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孟加拉国的登革热调查研究:一项范围综述的见解

Dengue Investigation Research in Bangladesh: Insights From a Scoping Review.

作者信息

Chowdhury Shah Md Muztahid Hasan, Rashid Mohammad Abdur, Trisha Samina Yesmin, Ibrahim Mohammed, Hossen Md Shafiul

机构信息

Department of Pharmacy Noakhali Science and Technology University Noakhali Bangladesh.

Department of Pharmaceutical Chemistry University of Dhaka Dhaka Bangladesh.

出版信息

Health Sci Rep. 2025 Mar 12;8(3):e70568. doi: 10.1002/hsr2.70568. eCollection 2025 Mar.

Abstract

BACKGROUND AND AIMS

A more accurate assessment of the disease's incidence and fatality rate over the previous years could help with future outbreak detection and containment. Therefore, this scoping review was conducted to compile the results of research on dengue investigation in Bangladesh in terms of knowledge, attitudes, and practices; risk factors; clinical presentations; and stereotypes of dengue.

METHODS

The final analysis included 27 studies that satisfied the inclusion criteria. The PRISMA 2020 guidelines served as the basis for data extraction. All included articles were retrieved from PubMed, BanglaJOL, Google Scholar, Embase, Web Sciences, Cochrane Library, and other databases up to October, 2024. The quality of included studies in terms of relevance, reliability, validity, and applicability was also evaluated.

RESULTS

The present study recorded a moderate understanding of dengue infection among slum dwellers and people in rural areas due to a lack of knowledge about it. Insufficient practices regarding dengue fever were also found among them. However, the differences in perception regarding dengue infection were observed in different parts of Dhaka city. Additionally, between 2017 and 2022, different dengue serotypes were the most common at various times. The potential risk factors included monsoon sessions (July to September), static water, scrapyards, and indoor plants; urbanization; population density; being outside in the morning and evening; sleeping during the day; and so forth. Along with the common symptoms of dengue, hematological abnormalities such as thrombocytopenia and leukopenia, as well as elevated levels of ALT and AST, were observed in Bangladeshi dengue patients.

CONCLUSIONS

Knowledge gap, moderate understanding, insufficient practices regarding dengue infection among slum dwellers and rural people, and varieties in dengue serotypes are the main obstacles to control the dengue outbreak. Therefore, it is essential to undertake several preventive measures to reduce the dengue infection and also understand the dengue serotypes.

摘要

背景与目的

更准确地评估过去几年该疾病的发病率和死亡率,有助于未来对疫情的检测和控制。因此,开展了这项范围综述,以汇总孟加拉国登革热调查在知识、态度和实践、风险因素、临床表现以及登革热刻板印象方面的研究结果。

方法

最终分析纳入了27项符合纳入标准的研究。数据提取以PRISMA 2020指南为基础。截至2024年10月,所有纳入文章均从PubMed、BanglaJOL、谷歌学术、Embase、网络科学、考科蓝图书馆及其他数据库中检索获得。还对纳入研究在相关性、可靠性、有效性和适用性方面的质量进行了评估。

结果

本研究发现,由于贫民窟居民和农村地区居民对登革热感染缺乏了解,他们对登革热感染的认识程度一般。他们在登革热发热方面的实践也不足。然而,达卡市不同地区对登革热感染的认知存在差异。此外,在2017年至2022年期间,不同的登革热血清型在不同时间最为常见。潜在风险因素包括季风季节(7月至9月)、死水、废品场和室内植物;城市化;人口密度;早晚外出;白天睡觉等。除了登革热的常见症状外,孟加拉国登革热患者还出现了血小板减少和白细胞减少等血液学异常,以及谷丙转氨酶和谷草转氨酶水平升高。

结论

知识差距、认识程度一般、贫民窟居民和农村人口在登革热感染方面实践不足以及登革热血清型的多样性是控制登革热疫情的主要障碍。因此,必须采取多项预防措施来减少登革热感染,并了解登革热血清型。

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