Infect Dis:尼日利亚儿童中土源性线虫感染的流行和分布

2018-05-30 MedSci MedSci原创

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由于控制措施的实施存在困难,在医疗资源有限的国家中,土源性线虫感染STH)仍然是一个值得关注的健康问题。例如,在尼日利亚,尽管有一些基于社区和省份的报告,但仍然缺乏关于疾病流行、负担和危险区域(RZs)的国家级数据。

本研究根据系统综述和meta分析(PRISMA)的首选报告项目的建议,通过对1980年至2015年发表的数据进行meta分析,以确定尼日利亚儿童感染的流行、分布和RZs。采用随机效应模型决定混合流行估计(PPE),并使用Cochran s q检验来评估异质性。

在本研究期间,对19个尼日利亚州的345180-17岁的儿童进行了调查,其中有18901人感染了一种或多种类型的STHs。感染的总PPE54.8% (95% CI: 54.2, 55.3)。亚组的PPEs介于13.2% (95% CI: 11.5, 15.1)80.9% (95% CI: 80.0, 81.7)之间。在社区中,儿童的感染率 (59.0%95% CI: 57.7, 60.4)和学龄儿童(54.9%95% CI: 54.3, 55.5) 最高。蛔虫是最普遍的感染虫种(44.6%95% CI: 44.0, 45.2)。超过36%(15/41)的研究来源于尼日利亚西南部。西南地区是STHs传播的唯一高危险区(HRZ),而其它地区为低危险区(LRZs)

在尼日利亚,包括蛔虫、大叶虫、三叶虫和钩虫感染的STH均流行较高。基于这一流行病学信息,进而战略性地使用驱虫剂、健康教育和适当的卫生设施将有助于在该地区控制这些感染。

原始出处:

Solomon Ngutor Karshima, et. al. Prevalence and distribution of soil-transmitted helminth infections in Nigerian children: a systematic review and meta-analysis          .

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    2018-06-01 zblhy
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    2018-05-30 天地飞扬

    了解一下.谢谢分享!

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