Factors Associated with Echinococcosis-Induced Perioperative Anaphylactic Shock

Jianrong Ye; Qin Zhang; Yan Xuan; Siyu Chen; Long Ma; Yongqiang Zhang; Hong Zheng

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자료유형: 학술저널

저자정보: Jianrong Ye (First Affiliated Hospital of Xinjiang Medical University) Qin Zhang (First Affiliated Hospital of Xinjiang Medical University) Yan Xuan (First Affiliated Hospital of Xinjiang Medical University) Siyu Chen (First Affiliated Hospital of Xinjiang Medical University) Long Ma (First Affiliated Hospital of Xinjiang Medical University) Yongqiang Zhang (First Affiliated Hospital of Xinjiang Medical University) Hong Zheng (First Affiliated Hospital of Xinjiang Medical University)

저널정보: 대한기생충학열대의학회 Parasites, Hosts and Diseases The Korean Journal of Parasitology Vol.54 No.6

발행연도: 2016.12

수록면: 769 - 777 (9page)

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This retrospective case-control study explored the factors associated with anaphylactic shock during surgery for cystic echinococcosis (CE) at the First Affiliated Hospital of Xinjiang Medical University between October 2008 and September 2013. Patients who suffered from anaphylactic shock (n=16) were age-matched 3:1 to patients who did not (n=43). Multivariate analysis suggested that IL-4 levels (odds ratio=1.096; 95% confidence interval=1.015-1.185; P=0.02) and cyst size (odds ratio=3.028, 95% confidence interval=1.259-7.283, P=0.013) were independently associated with CE-induced perioperative anaphylactic shock. Using the receiver operating characteristic (ROC) curves and a cut-off value of 415.7 ng/ml, IL-4 showed an area under the ROC (AUC) of 0.926, sensitivity of 75.0%, and specificity of 97.7%. Using a cut-off value of 7.8 ㎝, cyst size showed an AUC of 0.828, sensitivity of 81.3%, and specificity of 76.7%. In conclusion, results suggest that levels of IL-4 and cyst size were independently associated with echinococcosis-induced perioperative anaphylactic shock. These results could help identifying patients with echinococcosis at risk of anaphylactic shock in whom appropriate prophylaxis could be undertaken.

#Echinococcus granulosus #cystic echinococcosis #hydatid cyst #anaphylaxis #surgery #zoonotic infectious disease

참고문헌 (28)

참고문헌 신청

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