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HIV 患者土壤传播性蠕虫感染的流行率:系统评价和荟萃分析。

Prevalence of soil-transmitted helminth infections in HIV patients: a systematic review and meta-analysis.

机构信息

Department of Microbiology, Central University of Punjab, Bathinda, Punjab, 151401, India.

Centre for Interdisciplinary Research in Basic Sciences, Jamia Millia Islamia, New Delhi, 110025, India.

出版信息

Sci Rep. 2023 Jul 8;13(1):11055. doi: 10.1038/s41598-023-38030-y.

Abstract

Soil-transmitted Helminth (STH) infections have been found associated with people living with human immunodeficiency virus (HIV) but little is known about the overall burden of STH coinfection in HIV patients. We aimed to assess the burden of STH infections among HIV patients. Relevant databases were systematically searched for studies reporting the prevalence of soil-transmitted helminthic pathogens in HIV patients. Pooled estimates of each helminthic infection were calculated. The odds ratio was also determined as a measure of the association between STH infection and the HIV status of the patients. Sixty-one studies were finally included in the meta-analysis, consisting of 16,203 human subjects from all over the world. The prevalence of Ascaris lumbricoides infection in HIV patients was found to be 8% (95% CI 0.06, 0.09), the prevalence of Trichuris trichiura infection in HIV patients was found to be 5% (95% CI 0.04, 0.06), the prevalence of hookworm infection in HIV patients was found to be 5% (95% CI 0.04, 0.06), and prevalence of Strongyloides stercoralis infection in HIV patients was found to be 5% (95% CI 0.04, 0.05). Countries from Sub-Saharan Africa, Latin America & Caribbean and Asia were identified with the highest burden of STH-HIV coinfection. Our analysis indicated that people living with HIV have a higher chance of developing Strongyloides stercoralis infections and decreased odds of developing hookworm infections. Our findings suggest a moderate level of prevalence of STH infections among people living with HIV. The endemicity of STH infections and HIV status both are partially responsible for the burden of STH-HIV coinfections.

摘要

土壤传播性蠕虫(STH)感染已被发现与人类免疫缺陷病毒(HIV)感染者有关,但关于 HIV 患者中 STH 合并感染的总体负担知之甚少。我们旨在评估 HIV 患者中 STH 感染的负担。系统地检索了相关数据库,以寻找报告 HIV 患者中土壤传播性寄生虫病原体流行率的研究。计算了每种寄生虫感染的汇总估计值。还确定了比值比作为衡量 STH 感染与患者 HIV 状态之间关联的指标。最终有 61 项研究纳入荟萃分析,包括来自世界各地的 16203 名人类受试者。发现 HIV 患者的蛔虫感染率为 8%(95%CI 0.06,0.09),鞭虫感染率为 5%(95%CI 0.04,0.06),钩虫感染率为 5%(95%CI 0.04,0.06),旋毛虫感染率为 5%(95%CI 0.04,0.05)。确定来自撒哈拉以南非洲、拉丁美洲和加勒比及亚洲的国家 STH-HIV 合并感染负担最高。我们的分析表明,HIV 感染者感染旋毛虫的几率更高,而感染钩虫的几率降低。我们的研究结果表明,HIV 感染者中 STH 感染的流行率处于中等水平。STH 感染的地方性和 HIV 状态都部分导致了 STH-HIV 合并感染的负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c17/10329649/1730b491fe2c/41598_2023_38030_Fig1_HTML.jpg

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