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免疫功能低下患者的感染:一项系统评价与荟萃分析

Infection in Immunocompromised Patients: A Systematic Review and Meta-Analysis.

作者信息

Wang Ze-Dong, Liu Huan-Huan, Ma Zhan-Xi, Ma Hong-Yu, Li Zhong-Yu, Yang Zhi-Bin, Zhu Xing-Quan, Xu Bin, Wei Feng, Liu Quan

机构信息

College of Life Science, Jilin Agricultural UniversityChangchun, China; State Key Laboratory of Veterinary Etiological Biology, Key Laboratory of Veterinary Parasitology of Gansu Province, Lanzhou Veterinary Research Institute, Chinese Academy of Agricultural SciencesLanzhou, China; Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Institute, Academy of Military Medical SciencesChangchun, China.

Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Institute, Academy of Military Medical Sciences Changchun, China.

出版信息

Front Microbiol. 2017 Mar 9;8:389. doi: 10.3389/fmicb.2017.00389. eCollection 2017.

Abstract

has been suggested as an important opportunistic pathogen in immunocompromised patients. We conducted a global meta-analysis to assess the prevalence and odds ratios (ORs) of infection in immunocompromised individuals. Electronic databases were reviewed for infection in HIV/AIDS patients, cancer patients, and transplant recipients, and meta-analyses were conducted to calculate overall estimated prevalence and ORs using random or fixed-effects models. Totally, 72 eligible studies were included. The estimated pooled prevalence of infection in immunocompromised patients and the control was 35.9 and 24.7% ( < 0.001), with an OR of 2.24, i.e., 42.1 and 32.0% for HIV/AIDS patients and the control ( < 0.05), 26.0 and 12.1% for cancer patients and the control ( < 0.001), and 42.1 and 34.5% for transplant recipients and the control ( > 0.05), whose estimated pooled ORs were 1.92 (95% CI, 1.44-2.55), 2.89 (95% CI, 2.36-3.55), and 1.51 (95% CI, 1.16-1.95), respectively. This study is the first to demonstrate that the immunocompromised patients are associated with higher odds of infection, and appropriate prevention and control measures are highly recommended for these susceptible populations.

摘要

已被认为是免疫功能低下患者重要的机会性致病菌。我们进行了一项全球荟萃分析,以评估免疫功能低下个体中感染的患病率和比值比(OR)。对电子数据库进行了检索,以查找艾滋病毒/艾滋病患者、癌症患者和移植受者中的感染情况,并使用随机或固定效应模型进行荟萃分析,以计算总体估计患病率和OR。总共纳入了72项符合条件的研究。免疫功能低下患者和对照组中感染的估计合并患病率分别为35.9%和24.7%(P<0.001),OR为2.24,即艾滋病毒/艾滋病患者和对照组分别为42.1%和32.0%(P<0.05),癌症患者和对照组分别为26.0%和12.1%(P<0.001),移植受者和对照组分别为42.1%和34.5%(P>0.05),其估计合并OR分别为1.92(95%CI,1.44 - 2.55)、2.89(95%CI,2.36 - 3.55)和1.51(95%CI,1.16 - 1.95)。本研究首次表明,免疫功能低下患者感染的几率更高,强烈建议对这些易感人群采取适当的预防和控制措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc8b/5343064/81c30cdfb5f2/fmicb-08-00389-g0001.jpg

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