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一项关于土壤传播蠕虫感染传播模型的范围综述,以支持为……开发传播模型。

A scoping review of transmission models for soil-transmitted helminth infections to underpin the development of a transmission model for .

作者信息

Winslow Mackrina, Villanueva-Cabezas Juan Pablo, Colella Vito, Campbell Patricia T

机构信息

Department of Infectious Diseases, The University of Melbourne, at the Peter Doherty Institute for Infection and Immunity, Melbourne, VIC, Australia.

The Nossal Institute for Global Health, The University of Melbourne, Melbourne, VIC, Australia.

出版信息

Parasitology. 2024 Dec;151(14):1508-1521. doi: 10.1017/S0031182024001392.

Abstract

Soil-transmitted helminth (STH) infections afflict people worldwide, especially in tropical and subtropical regions. is distinctive from other STH nematodes by its complex life cycle features of autoinfection, parthenogenesis, and environmental reproduction. This scoping review aims to identify the structures, features, and techniques employed in existing STH models, emphasizing their potential application in describing infection dynamics. A comprehensive search was conducted in the Medline, Embase, and Scopus databases for studies published until 14 June 2024. A total of 47 studies presenting a new model or novel adaptation of an existing model to human STH infection transmission were identified: only one described transmission in humans. The identified models were predominantly deterministic and focused on the dynamics of mean worm load within hosts and the infectiousness of the environmental reservoir. One model addressed transmission in multi-host scenarios, as not all STH transmission cycles involve multiple hosts. Models were frequently used to simulate the effectiveness of mass drug administration, including drug efficacy and treatment coverage, while water, sanitation, and hygiene (WASH), health education, and vaccination were less explored. Given the limitation of individual-level data, compartmental models may be a reasonable starting point for transmission. For a comprehensive understanding, incorporating parasite life cycle features into the model, exploring multi-host dynamics, including a diverse range of host heterogeneities, and assessing the impact of climatic factors like rainfall and land surface temperature on parasite survival in the environment may be beneficial, especially in settings where their importance is notable.

摘要

土壤传播的蠕虫(STH)感染影响着全球各地的人们,尤其是在热带和亚热带地区。它因其自身感染、孤雌生殖和环境繁殖等复杂的生命周期特征,有别于其他STH线虫。本综述旨在确定现有STH模型中所采用的结构、特征和技术,强调其在描述感染动态方面的潜在应用。我们在Medline、Embase和Scopus数据库中进行了全面检索,以查找截至2024年6月14日发表的研究。总共确定了47项研究,这些研究提出了新模型或对现有模型进行了新的改编以用于人类STH感染传播:只有一项描述了人类中的传播情况。所确定的模型主要是确定性的,并且侧重于宿主内平均虫负荷的动态以及环境库的传染性。一个模型涉及多宿主场景中的传播,因为并非所有STH传播周期都涉及多个宿主。模型经常被用于模拟群体药物给药的效果,包括药物疗效和治疗覆盖率,而水、环境卫生和个人卫生(WASH)、健康教育以及疫苗接种方面的探索较少。鉴于个体层面数据的局限性, compartmental模型可能是研究传播的一个合理起点。为了全面理解,将寄生虫生命周期特征纳入模型、探索多宿主动态(包括各种宿主异质性)以及评估降雨和地表温度等气候因素对寄生虫在环境中生存的影响可能是有益的,尤其是在这些因素的重要性显著的环境中。 (注:原文中“compartmental”翻译为“ compartmental”,可能是拼写有误,推测可能是“compartmental”,意为“ compartmental模型”,这里按原文翻译。)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94da/12052426/7c4efab3facf/S0031182024001392_figAb1.jpg

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