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预防和控制感染及相关病毒感染策略的证据图谱。

Evidence map of strategies for preventing and controlling infestation and related viral infections.

作者信息

Mendes-Sousa Antonio Ferreira, Barros Veruska Cavalcanti, Ibiapina Andressa Barros, Silva Maria Clara Moura, Mendonça Vagner José, Aguiar Bruno Guedes Alcoforado, Biruel Elisabeth, Abdala Carmen Verônica Mendes, Catenacci Lilian Silva

机构信息

Intelligence Center in Emerging and Neglected Tropical Conditions (CIATEN) TeresinaPiauí Brazil Intelligence Center in Emerging and Neglected Tropical Conditions (CIATEN), Teresina, Piauí, Brazil.

Federal University of Piauí TeresinaPiauí Brazil Federal University of Piauí, Teresina, Piauí, Brazil.

出版信息

Rev Panam Salud Publica. 2025 Jun 23;49:e63. doi: 10.26633/RPSP.2025.63. eCollection 2025.

Abstract

OBJECTIVE

The objective of this study was to develop an evidence map on the strategies for preventing and controlling infestation and related viral infections.

METHODS

The evidence map was created according to the methodology of the Latin American and Caribbean Center on Health Sciences Information (BIREME). Publication searches were performed in MEDLINE/PubMed and the Virtual Health Library, filtered for systematic reviews (SRs) only. The methodological quality of the SR was accessed using the AMSTAR2 tool, and Tableau software was used to construct the evidence map.

RESULTS

A total of 44 SRs on the prevention and control of infestation and related viral infections (dengue, chikungunya, Zika, and yellow fever viruses) were included in the map. The evidence map indicates 130 associations between 59 interventions and 18 outcomes. The reported interventions were categorized into 10 groups, including community/educational actions, use of repellents, immunization, individual protection, diagnostics, biological and chemical control of the vector, epidemiological surveillance, environmental actions, and combined interventions. The described outcomes were grouped as mosquito infestation, behavior change, prevention and control, immunological response, safety, and epidemiological surveillance.

CONCLUSION

The elaborated map highlighted strong evidence supporting the effectiveness of vaccination, DEET repellents, community participation, chemical control of the vector, and combined housing interventions in protecting against the vector and transmitted viruses. Nonetheless, several evidence gaps remain in the knowledge of how to best prevent and control the vector and its related viral infections, underscoring the need for high-quality SRs and primary studies.

摘要

目的

本研究的目的是绘制一张关于预防和控制蚊虫滋生及相关病毒感染策略的证据图谱。

方法

根据拉丁美洲和加勒比卫生科学信息中心(BIREME)的方法创建证据图谱。在MEDLINE/PubMed和虚拟健康图书馆中进行文献检索,仅筛选系统评价(SRs)。使用AMSTAR2工具评估SR的方法学质量,并使用Tableau软件构建证据图谱。

结果

该图谱共纳入44项关于预防和控制蚊虫滋生及相关病毒感染(登革热、基孔肯雅热、寨卡病毒和黄热病病毒)的系统评价。证据图谱显示了59项干预措施与18项结果之间的130种关联。报告的干预措施分为10组,包括社区/教育行动、使用驱虫剂、免疫接种、个人防护、诊断、病媒的生物和化学控制、流行病学监测、环境行动以及综合干预措施。所描述的结果分为蚊虫滋生、行为改变、预防和控制、免疫反应、安全性和流行病学监测。

结论

精心绘制的图谱突出了有力证据,支持疫苗接种、避蚊胺驱虫剂、社区参与、病媒化学控制以及综合住房干预措施在预防病媒及其传播病毒方面的有效性。尽管如此,在如何最佳预防和控制病媒及其相关病毒感染方面,仍存在一些知识空白,这凸显了高质量系统评价和原始研究的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d884/12184726/34d523dcc045/rpsp-49-e63-Figure1.jpg

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