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驱虫策略在减少儿童贫血方面的有效性:综述概述

Effectiveness of Deworming Strategy in Reducing Anemia in Children: An Overview of Reviews.

作者信息

Chauhan Anil, Kaur Kulbir, Malik Vivek, Pradhan Pranita, Singh Meenu

机构信息

Department of Telemedicine, PGIMER, Chandigarh, India.

Department of Pediatrics, PGIMER, Chandigarh, India.

出版信息

Indian J Community Med. 2025 Jul-Aug;50(4):567-573. doi: 10.4103/ijcm.ijcm_628_23. Epub 2025 Feb 21.

Abstract

BACKGROUND

The most common infections transmitted through soil in humans are caused by roundworms, whipworms, and hookworms. The overview of reviews aimed to determine the effectiveness of deworming interventions on anemia in children.

MATERIAL AND METHODS

The studies included in this review were systematic reviews and meta-analyses that included randomized controlled trials/cluster trials comparing deworming drugs recommended by the World Health Organization (WHO) for soil-transmitted helminths (STHs) with placebo or no treatment in children 1-19 years.

RESULTS

The electronic and manual searches have identified 137 titles and abstracts. Full-text screening yielded nine systematic reviews, which finally yielded the inclusion of six published systematic reviews and one previous report of the ICMR Advanced Centre for Evidence-Based Child Health. Overall, the results from seven systematic reviews suggested that there was no significant change in the hemoglobin levels after single- or double-dose deworming in children. The significant heterogeneity was reported by only two systematic reviews by Ghogomu and the ICMR EBM report. The quality of this overview of reviews was assessed through the ROBIS tool, which reported a moderate to low risk of bias for the phase 1 and phase 2 domains.

CONCLUSION

In conclusion, we suggest no significant change in hemoglobin levels and status of anemia after deworming by single or double dose in children.

摘要

背景

人类中通过土壤传播的最常见感染是由蛔虫、鞭虫和钩虫引起的。本综述旨在确定驱虫干预措施对儿童贫血的有效性。

材料与方法

本综述纳入的研究为系统评价和荟萃分析,其中包括随机对照试验/整群试验,这些试验比较了世界卫生组织(WHO)推荐的用于治疗1-19岁儿童土壤传播性蠕虫(STH)的驱虫药物与安慰剂或不进行治疗的效果。

结果

通过电子检索和手工检索共识别出137篇标题和摘要。全文筛选后得到9篇系统评价,最终纳入6篇已发表的系统评价和一篇印度医学研究理事会循证儿童健康高级中心的既往报告。总体而言,7篇系统评价的结果表明,儿童单剂量或双剂量驱虫后血红蛋白水平无显著变化。只有Ghogomu的两篇系统评价和印度医学研究理事会循证医学报告报道了显著的异质性。通过ROBIS工具对本综述的质量进行评估,结果显示第1阶段和第2阶段领域的偏倚风险为中度至低度。

结论

总之,我们认为儿童单剂量或双剂量驱虫后血红蛋白水平和贫血状况无显著变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7de5/12364256/9dd11b6e980b/IJCM-50-567-g001.jpg

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本文引用的文献

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Cochrane Database Syst Rev. 2019 Sep 11;9(9):CD000371. doi: 10.1002/14651858.CD000371.pub7.
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