Arturo L DelgadoWalter Sisulu University, South Africa
Title: Out come of the treatment of hydatid disease in children
Introduction: Hydatid disease is one of the most important health problems in developing countries. It can affect any part of the human body, commonly affects lungs and liver. Because of poor data and preventive measures in Sub-Saharan Africa, and others countries cystic echinococcosis (CE) is regarded as endemic or prevalent disease
Method: We developed a retrospective study of children under 12 years admitted in paediatric surgical unit at Nelson Mandela Academic Hospital (NMAH), suffering from Cystic echinococcosis from May 2015 to April 2023. Were studied groups of age, sex, organs affected, treatment, complications and recurrences.
Results: Were studied 58 children; the group of age most affected was 5 to 10 years, females accounted for 53,4 %, and male for 48,2 %, lung hydatid cysts in 43 % of cases, same as in the liver; 8,9 % of the patients had cysts in multiple locations.
In 48 cases (83%), the treatment was anthelmintics for no less than a week previous the surgical procedure then punction-aspiration-injection and re-aspiration (PAIR), removing the germinal layer (STRONGLY RECOMMENDED), following in the post operatory with anthelmintics no less than 3 months (Albendazole and Praziquantel). In 10 cases (17 %) medical treatment was enough for the resolution of the cyst. No documented recurrences.
Conclusion: -Females were most affected and the liver and lungs were the organs affected with more frequency.
-No recurrences found, suggesting that this treatment is suitable in endemic areas.
Arturo L Delgado is an Associate Professor and Consultant Paediatric Surgeon in the Department of Surgery at Walter Sisulu University (WSU)/Nelson Mandela Academic Hospital (NMAH).