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伊朗常见致病性人体肠道原生动物的空间分布:一项系统综述。

Spatial Distribution of Common Pathogenic Human Intestinal Protozoa in Iran: A Systematic Review.

作者信息

Mohebali Mehdi, Keshavarz Hossein, Abbaszadeh Afshar Mohammad Javad, Hanafi-Bojd Ahmad Ali, Hassanpour Gholamreza

机构信息

Center for Research of Endemic Parasites of Iran (CREPI), Tehran University of Medical Sciences, Tehran, Iran.

Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Iran J Public Health. 2021 Jan;50(1):69-82. doi: 10.18502/ijph.v50i1.5073.

Abstract

BACKGROUND

Pathogenic intestinal protozoa are considered as a serious public health problem in developing countries. This study aimed to elucidate the overall prevalence and spatial distribution of three common human pathogenic intestinal protozoan infections in Iran.

METHODS

Six English and Persian databases were explored for published papers on the prevalence of , and spp. in the general population of Iran from 2000 to 2015. All eligible data were collected using a pre-designed data extraction form, and the overall prevalence was estimated using a random-effects meta-analysis model. We used ArcMap for mapping the prevalence of the studied protozoa and clustering analysis.

RESULTS

Altogether, 118 eligible papers from 24 provinces of Iran were included and analyzed. The weighted prevalence of , , and spp. infection among Iranian general population were calculated 1.3% (95% CI 1.1-1.5%), 10.6% (95% CI 9.6-11.5%) and 2% (95% CI 1.5-2.5%), respectively.

CONCLUSION

Our findings indicated human intestinal protozoan infections caused by , and spp. have still public health importance in some parts of Iran.

摘要

背景

致病性肠道原生动物被认为是发展中国家一个严重的公共卫生问题。本研究旨在阐明伊朗三种常见的人类致病性肠道原生动物感染的总体流行情况和空间分布。

方法

检索了六个英文和波斯文数据库,以查找2000年至2015年期间伊朗普通人群中 、 和 spp. 感染率的已发表论文。所有符合条件的数据均使用预先设计的数据提取表进行收集,并使用随机效应荟萃分析模型估计总体感染率。我们使用ArcMap绘制所研究原生动物的感染率并进行聚类分析。

结果

总共纳入并分析了来自伊朗24个省的118篇符合条件的论文。伊朗普通人群中 、 和 spp. 感染的加权感染率分别计算为1.3%(95%置信区间1.1 - 1.5%)、10.6%(95%置信区间9.6 - 11.5%)和2%(95%置信区间1.5 - 2.5%)。

结论

我们的研究结果表明,由 、 和 spp. 引起的人类肠道原生动物感染在伊朗的某些地区仍然具有公共卫生重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee72/8213612/bfc5df191f58/IJPH-50-69-g001.jpg

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