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探索寄生虫领域:深入了解西非的感染模式与公共卫生策略

Navigating the Parasitic Landscape: Insights into Infection Patterns and Public Health Strategies in West Africa.

作者信息

Ayeh-Kumi Patrick F, Tetteh-Quarcoo Patience B, Aryee Isabella N A, Baddoo Peter Nii Apai, Ocansey James Teye, Otoboah Michael Kofi

机构信息

Department of Medical Microbiology, University of Ghana Medical School, Korle-Bu, Accra P.O. Box KB 4236, Ghana.

出版信息

Trop Med Infect Dis. 2025 May 6;10(5):125. doi: 10.3390/tropicalmed10050125.

Abstract

Parasitic infections remain a significant public health challenge in West Africa, contributing to high morbidity and mortality rates, economic burdens, and healthcare system strain. Malaria, soil-transmitted helminths, schistosomiasis, and other parasitic diseases persist due to environmental, socio-economic, and healthcare barriers. A systematic literature search was conducted using databases such as PubMed, Scopus, Web of Science, and Science Direct. Studies published between 2014 and 2024 were screened using predefined eligibility criteria. Cross-sectional and case-control studies reporting on prevalence, diagnostic techniques, and treatment of parasitic infections in West Africa were included. The Rayyan online platform was used for screening, and data extraction focused on study location, prevalence rates, diagnostic methods, and treatment regimens. This review identified the high prevalence rates of malaria, schistosomiasis, and soil-transmitted helminths across various West African countries. Co-infections were frequently reported, particularly among children and pregnant women. Diagnostic methods ranged from traditional microscopy to advanced molecular techniques, though accessibility remained a challenge in resource-limited settings. Treatment strategies, including artemisinin-based combination therapies for malaria and mass drug administration for helminths, showed varying efficacy due to reinfection risks and emerging drug resistance. Factors influencing transmission included environmental conditions, sanitation practices, socio-economic status, and healthcare access. Parasitic infections in West Africa continue to pose significant health and economic challenges. Integrated control programs, enhanced surveillance systems, improved access to diagnostics and treatment, and targeted public health interventions are essential for reducing disease burden. Further research is needed to evaluate the long-term impact of existing interventions and explore innovative solutions for parasite control and elimination.

摘要

寄生虫感染仍是西非一项重大的公共卫生挑战,导致高发病率和死亡率、经济负担以及医疗系统压力。由于环境、社会经济和医疗保健方面的障碍,疟疾、土壤传播的蠕虫病、血吸虫病和其他寄生虫病持续存在。使用PubMed、Scopus、Web of Science和Science Direct等数据库进行了系统的文献检索。根据预先确定的纳入标准,筛选了2014年至2024年发表的研究。纳入了关于西非寄生虫感染的患病率、诊断技术和治疗的横断面研究和病例对照研究。使用Rayyan在线平台进行筛选,数据提取重点关注研究地点、患病率、诊断方法和治疗方案。本综述确定了西非各国疟疾、血吸虫病和土壤传播蠕虫病的高患病率。经常报告合并感染,尤其是在儿童和孕妇中。诊断方法从传统显微镜检查到先进的分子技术不等,不过在资源有限的环境中,可及性仍然是一个挑战。治疗策略,包括基于青蒿素的联合疗法治疗疟疾和大规模药物驱虫治疗蠕虫病,由于再感染风险和新出现的耐药性,疗效各不相同。影响传播的因素包括环境条件、卫生习惯、社会经济地位和医疗保健可及性。西非的寄生虫感染继续构成重大的健康和经济挑战。综合防控计划、加强监测系统、改善诊断和治疗的可及性以及有针对性的公共卫生干预措施对于减轻疾病负担至关重要。需要进一步研究来评估现有干预措施的长期影响,并探索控制和消除寄生虫的创新解决方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca64/12116141/07c396d0b47f/tropicalmed-10-00125-g001.jpg

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