Endoparasite infection hotspots in Estonian urban areas.

The human-animal bond is beneficial for human health, but companion animals also pose a potential threat as vectors of zoonotic parasites, especially in urban areas where both human and dog densities are high. However, the knowledge about parasitic spillover in the urban environment is relatively scarce. The aim of the present study was to reveal which factors determine parasitic contamination in Estonian towns and provide up-to-date information about intestinal parasites of the Estonian dog population. In total, 657 samples of dog excrement was collected over one year of investigation from five towns in Estonia. Generalized linear mixed models were used to evaluate factors predicting infection risk in urban areas. In general, infection risk and intensity models predicted higher infection with endoparasites for small dogs in smaller towns, especially in apartment-house districts and in potential hazard zones. Helminth eggs and Giardia/Cystoisospora oocysts were detected in 64 samples, with an overall prevalence of 9.8%.

Pregnancy outcome after laparoscopy or laparotomy in pregnancy.

STUDY OBJECTIVE: To assess obstetric performance and fetal outcomes after laparoscopy or laparotomy performed during pregnancy. DESIGN: Nationwide, multicenter, retrospective chart review (Canadian Task Force classification II-2). SETTING: Seventeen hospitals throughout Israel: 12 university or university-affiliated hospitals and 5 general hospitals. PATIENTS: Three hundred eighty-nine pregnant women. INTERVENTION: Laparoscopy or laparotomy for various indications. MEASUREMENTS AND MAIN RESULTS: Of 192 laparoscopies performed, 141 were during the first, 46 during the second, and 5 during the third trimester; respective figures for 197 laparotomies were 63, 110, and 24. No intraoperative complications were reported for either procedure. Six and 25 women had complications after laparoscopy and laparotomy, respectively. There was no significant difference in abortion rates between groups. Mean gestational age at delivery and mean birthweight were comparable between groups. No significant difference was found in frequency of fetal anomalies between groups or when compared with the Israel register of anomalies. CONCLUSION: Operative laparoscopy seems to be as safe as laparotomy in pregnancy.