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伊朗屠宰牲畜中囊型棘球蚴病的患病率:系统评价与荟萃分析

Prevalence of cystic echinococcosis in slaughtered livestock in Iran: a systematic review and meta-analysis.

作者信息

Vaisi-Raygani Aliakbar, Mohammadi Masoud, Jalali Rostam, Salari Nader, Hosseinian-Far Melika

机构信息

Department of Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

BMC Infect Dis. 2021 May 7;21(1):429. doi: 10.1186/s12879-021-06127-2.

Abstract

BACKGROUND

Hydatidosis is a zoonotic disease and has a great general and economic health importance in both developed and developing countries. Therefore, this systematic and meta-analytic study was conducted to determine the prevalence of cystic echinococcosis in slaughtered livestock in Iran.

METHODS

The present study was conducted as a systematic review and meta-analysis. The SID & Magiran, MEDLINE (PubMed), ScienceDirect, Scopus, and Google Scholar databases were searched with a view to selecting relevant research works. As a result, 31 articles published from April 1970 to April 2020 were selected. The heterogeneity of the studies was assessed using the I index. Data analysis was conducted within the Comprehensive Meta-Analysis software (CMA) v.3.0 (Biostat, Englewood, NJ, USA) and Arc map (ArcGIS 10.3) software.

RESULTS

The heterogeneity of the studies was evaluated using the I test which value was 99% showing a high heterogeneity in the studies. The results of publication bias in studies were evaluated by the Egger test, which were not statistically significant (P = 0.144). The overall prevalence of cystic echinococcosis in slaughtered livestock in Iran is 13.9% (95%CI: 10.7-17.7%). The results of the meta-regression analysis indicate the increasing trend of the hydatid cyst prevalence with the increase of sample size and publication year (P < 0.05).

CONCLUSION

According to the results of this study and the relatively high prevalence of cystic echinococcosis in slaughtered livestock in Iran, health policy makers should make effective decisions in this regard, and implement careful inspections and interventions by experts and health authorities.

摘要

背景

包虫病是一种人畜共患疾病,在发达国家和发展中国家都具有重大的公共卫生和经济意义。因此,开展了这项系统综述和荟萃分析研究,以确定伊朗屠宰牲畜中囊型棘球蚴病的患病率。

方法

本研究采用系统综述和荟萃分析的方法。检索了SID & Magiran、MEDLINE(PubMed)、ScienceDirect、Scopus和谷歌学术数据库,以选择相关的研究作品。结果,选取了1970年4月至2020年4月发表的31篇文章。使用I指数评估研究的异质性。在综合荟萃分析软件(CMA)v.3.0(美国新泽西州恩格尔伍德的Biostat公司)和Arc map(ArcGIS 10.3)软件中进行数据分析。

结果

使用I检验评估研究的异质性,其值为99%,表明研究中存在高度异质性。通过Egger检验评估研究中的发表偏倚结果,差异无统计学意义(P = 0.144)。伊朗屠宰牲畜中囊型棘球蚴病的总体患病率为13.9%(95%CI:10.7 - 17.7%)。荟萃回归分析结果表明,随着样本量和发表年份的增加,包虫囊肿患病率呈上升趋势(P < 0.05)。

结论

根据本研究结果以及伊朗屠宰牲畜中囊型棘球蚴病相对较高的患病率,卫生政策制定者应在这方面做出有效决策,并由专家和卫生当局实施仔细的检查和干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04df/8103583/5762c1f8980a/12879_2021_6127_Fig1_HTML.jpg

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