Department of Population Medicine, University of Guelph, Guelph, Canada.
College of Veterinary Medicine, Michigan State University, East Lansing, USA.
Epidemiol Infect. 2021 Jan 28;149:e49. doi: 10.1017/S0950268821000200.
Cyclospora cayetanensis is a parasite causing cyclosporiasis (an illness in humans). Produce (fruits, vegetables, herbs), water and soil contaminated with C. cayetanensis have been implicated in human infection. The objective was to conduct a scoping review of primary research in English on the detection, epidemiology and control of C. cayetanensis with an emphasis on produce, water and soil. MEDLINE® (Web of ScienceTM), Agricola (ProQuest), CABI Global Health, and Food Science and Technology Abstracts (EBSCOhost) were searched from 1979 to February 2020. Of the 349 relevant primary research studies identified, there were 75 detection-method studies, 40 molecular characterisation studies, 38 studies of Cyclospora in the environment (33 prevalence studies, 10 studies of factors associated with environmental contamination), 246 human infection studies (212 prevalence/incidence studies, 32 outbreak studies, 60 studies of environmental factors associated with non-outbreak human infection) and eight control studies. There appears to be sufficient literature for a systematic review of prevalence and factors associated with human infection with C. cayetanensis. There is a dearth of publicly available detection-method studies in soil (n = 0) and water (n = 2), prevalence studies on soil (n = 1) and studies of the control of Cyclospora (particularly on produce prior to retail (n = 0)).
环孢子虫是一种寄生虫,可引起环孢子虫病(一种人类疾病)。受污染的环孢子虫(导致环孢子虫病的寄生虫)的农产品(水果、蔬菜、草药)、水和土壤已被认为可导致人类感染。本研究旨在对以农产品、水和土壤为重点的环孢子虫检测、流行病学和控制的英文原始研究进行范围界定综述。从 1979 年到 2020 年 2 月,在 MEDLINE®(Web of ScienceTM)、Agricola(ProQuest)、CABI 全球健康和食品科学与技术摘要(EBSCOhost)上进行了检索。在 349 项相关的原始研究中,有 75 项检测方法研究、40 项分子特征研究、38 项环孢子虫在环境中的研究(33 项流行率研究,10 项与环境污染相关因素的研究)、246 项人类感染研究(212 项流行/发病率研究、32 项暴发研究、60 项与非暴发人类感染相关的环境因素研究)和 8 项控制研究。似乎有足够的文献可以对环孢子虫感染的流行率和相关因素进行系统综述。土壤(n = 0)和水(n = 2)中公开可用的检测方法研究较少,土壤中的流行率研究(n = 1)和环孢子虫控制研究较少(特别是在零售前对农产品的控制(n = 0))。