7th World Congress on Microbiology
Iuliu Hatieganu University of Medicine and Pharmacy, Romania
Title: The incidence, clinical evolution, treatment and prophylaxis of hydatidosis
Biography: Lia Monica Junie
Background: The human Echinococcosis is still a serious problem for the public health in Romania, despite the measures taken for the prophylaxis of the disease. The surgery is no more a first choice treatment for human Echinococcosis.
Aim: The objective was to make an early diagnosis of hydatidosis by serologic methods in early phases of the hydatic cyst, which are not detected by imagistic examinations.
Material & Method: Were assessed 60 patients hospitalized in 2 surgical hospitals for surgical treatment. Ultrasonography, radiological examinations and established the diagnosis, which was confirmed during surgery.
Results: The diagnosis of hydatidosis was established in both surgical clinics by echography (78.3%), echography and clinic exam (16.7%), computerized tomography (CT) (1.7%), CT and echography (3.3%), only by CT (in one case), being confirmed during surgery. The Hydatidosis represents a major problem for the public wealth, being responsible for 200 hospitalizations and surgical interventions annually, representing 0.6% of the total number of surgical interventions annually. Hepatic (71.5%) and pulmonary (15.5%) locations are frequent, leading by their chronic evolution to pseudotumoral signs, severe complications (1.5%), reserved prognosis (9.5%), especially in adults (14%) and even to death.
Conclusions: The prophylaxis of hydatidosis is very important and has to be done by all meanings by the intensification of the mass popularization ways over the ways of contamination and the severe consequences of this disease named also “white cancer”. The implementation of some surveillance post-surgery protocols of persons that suffered of surgery, by serologic tests and also by imagistic tests, may be good for the quality of the medical action and for the patient. In this activity we should imply the family’s doctors, the services that make serologic and imagistic diagnosis and also the surgical and the internal medicine services.