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过去20年全球幼儿蛲虫病患病率:系统评价与荟萃分析

Global prevalence of enterobiasis in young children over the past 20 years: a systematic review and meta-analysis.

作者信息

Lashaki Elham Kia, Mizani Azadeh, Hosseini Seyed Abdollah, Habibi Bentolhoda, Taherkhani Khadijeh, Javadi Amir, Taremiha AliReza, Dodangeh Samira

机构信息

Department of Parasitology and Mycology, Faculty of Medical Sciences, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.

Department of Parasitology, Pasteur Institute of Iran, Tehran, Iran.

出版信息

Osong Public Health Res Perspect. 2023 Dec;14(6):441-450. doi: 10.24171/j.phrp.2023.0204. Epub 2023 Dec 28.

Abstract

Parasitic infections are the most common diseases worldwide, and enterobiasis is a common parasitic infection in children. Various studies have reported on the prevalence of Enterobius vermicularis in different regions of the world. However, no study has gathered and analyzed this data systematically. Our systematic review and meta-analysis investigated the overall prevalence of E. vermicularis among children globally. Data were extracted from 4 available databases for studies published from January 2002 to April 2022. The quality of the included studies was scored based on the standard Strengthening the Reporting of Observational Studies in Epidemiology. A random-effect model was chosen to calculate the pooled prevalence and corresponding 95% confidence interval (CI) according to the degree of heterogeneity in the included studies. Thus, 40 publications (42 data sets) that included 3,279 children with enterobiasis met all criteria and were included in the analysis. The meta-analysis showed that heterogeneity among the included studies was high (Q=4,399.35, I2=99.96%; df=41; p<0.001). The pooled global prevalence of enterobiasis among the studied children was 12.9% (95% CI, 8.2%-17.7%). Our systematic review and meta-analysis estimated that, for the past 20 years, 12.9% of children around the world have been infected with E. vermicularis.

摘要

寄生虫感染是全球最常见的疾病,而蛲虫病是儿童常见的寄生虫感染。各种研究报告了世界不同地区蠕形住肠线虫的流行情况。然而,尚无研究系统地收集和分析这些数据。我们的系统评价和荟萃分析调查了全球儿童中蠕形住肠线虫的总体流行率。从4个可用数据库中提取了2002年1月至2022年4月发表的研究数据。根据加强流行病学观察性研究报告标准对纳入研究的质量进行评分。根据纳入研究的异质性程度,选择随机效应模型计算合并患病率和相应的95%置信区间(CI)。因此,40篇出版物(42个数据集)包括3279例患蛲虫病的儿童,符合所有标准并纳入分析。荟萃分析表明,纳入研究之间的异质性很高(Q=4399.35,I2=99.96%;自由度=41;p<0.001)。研究儿童中蛲虫病的全球合并患病率为12.9%(95%CI,8.2%-17.7%)。我们的系统评价和荟萃分析估计,在过去20年中,全球12.9%的儿童感染了蠕形住肠线虫。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3220/10788413/db9f5ad3be46/j-phrp-2023-0204f1.jpg

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