Echinococcus Multilocularis
Echinococcus Multilocularis
MATERIAL SAFETY DATA SHEET – INFECTIOUS SUBSTANCES
SECTION I – INFECTIOUS AGENT
NAME: Echinococcus multilocularis
SYNONYM OR CROSS REFERENCE: Alveolar hydatid disease, Multilocular echinococcosis
CHARACTERISTICS: Cestode, tapeworm consisting of 3 to 5 segments, usually 1.2-3.7 mm long; hydatid cyst buds exogenously to form a multilocular cyst; parasite infiltrate host tissues like a malignancy by external proliferation of the germinal membrane to form new cysts
SECTION II – HEALTH HAZARD
PATHOGENICITY: Disease depends on the size and location of the larval masses; cysts grow slowly in humans (abnormal host), since a person may be infected for 30 years before symptoms appear; primary lesion in alveolar hydatid disease is always the liver and contiguous organs to produce chronic space-occupying lesions; pieces of the germinal membrane may metastasize to infect the brain, lungs and mediastinum; disease is often fatal if not treated
EPIDEMIOLOGY: Distribution is limited to areas in the Northern Hemisphere: central Europe, Commonwealth of Independent States, northern Japan, China, India, Alaska, Canada and north-central USA; disease usually diagnosed in adults; high risk individuals include hunters and fur traders
HOST RANGE: Humans are abnormal host; definitive host is foxes, but wolves, coyotes, dogs and cats have been infected; intermediate host includes voles, lemmings, shrews and mice
INFECTIOUS DOSE: Not known
MODE OF TRANSMISSION: Ingestion of infected eggs passed in feces of infected Canidae and Felidae; fecally soiled dog hair, harness and environmental fomites serve as vehicles of infection; vegetables and water contaminated with the parasites eggs
INCUBATION PERIOD: Variable, from months to years, depending on the site and number of cysts
COMMUNICABILITY: Not directly transmitted from person-to-person
SECTION III – DISSEMINATION
RESERVOIR: Adult tapeworm found in foxes, wolves, coyotes, dogs and cats; intermediate hosts are voles, shrews, lemmings and mice; commonly maintained in nature in fox-rodent cycle
ZOONOSIS: Yes – infection is acquired from infected Canidae and Felidae
VECTORS: coprophagic flies may serve as a mechanical vector of eggs
SECTION IV – VIABILITY
DRUG SUSCEPTIBILITY: Sensitive to mebendazole, albendazole, praziquantel
SUSCEPTIBILITY TO DISINFECTANTS: Susceptible to 1% sodium hypochlorite, 2% glutaraldehyde
PHYSICAL INACTIVATION: Sensitive to heat
SURVIVAL OUTSIDE HOST: Cysts can survive cold climate
SECTION V – MEDICAL
SURVEILLANCE: Monitor for symptoms; confirm by serology and microscopic examination of tissues for cysts
FIRST AlD/TREATMENT: radical surgery and / or administer appropriate drug therapy
IMMUNIZATION: None available
PROPHYLAXIS: Praziquantel may be administered in case of accident
SECTION VI – LABORATORY HAZARDS
LABORATORY-ACQUIRED INFECTIONS: None reported to date
SOURCES/SPECIMENS: Tissue biopsy specimens, stool
PRIMARY HAZARDS: Ingestion; droplet exposure of mucous membrane, percutaneous
SPECIAL HAZARDS: Contact with fecal matter from experimentally infected animals
SECTION VII – RECOMMENDED PRECAUTIONS
CONTAINMENT REQUIREMENTS: Biosafety level 2 practices and containment equipment for all activities involving the infective stages of the parasite and infectious body fluids or tissues
PROTECTIVE CLOTHING: Laboratory coat; gloves when skin contact with infectious materials is unavoidable
OTHER PRECAUTIONS: Work with this parasite (gravid segments) should be conducted in a biosafety cabinet or its equivalent
SECTION VIII – HANDLING INFORMATION
SPILLS: Allow aerosols to settle; wearing protective clothing, gently cover the spill with absorbent paper towel and apply 1% sodium hypochlorite starting at the perimeter and working towards the centre; allow sufficient contact time (30 min) before clean up
DI8POSAL: Decontaminate all wastes before disposal; steam sterilization, chemical disinfection, incineration
STORAGE: In sealed containers that are appropriately labelled
SECTION IX – MISCELLANEOUS INFORMATION
Date prepared: January, 2001
Prepared by: Office of Laboratory Security, PHAC
Although the information, opinions and recommendations contained in this Material Safety Data Sheet are compiled from sources believed to be reliable, we accept no responsibility for the accuracy, sufficiency, or reliability or for any loss or injury resulting from the use of the information. Newly discovered hazards are frequent and this information may not be completely up to date.
Copyright © Health Canada, 2001
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