Chagas disease among the Latin American adult population attending in a primary care center in Barcelona, Spain.

<h4>Background/aims</h4>The epidemiology of Chagas disease, until recently confined to areas of continental Latin America, has undergone considerable changes in recent decades due to migration to other parts of the world, including Spain. We studied the prevalence of Chagas disease in La...

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Autores principales:	Carme Roca, María Jesús Pinazo, Paolo López-Chejade, Joan Bayó, Elizabeth Posada, Jordi López-Solana, Montserrat Gállego, Montserrat Portús, Joaquim Gascón, Chagas-Clot Research Group
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2011
Materias:	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/126d1108fa7a40d698060806e4223661
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spelling	oai:doaj.org-article:126d1108fa7a40d698060806e42236612021-11-18T09:13:25ZChagas disease among the Latin American adult population attending in a primary care center in Barcelona, Spain.1935-27271935-273510.1371/journal.pntd.0001135https://doaj.org/article/126d1108fa7a40d698060806e42236612011-04-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21572511/?tool=EBIhttps://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735<h4>Background/aims</h4>The epidemiology of Chagas disease, until recently confined to areas of continental Latin America, has undergone considerable changes in recent decades due to migration to other parts of the world, including Spain. We studied the prevalence of Chagas disease in Latin American patients treated at a health center in Barcelona and evaluated its clinical phase. We make some recommendations for screening for the disease.<h4>Methodology/principal findings</h4>We performed an observational, cross-sectional prevalence study by means of an immunochromatographic test screening of all continental Latin American patients over the age of 14 years visiting the health centre from October 2007 to October 2009. The diagnosis was confirmed by serological methods: conventional in-house ELISA (cELISA), a commercial kit (rELISA) and ELISA using T cruzi lysate (Ortho-Clinical Diagnostics) (oELISA). Of 766 patients studied, 22 were diagnosed with T. cruzi infection, showing a prevalence of 2.87% (95% CI, 1.6-4.12%). Of the infected patients, 45.45% men and 54.55% women, 21 were from Bolivia, showing a prevalence in the Bolivian subgroup (n=127) of 16.53% (95% CI, 9.6-23.39%). ALL THE INFECTED PATIENTS WERE IN A CHRONIC PHASE OF CHAGAS DISEASE: 81% with the indeterminate form, 9.5% with the cardiac form and 9.5% with the cardiodigestive form. All patients infected with T. cruzi had heard of Chagas disease in their country of origin, 82% knew someone affected, and 77% had a significant history of living in adobe houses in rural areas.<h4>Conclusions</h4>We found a high prevalence of T. cruzi infection in immigrants from Bolivia. Detection of T. cruzi-infected persons by screening programs in non-endemic countries would control non-vectorial transmission and would benefit the persons affected, public health and national health systems.Carme RocaMaría Jesús PinazoPaolo López-ChejadeJoan BayóElizabeth PosadaJordi López-SolanaMontserrat GállegoMontserrat PortúsJoaquim GascónChagas-Clot Research GroupPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 5, Iss 4, p e1135 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
spellingShingle	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Carme Roca María Jesús Pinazo Paolo López-Chejade Joan Bayó Elizabeth Posada Jordi López-Solana Montserrat Gállego Montserrat Portús Joaquim Gascón Chagas-Clot Research Group Chagas disease among the Latin American adult population attending in a primary care center in Barcelona, Spain.
description	<h4>Background/aims</h4>The epidemiology of Chagas disease, until recently confined to areas of continental Latin America, has undergone considerable changes in recent decades due to migration to other parts of the world, including Spain. We studied the prevalence of Chagas disease in Latin American patients treated at a health center in Barcelona and evaluated its clinical phase. We make some recommendations for screening for the disease.<h4>Methodology/principal findings</h4>We performed an observational, cross-sectional prevalence study by means of an immunochromatographic test screening of all continental Latin American patients over the age of 14 years visiting the health centre from October 2007 to October 2009. The diagnosis was confirmed by serological methods: conventional in-house ELISA (cELISA), a commercial kit (rELISA) and ELISA using T cruzi lysate (Ortho-Clinical Diagnostics) (oELISA). Of 766 patients studied, 22 were diagnosed with T. cruzi infection, showing a prevalence of 2.87% (95% CI, 1.6-4.12%). Of the infected patients, 45.45% men and 54.55% women, 21 were from Bolivia, showing a prevalence in the Bolivian subgroup (n=127) of 16.53% (95% CI, 9.6-23.39%). ALL THE INFECTED PATIENTS WERE IN A CHRONIC PHASE OF CHAGAS DISEASE: 81% with the indeterminate form, 9.5% with the cardiac form and 9.5% with the cardiodigestive form. All patients infected with T. cruzi had heard of Chagas disease in their country of origin, 82% knew someone affected, and 77% had a significant history of living in adobe houses in rural areas.<h4>Conclusions</h4>We found a high prevalence of T. cruzi infection in immigrants from Bolivia. Detection of T. cruzi-infected persons by screening programs in non-endemic countries would control non-vectorial transmission and would benefit the persons affected, public health and national health systems.
format	article
author	Carme Roca María Jesús Pinazo Paolo López-Chejade Joan Bayó Elizabeth Posada Jordi López-Solana Montserrat Gállego Montserrat Portús Joaquim Gascón Chagas-Clot Research Group
author_facet	Carme Roca María Jesús Pinazo Paolo López-Chejade Joan Bayó Elizabeth Posada Jordi López-Solana Montserrat Gállego Montserrat Portús Joaquim Gascón Chagas-Clot Research Group
author_sort	Carme Roca
title	Chagas disease among the Latin American adult population attending in a primary care center in Barcelona, Spain.
title_short	Chagas disease among the Latin American adult population attending in a primary care center in Barcelona, Spain.
title_full	Chagas disease among the Latin American adult population attending in a primary care center in Barcelona, Spain.
title_fullStr	Chagas disease among the Latin American adult population attending in a primary care center in Barcelona, Spain.
title_full_unstemmed	Chagas disease among the Latin American adult population attending in a primary care center in Barcelona, Spain.
title_sort	chagas disease among the latin american adult population attending in a primary care center in barcelona, spain.
publisher	Public Library of Science (PLoS)
publishDate	2011
url	https://doaj.org/article/126d1108fa7a40d698060806e4223661
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Chagas disease among the Latin American adult population attending in a primary care center in Barcelona, Spain.

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