Surveillance of leishmaniasis cases from 15 European centres, 2014 to 2019 : a retrospective analysis
(2022) In Eurosurveillance 27(4).- Abstract
Background: Surveillance of human leishmaniasis in Europe is mostly limited to country-specific information from autochthonous infections in the southern part. As at the end of 2021, no integrated analysis has been performed for cases seen across centres in different European countries. Aim: To provide a broad perspective on autochthonous and imported leishmaniasis cases in endemic and non-endemic countries in Europe. Methods: We retrospectively collected records from cutaneous, mucosal and visceral leishmaniasis cases diagnosed in 15 centres between 2014 and 2019. Centres were located in 11 countries: Belgium, France, Germany, Italy, the Netherlands, Norway, Portugal, Spain, Sweden, Switzerland and the United Kingdom. Data on country... (More)
Background: Surveillance of human leishmaniasis in Europe is mostly limited to country-specific information from autochthonous infections in the southern part. As at the end of 2021, no integrated analysis has been performed for cases seen across centres in different European countries. Aim: To provide a broad perspective on autochthonous and imported leishmaniasis cases in endemic and non-endemic countries in Europe. Methods: We retrospectively collected records from cutaneous, mucosal and visceral leishmaniasis cases diagnosed in 15 centres between 2014 and 2019. Centres were located in 11 countries: Belgium, France, Germany, Italy, the Netherlands, Norway, Portugal, Spain, Sweden, Switzerland and the United Kingdom. Data on country of infection, reason for travelling, infecting species, age and sex were analysed. Results: We obtained diagnostic files from 1,142 cases, of which 76%, 21% and 3% had cutaneous, visceral, and mucosal disease, respectively. Of these, 68% were men, and 32% women, with the median age of 37 years (range: 0–90) at diagnosis. Visceral leishmaniasis was mainly acquired in Europe (88%; 167/190), while cutaneous leishmaniasis was primarily imported from outside Europe (77%; 575/749). Sixty-two percent of cutaneous leishmaniasis cases from outside Europe were from the Old World, and 38% from the New World. Geographic species distribution largely confirmed known epidemiology, with notable exceptions. Conclusions: Our study confirms previous reports regarding geographic origin, species, and traveller subgroups importing leishmaniasis into Europe. We demonstrate the importance of pooling species typing data from many centres, even from areas where the aetiology is presumably known, to monitor changing epidemiology.
(Less)
- author
- Van der Auwera, Gert
; Davidsson, Leigh
; Buffet, Pierre
; Ruf, Marie Thérèse
; Gramiccia, Marina
; Varani, Stefania
; Chicharro, Carmen
; Bart, Aldert
; Harms, Gundel
; Chiodini, Peter L.
; Brekke, Hanne
; Robert-Gangneux, Florence
; Cortes, Sofia
; Verweij, Jaco J.
; Scarabello, Alessandra
; Söbirk, Sara Karlsson
LU
; Guéry, Romain
; van Henten, Saskia
; Di Muccio, Trentina
; Carra, Elena
; van Thiel, Pieter
; Vandeputte, Martin
; Gaspari, Valeria
and Blum, Johannes
(Less) - author collaboration
- organization
- publishing date
- 2022-01
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Eurosurveillance
- volume
- 27
- issue
- 4
- publisher
- European Centre for Disease Prevention and Control (ECDC)
- external identifiers
-
- scopus:85123816603
- pmid:35086613
- ISSN
- 1025-496X
- DOI
- 10.2807/1560-7917.ES.2022.27.4.2002028
- language
- English
- LU publication?
- yes
- id
- f38a9c3d-8a40-4310-9948-a4056df0dc4b
- date added to LUP
- 2022-04-11 15:02:46
- date last changed
- 2024-06-15 10:24:23
@article{f38a9c3d-8a40-4310-9948-a4056df0dc4b,
abstract = {{<p>Background: Surveillance of human leishmaniasis in Europe is mostly limited to country-specific information from autochthonous infections in the southern part. As at the end of 2021, no integrated analysis has been performed for cases seen across centres in different European countries. Aim: To provide a broad perspective on autochthonous and imported leishmaniasis cases in endemic and non-endemic countries in Europe. Methods: We retrospectively collected records from cutaneous, mucosal and visceral leishmaniasis cases diagnosed in 15 centres between 2014 and 2019. Centres were located in 11 countries: Belgium, France, Germany, Italy, the Netherlands, Norway, Portugal, Spain, Sweden, Switzerland and the United Kingdom. Data on country of infection, reason for travelling, infecting species, age and sex were analysed. Results: We obtained diagnostic files from 1,142 cases, of which 76%, 21% and 3% had cutaneous, visceral, and mucosal disease, respectively. Of these, 68% were men, and 32% women, with the median age of 37 years (range: 0–90) at diagnosis. Visceral leishmaniasis was mainly acquired in Europe (88%; 167/190), while cutaneous leishmaniasis was primarily imported from outside Europe (77%; 575/749). Sixty-two percent of cutaneous leishmaniasis cases from outside Europe were from the Old World, and 38% from the New World. Geographic species distribution largely confirmed known epidemiology, with notable exceptions. Conclusions: Our study confirms previous reports regarding geographic origin, species, and traveller subgroups importing leishmaniasis into Europe. We demonstrate the importance of pooling species typing data from many centres, even from areas where the aetiology is presumably known, to monitor changing epidemiology.</p>}},
author = {{Van der Auwera, Gert and Davidsson, Leigh and Buffet, Pierre and Ruf, Marie Thérèse and Gramiccia, Marina and Varani, Stefania and Chicharro, Carmen and Bart, Aldert and Harms, Gundel and Chiodini, Peter L. and Brekke, Hanne and Robert-Gangneux, Florence and Cortes, Sofia and Verweij, Jaco J. and Scarabello, Alessandra and Söbirk, Sara Karlsson and Guéry, Romain and van Henten, Saskia and Di Muccio, Trentina and Carra, Elena and van Thiel, Pieter and Vandeputte, Martin and Gaspari, Valeria and Blum, Johannes}},
issn = {{1025-496X}},
language = {{eng}},
number = {{4}},
publisher = {{European Centre for Disease Prevention and Control (ECDC)}},
series = {{Eurosurveillance}},
title = {{Surveillance of leishmaniasis cases from 15 European centres, 2014 to 2019 : a retrospective analysis}},
url = {{http://dx.doi.org/10.2807/1560-7917.ES.2022.27.4.2002028}},
doi = {{10.2807/1560-7917.ES.2022.27.4.2002028}},
volume = {{27}},
year = {{2022}},
}