Kantzanou Maria, Karalexi Maria A, Vrioni Georgia, Tsakris Athanasios
Department of Hygiene, Epidemiology & Medical Statistics Medical School, National and Kapodistrian University of Athens, 75 Mikras Asias, 11527 Athens, Greece.
Laboratory of Microbiology, Medical School, National and Kapodistrian University of Athens, 75 Mikras Asias Street, 11527 Athens, Greece.
Trop Med Infect Dis. 2021 Sep 2;6(3):160. doi: 10.3390/tropicalmed6030160.
While the prevalence of intestinal parasitic infections (IPI) has been most commonly studied in African and Asian populations, less is known about the prevalence rates of IPI in European children, as well as the potential risk factors that favor the spread of parasites. We aimed to review published evidence on the prevalence rates of IPI in children residing in Europe, and to quantitatively synthesize the results of published studies. We searched Medline from 1 January 2015 to 1 April 2021 to address the most recently published prevalence patterns of IPI in European children. Random-effects meta-analyses were performed by type of IPI infection, age group and sex, depending on data availability. Of the 967 potentially relevant articles, eight eligible cross-sectional studies were included in this analysis, yielding a sample of 3376 children (0-19 years). The overall prevalence rate was 5.9% for any IPI in children residing in European countries. was the most commonly detected parasite yielding a prevalence rate of 10.7%. Other parasites included and . Studies focusing on specific types of parasites showed prevalence rates ranging from 1.3% for to 68.3% for . Despite the scarce literature, the present review showed relatively low prevalence rates of IPI in Europe. Future studies accounting for proper diagnostic methods used for the detection of parasites and including information on potential sociodemographic factors, such as travelling history and history of immigration, are needed to guide clinicians about which children to test, as well as when and how to test children for IPI.
虽然肠道寄生虫感染（IPI）的患病率在非洲和亚洲人群中研究得最为普遍，但对于欧洲儿童IPI的患病率以及有利于寄生虫传播的潜在风险因素却知之甚少。我们旨在回顾已发表的关于欧洲儿童IPI患病率的证据，并对已发表研究的结果进行定量综合分析。我们检索了2015年1月1日至2021年4月1日期间的Medline数据库，以了解欧洲儿童IPI最新公布的流行模式。根据数据可用性，按IPI感染类型、年龄组和性别进行随机效应荟萃分析。在967篇可能相关的文章中，本分析纳入了8项符合条件的横断面研究，共3376名儿童（0 - 19岁）。居住在欧洲国家的儿童中，任何IPI的总体患病率为5.9%。 是最常检测到的寄生虫，患病率为10.7%。其他寄生虫包括 和 。针对特定类型寄生虫的研究显示，患病率从 的1.3%到 的68.3%不等。尽管文献较少，但本综述显示欧洲IPI的患病率相对较低。未来的研究需要考虑用于检测寄生虫的适当诊断方法，并纳入潜在社会人口学因素的信息，如旅行史和移民史，以便指导临床医生确定哪些儿童需要检测，以及何时和如何对儿童进行IPI检测。
