Hidatidosis en niños de la Provincia de Buenos Aires / Hydatid disease in children of Buenos Aires Province

La hidatidosis es una zoonosis parasitaria causada por Echinococcus granulosus. Es endémica en Argentina y en la Provincia de Buenos Aires, especialmente al sur de la cuenca del río Salado. Durante 2014 y 2016, se notificaron al Departamento de Zoonosis Rurales 479 casos de hidatidosis; el 12,1% fueron casos confirmados en menores de 18 años de edad. El 59% correspondió al sexo masculino y el grupo de 13 a 17 años fue el más prevalente (47%). El 64% tuvo afectación hepática; 22%, pulmonar; 5%, hepatopulmonar; 5%, esplénica y 4%, cerebral. El 33% de los casos fueron asintomáticos. El 60% residía en el área urbana y, de estos, un 20% no presentó nexo epidemiológico. Esta es una enfermedad de denuncia obligatoria y existen programas provinciales y nacionales que contemplan acciones gratuitas tendientes a controlarla, pero, a pesar de esto, continúa siendo un problema de difícil solución.

Hydatidosis is a parasitic zoonosis caused by Echinococcus granulosus. It is endemic in Argentina and in the province of Buenos Aires, especially to the south of the Rio Salado basin. During 2014 and 2016, the Department of Rural Zoonoses was notified of479 cases of hydatidosis, with 12.1% confirmed in children under 18 years of age. Fifty-nine percent corresponded to males and the group of 13 to 17 years was the most prevalent one (47%). Sixty-four percent had liver involvement, 22% pulmonary involvement, 5% hepatopulmonary involvement, 5% splenic involvement and 4% cerebral involvement. Thirty-three percent of the cases were asymptomatic. Sixty percent resided in urban areas and of these 20% did not present an epidemiological link. This is a disease of mandatory reporting and there are provincial and national programs that contemplate free actions tending to control it, but despite this, it continues to be a difficult problem to solve.

[Hydatid disease in children of Buenos Aires Province]. / Hidatidosis en niños de la Provincia de Buenos Aires.

Hydatidosis is a parasitic zoonosis caused by Echinococcus granulosus. It is endemic in Argentina and in the province of Buenos Aires, especially to the south of the Rio Salado basin. During 2014 and 2016, the Department of Rural Zoonoses was notified of 479 cases of hydatidosis, with 12.1% confirmed in children under 18 years of age. Fifty-nine percent corresponded to males and the group of 13 to 17 years was the most prevalent one (47%). Sixty-four percent had liver involvement, 22% pulmonary involvement, 5% hepatopulmonary involvement, 5% splenic involvement and 4% cerebral involvement. Thirtythree percent of the cases were asymptomatic. Sixty percent resided in urban areas and of these 20% did not present an epidemiological link. This is a disease of mandatory reporting and there are provincial and national programs that contemplate free actions tending to control it, but despite this, it continues to be a difficult problem to solve.

La hidatidosis es una zoonosis parasitaria causada por Echinococcus granulosus. Es endémica en Argentina y en la Provincia de Buenos Aires, especialmente al sur de la cuenca del río Salado. Durante 2014 y 2016, se notificaron al Departamento de Zoonosis Rurales 479 casos de hidatidosis; el 12,1% fueron casos confirmados en menores de 18 años de edad. El 59% correspondió al sexo masculino y el grupo de 13 a 17 años fue el más prevalente (47%). El 64% tuvo afectación hepática; 22%, pulmonar; 5%, hepatopulmonar; 5%, esplénica y 4%, cerebral. El 33% de los casos fueron asintomáticos. El 60% residía en el área urbana y, de estos, un 20% no presentó nexo epidemiológico. Esta es una enfermedad de denuncia obligatoria y existen programas provinciales y nacionales que contemplan acciones gratuitas tendientes a controlarla, pero, a pesar de esto, continúa siendo un problema de difícil solución.

Universal versus selective screening for the detection, control and prognosis of gestational diabetes mellitus in Argentina.

In all, 1,702 unselected pregnant women from the city of La Plata were tested for gestational diabetes mellitus (GDM) and evaluated to determine GDM prevalence and risk factors. In women with GDM, we evaluated compliance with guidelines for GDM management, and perinatal complications attributable to GDM. GDM prevalence was 5.8%, and its risk factors were pre-gestational obesity, previous hyperglycaemia, age > 30 years, previous GDM (and its surrogate markers). In primi-gravida (PG) subjects, GDM was equally prevalent in the presence (4.2%) or absence (4.0%) of risk factors. In multi-gravida (MG) women, although risk factors doubled the prevalence of GDM (8.6%), in the absence of risk factors GDM prevalence was similar to that of PG women (3.9%). Half of all women with GDM received inadequate post-diagnosis obstetric control, and this induced a fourfold increase in infant perinatal complications. In conclusion, all non-hyperglycaemic 24-28-week pregnant women should be tested for GDM, although particular attention must be paid to MG women with risk factors.