The aim of this study was to determine the prevalence of hydatidosis in west Azerbaijan, Iran during a 10 year period (2000-2009). We surveyed medical records of infected patients with hydatid cyst who had been operated in four hospitals in Urmia City, the capital of West Azerbaijan Province, Iran. Several parameters were analyzed including age, sex, place of residency, hospitalization time, and the location of cysts. Of 294 cases, 53.3% were female and 46.7% were male with the mean age of 39.4 years (5–93). The average number of operated cysts per year was 29.4 (0.98/100,000 of population). The most affected age group was 20-30 year olds (18.7% of the cases). Cysts were localized in liver and lung in 57.5% and 21.8% of cases respectively and the average hospitalization time was 9 days. Single organ involvement was seen in the majority of patients and 28 (9.5%) cases had multiple involvement. The distribution of residence in patients showed 108 (36.9%) of them to have urban origin and 185 (63.1%) were rural residents. The lowest number (n = 17) and the highest number of operation (n= 48) recorded in 2000 and 2007, respectively. The prevalence of hydatidosis is high in this city and further studies are needed for evaluation of economic burden and risk factors for CE in this region.
4 April 2011 in African Journal of Microbiology Research
Duplicate stool specimens from 405 primary school attending students of Barandooz-Chay region of Urmia district were tested for intestinal parasites. Besides, duplicate scotch tape slides were obtained and examined microscopically for Enterobius vermicularis and Taeniasp. eggs. A questionnaire containing demographic data was filled for every case, and the relationship between them and the parasitic infection was assayed. Overall, intestinal parasitic prevalence was 42.5%. Prevalence of Giardia lamblia, Entamoeba coli, Blastocystis hominis, Iodamoeba butschlii, Enterobius vermicularis and Hymenolepis nana was 20.5, 14.6, 13.3, 2.5, 10.6 and 0.2%, respectively. No statistic relation was proved between these infections, having tap water facility at home or family population (except for E. vermicularis), but there was a significant relationship between parents’ education level and family population. According to relatively high prevalence of parasitic infections in the study field, it is necessary to increase hygienic and educational measures. Key words: Prevalence, intestinal parasites, primary school, Urmia.
Most surgeons inject scoloidal materials into the cyst before or after its removal, since any contamination to normal sites will cause re-growth of the same cyst. The aim of this study was to determine the lethal effect of hypertonic saline at different doses and different times on protoscolexes of lung and liver. The livers and lungs of killed animals with hydatid cyst disease were gathered from Urmia Industrial Abattoirs. They were transferred to the university parasitological lab immediately. The hydatid cyst fluid was aspirated with a 10 mm syringe and poured into a 15 cc tubes. The movement of protoscoleces and staining with 0.1% eosin was the test to determine viability of protoscoleces. Those with color absorption were those which were not viable. Different concentrations of hypertonic saline were given at different time. The results showed that in 20% of hypertonic saline in the 4th minute, 80% of protoscoleces were alive while in the 5th minute 50% were alive, in the 7th minute 20% and 8th minute 5%, 9th minute all of them were dead. In the 10% concentration, at up to 9 minutes 50% were alive, in the 18th minute 20% and in 30 minutes 10% of protoscoleces were alive. In the 5% concentration at up to 10 minutes 90% were alive while in the 22nd minute 80% and in 30 minutes 70% of protoscoleces were alive. When we inject 20% hypertonic saline into the cyst cavity there is aprobability that the cyst contaminates the bile duct and liver through the small hole we made. This material may cause widespread necrosis of the liver. We should use 10% hypertonic saline minimally for 45 minute before surgery and after cyst removal, since the hypertonic saline itself may cause injury to the biliary system.