Research Institute of Nursing Care for People and Community, University of Hyogo, Akashi, Japan.
Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan; Collaborative Research Centre of Okayama University for Infectious Diseases in India at ICMR-NICED, Kolkata, India.
J Infect Public Health. 2024 Nov;17(11):102564. doi: 10.1016/j.jiph.2024.102564. Epub 2024 Oct 13.
We reviewed and analyzed the existing data on vibriosis in Southeast Asia to better understand its burden and prevalent causal agents. We searched PubMed, Web of Science, and EMBASE for studies published between January 2000 and April 2024. A random-effects meta-analysis was used to estimate the pooled isolation rate of non-cholera Vibrio species. Among the 1385 retrieved studies, 22 met the inclusion criteria for the systematic review and 11 were included in the meta-analysis. The pooled isolation rate of non-cholera Vibrio species among diarrheal patients was 5.0 %. Most species that caused vibriosis included V. parahaemolyticus, V. mimicus, V. vulnificus, non-O1/non-O139 V. cholerae, V. fluvialis, and V. alginolyticus. Pooled isolation rate of V. parahaemolyticus and non-O1 V. cholerae were 7.0, and 4.0, respectively. The prevalence of vibriosis in Southeast Asia is non-negligible. Public health strategies should prioritize enhanced surveillance, and clinicians should consider vibriosis in diarrheal patients with seafood consumption history.
我们回顾和分析了东南亚地区弧菌病的现有数据，以更好地了解其负担和流行的病原体。我们在 PubMed、Web of Science 和 EMBASE 上检索了 2000 年 1 月至 2024 年 4 月期间发表的研究。采用随机效应荟萃分析来估计非霍乱弧菌种的总分离率。在检索到的 1385 项研究中，有 22 项符合系统评价的纳入标准，有 11 项纳入荟萃分析。腹泻患者中非霍乱弧菌种的总分离率为 5.0%。引起弧菌病的大多数物种包括副溶血性弧菌、类志贺邻单胞菌、创伤弧菌、非 O1/非 O139 霍乱弧菌、河弧菌和溶藻弧菌。副溶血性弧菌和非 O1 霍乱弧菌的总分离率分别为 7.0%和 4.0%。东南亚地区弧菌病的流行不容忽视。公共卫生策略应优先加强监测，临床医生应考虑在有海鲜食用史的腹泻患者中是否存在弧菌病。
