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亚洲学童肠道原生动物寄生虫的流行情况：一项系统评价与荟萃分析

Prevalence of intestinal protozoan parasites among Asian schoolchildren: a systematic review and meta-analysis.

作者信息

Abdoli Amir, Olfatifar Meysam, Eslahi Aida Vafae, Moghadamizad Zeinab, Nowak Oskar, Pirestani Majid, Karimipour-Saryazdi Amir, Badri Milad, Karanis Panagiotis

机构信息

Zoonoses Research Center, Jahrom University of Medical Sciences, Jahrom, Iran.

Department of Parasitology and Mycology, Jahrom University of Medical Sciences, Jahrom, Iran.

出版信息

Infection. 2024 Dec;52(6):2097-2133. doi: 10.1007/s15010-024-02339-1. Epub 2024 Jul 9.

DOI:10.1007/s15010-024-02339-1
PMID:38982017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11621188/
Abstract

PURPOSE

Intestinal protozoan parasites among Asian schoolchildren are a subject of concern due to their prevalence and potential health impact. Understanding and addressing this issue is crucial for public health in the region.

METHODS

We conducted a comprehensive search for articles published up to December 2023 across four databases, including Scopus, PubMed, ProQuest, and Web of Science. To estimate the combined prevalence, a random-effects model with a 95% confidence interval (CI) was applied, and the statistical analysis was performed using meta-analysis packages in R version (3.6.1). This study is registered with PROSPERO (CRD42023481146).

RESULTS

Among 131 eligible articles, the prevalence of intestinal protozoan parasites was 0.208 (95% CI = 0.180-0.238). Lebanon and Tajikistan had the highest country-level prevalence at 0.851 and 0.836, respectively, with Giardia duodenalis being the most prevalent species at 0.082.

CONCLUSION

In summary, our study highlights the urgent public health issue of protozoan parasites among Asian schoolchildren due to poor sanitation and water quality. Immediate interventions are essential, considering climate and socioeconomic factors, to combat these infections and improve overall health.

摘要

目的

亚洲学童中的肠道原生动物寄生虫因其流行率和潜在的健康影响而备受关注。了解并解决这一问题对该地区的公共卫生至关重要。

方法

我们对截至2023年12月在四个数据库（包括Scopus、PubMed、ProQuest和Web of Science）上发表的文章进行了全面检索。为了估计合并流行率，应用了具有95%置信区间（CI）的随机效应模型，并使用R版本（3.6.1）中的荟萃分析软件包进行统计分析。本研究已在国际前瞻性系统评价注册库（PROSPERO）注册（注册号：CRD42023481146）。

结果

在131篇符合条件的文章中，肠道原生动物寄生虫的流行率为0.208（95%CI = 0.180 - 0.238）。黎巴嫩和塔吉克斯坦的国家层面流行率最高，分别为0.851和0.836，其中十二指肠贾第虫最为常见，流行率为0.082。

结论

总之，我们的研究突出了由于卫生条件差和水质问题导致的亚洲学童原生动物寄生虫这一紧迫的公共卫生问题。考虑到气候和社会经济因素，立即采取干预措施对于对抗这些感染和改善整体健康状况至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0757/11621188/e7dce42cc8ca/15010_2024_2339_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0757/11621188/ae33baaae865/15010_2024_2339_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0757/11621188/bbc62131da46/15010_2024_2339_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0757/11621188/b7e1f056acc2/15010_2024_2339_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0757/11621188/f113f0b9eccd/15010_2024_2339_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0757/11621188/e7dce42cc8ca/15010_2024_2339_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0757/11621188/ae33baaae865/15010_2024_2339_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0757/11621188/bbc62131da46/15010_2024_2339_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0757/11621188/b7e1f056acc2/15010_2024_2339_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0757/11621188/f113f0b9eccd/15010_2024_2339_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0757/11621188/e7dce42cc8ca/15010_2024_2339_Fig5_HTML.jpg

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