver Cystic Echinococcosis in Türkiye: A Systematic Review of Population-Based Ultrasound Imaging Surveys.Pathogens (Basel, Switzerland) · 2026Pooled it
- Meta-Analysis of the Prevalence ofFrontiers in cellular and infection microbiology · 2021Pooled it
- Community knowledge, attitudes and practices related to cystic echinococcosis in Ethiopia: Implications for control.One health (Amsterdam, Netherlands) · 2026Article
- Geographic, demographic and economic burden of human cystic echinococcosis in Italy based on hospital discharge records (2015-2022).PLoS neglected tropical diseases · 2026Article
- Synergistic effects of multifactor interactions on the transmission of Echinococcus spp. on the Qinghai-Tibet Plateau.PLoS neglected tropical diseases · 2026Article
- Current Management of Pulmonary Hydatid Cyst.The Eurasian journal of medicine · 2025Article
- Dissimilar local risk factors among patients diagnosed with cystic echinococcosis upon voluntary screening in highly endemic regions of Kyrgyz Republic.Parasitology · 2024Article
- Article
- Cystic Echinococcosis in the Early 2020s: A Review.Tropical medicine and infectious disease · 2024Review
- Prevalence of cystic echinococcosis in relatives of patients undergoing surgery for hepatic cystic echinococcosis in an endemic region.PLoS neglected tropical diseases · 2023Article
- Primary cerebral cystic echinococcosis in a child from Roman countryside: Source attribution and scoping review of cases from the literature.PLoS neglected tropical diseases · 2023Article
- Comparison of Native Hydatid Cyst Fluid (HCF), Lyophilized HCF, Antigen B (AgB) and Lyophilized AgB (LAgB) Originated fromIranian journal of public health · 2023Article
- Ultrasound-Based Prevalence of Cystic Echinococcosis in the Samarkand Region of Uzbekistan: Results from a Field Survey.The American journal of tropical medicine and hygiene · 2023Article
- Eugenol Essential Oil and Nanoemulsion as Antihydatic Agents with Antifibrotic and Immunomodulatory Effects in Cystic Echinococcosis.Tropical medicine and infectious disease · 2023Article
- Seroprevalence of Anti-Life (Basel, Switzerland) · 2023Article
- The Role of Tissue Inhibitor of Metalloproteinase-1 and 2 in Echinococcus granulosus senso lato-Induced Human Hepatic Fibrosis.Acta parasitologica · 2022Article
- Prevalence rate and risk factors of human cystic echinococcosis: A cross-sectional, community-based, abdominal ultrasound study in rural and urban north-central Chile.PLoS neglected tropical diseases · 2022Article
- A Retrospective Cohort Study on Human Cystic Echinococcosis in Khyber Pakhtunkhwa Province (Pakistan) Based on 16 Years of Hospital Discharge Records.Pathogens (Basel, Switzerland) · 2022Article
- Effects of Zataria multiflora essential oil on the germinative cells of Echinococcus granulosus.Parasites & vectors · 2021Article
- Twenty-six years of involvement with cystic echinococcosis: a case report.Journal of medical case reports · 2021Article
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12 authors.
Funding
Abstract
backgroundCystic echinococcosis (CE) is a neglected parasitic zoonosis prioritized by the WHO for control. Several studies have investigated potential risk factors for CE through questionnaires, mostly carried out on small samples, providing contrasting results. We present the analysis of risk factor questionnaires administered to participants to a large CE prevalence study conducted in Bulgaria, Romania and Turkey.
methodsA semi-structured questionnaire was administered to 24,687 people from rural Bulgaria, Romania and Turkey. CE cases were defined as individuals with abdominal CE cysts detected by ultrasound. Variables associated with CE at P < 0.20 in bivariate analysis were included into a multivariable logistic model, with a random effect to account for clustering at village level. Adjusted odds ratios (AOR) with 95% CI were used to describe the strength of associations. Data were weighted to reflect the relative distribution of the rural population in the study area by country, age group and sex.
resultsValid records from 22,027 people were analyzed. According to the main occupation in the past 20 years, "housewife" (AOR: 3.11; 95% CI: 1.51-6.41) and "retired" (AOR: 2.88; 95% CI: 1.09-7.65) showed significantly higher odds of being infected compared to non-agricultural workers. "Having relatives with CE" (AOR: 4.18; 95% CI: 1.77-9.88) was also associated with higher odds of infection. Interestingly, dog-related and food/water-related factors were not associated with infection.
conclusionsOur results point toward infection being acquired in a "domestic" rural environment and support the view that CE should be considered more a "soil-transmitted" than a "food-borne" infection. This result helps delineating the dynamics of infection transmission and has practical implications in the design of specific studies to shed light on actual sources of infection and inform control campaigns.
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