BACKGROUND Cystic echinococcosis (CE) is attributable to Echinococcus granulosus metacestodes. Ultrasound examinations enable a stage-specific approach to CE management. However, this approach is not often applied in endemic areas, which include Kazakhstan. METHODS We collected clinical and ultrasound data on CE pediatric patients seen at a national referral surgical center in Almaty, Kazakhstan, during 2015-2020. RESULTS We included 49 patients, and 79 cysts that were all surgically treated. All but one patient carried active cysts (CE1-CE3 stages). Twenty-six (53.2%) did not receive albendazole postsurgery. Children with CE1 and CE3a cysts underwent surgery, while the use of albendazole and percutaneous drainage were advised upon by experts. CONCLUSIONS A stage-specific approach to CE management in Kazakhstan is urgent, especially in the pediatric population. The rate of active cysts suggests continuing transmission of CE.

中文翻译：

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哈萨克斯坦儿童囊性包虫病的高负担：流行病学和临床后果。

背景 囊性包虫病 (CE) 归因于细粒棘球绦虫。超声检查可以采用针对特定阶段的 CE 管理方法。然而，这种方法并不经常应用于包括哈萨克斯坦在内的流行地区。方法 我们收集了 2015 年至 2020 年在哈萨克斯坦阿拉木图国家转诊外科中心就诊的 CE 儿科患者的临床和超声数据。结果 我们纳入了 49 名患者和 79 个囊肿，全部接受了手术治疗。除一名患者外，所有患者均携带活动性囊肿（CE1-CE3 阶段）。二十六人 (53.2%) 术后未接受阿苯达唑治疗。CE1和CE3a囊肿的患儿接受了手术，同时专家建议使用阿苯达唑和经皮引流。结论 在哈萨克斯坦，迫切需要采取针对特定阶段的 CE 管理方法，特别是在儿科人群中。活动性囊肿的发生率表明 CE 的持续传播。