Global trend of Plasmodium malariae and Plasmodium ovale spp. malaria infections in the last two decades (2000-2020): a systematic review and meta-analysis.

Global trend of Plasmodium malariae and Plasmodium ovale spp. malaria infections in the last two decades (2000-2020): a systematic review and meta-analysis.
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DOI:
10.1186/s13071-021-04797-0
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发表时间:
2021-06-03
影响因子:
3.2
通讯作者:
Singh V
Singh V
中科院分区:
医学2区
文献类型:
--
作者:
Hawadak J;Dongang Nana RR;Singh V

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最近的研究表明,包括疟疾疟原虫和卵形疟原虫在内的非恶性疟疾的流行率正在上升,感染者出现一些并发症。为了更好地了解疟原虫和卵圆疟原虫引起的疟疾流行和疾病负担,本文分别采用PRISMA (Preferred Reporting Items for Systematic Reviews and meta - analysis)指南和Joanna Briggs研究所流行病学研究评估工具对研究进行选择和评估。六个数据库:PubMed、whois、Wiley Library、ScienceDirect、Web of Science和谷歌Scholar被用来筛选2000年1月至2020年12月期间发表的文章。采用随机效应模型对疟疾疟原虫和卵形疟原虫的合并患病率进行分析,并通过亚组分析和meta回归评估可能的异质性来源。在筛选的3297项研究中,只有113项研究被纳入;其中51.33%来自非洲地区。疟疾疟原虫和卵形疟原虫总流行率分别为2.01% (95% CI 1.31 ~ 2.85%)和0.77% (95% CI 0.50 ~ 1.10%),以非洲地区最高。疟疾疟原虫在成人(2.13%)、儿童(2.90%)和孕妇(2.77%)中分布均匀(p = 0.862),其中孕妇(2.90%)的发病率高于≤15岁儿童(0.97%)和≤0 ~ 15岁患者(0.39%)(p = 0.021)。数据分析表明,近20年来我国疟疾疟原虫和卵形疟原虫的数量有所减少,但减少幅度不大,与其他疟原虫共同感染的情况较多。我们的分析表明,了解疟疾疟原虫和卵形疟原虫的全球负担对疟疾消除规划非常重要,应特别重视改进监测这些非恶性疟原虫传播的工具,以应对未来感染的增加。在线版本包含补充材料,可在10.1186/s13071-021-04797-0获得。
Recent studies indicate that the prevalence of non-falciparum malaria, including Plasmodium malariae and Plasmodium ovale spp., is increasing, with some complications in infected individuals. The aim of this review is to provide a better understanding of the malaria prevalence and disease burden due to P. malariae and P. ovale spp. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the Joanna Briggs Institute prevalence study assessment tool were used to select and evaluate the studies, respectively. Six databases: PubMed, WHOLIS, Wiley Library, ScienceDirect, Web of Science and Google Scholar were used to screen articles published during the period January 2000–December 2020. The pooled prevalence estimates for P. malariae and P. ovale spp. were analysed using a random-effects model and the possible sources of heterogeneity were evaluated through subgroup analysis and meta-regression. Out of the 3297 studies screened, only 113 studies were included; among which 51.33% were from the African Region. The P. malariae and P. ovale spp. pooled prevalence were 2.01% (95% CI 1.31–2.85%) and 0.77% (95% CI 0.50–1.10%) respectively, with the highest prevalence in the African Region. P. malariae was equally distributed among adults (2.13%), children (2.90%) and pregnant women (2.77%) (p = 0.862), whereas P. ovale spp. was more prevalent in pregnant women (2.90%) than in children ≤ 15 years (0.97%) and in patients > 15 years old (0.39%) (p = 0.021). In this review, data analysis revealed that P. malariae and P. ovale spp. have decreased in the last 20 years, but not significantly, and these species were more commonly present with other Plasmodium species as co-infections. No difference in prevalence between symptomatic and asymptomatic patients was observed for either P. malariae or P. ovale spp. Our analysis suggests that knowledge of the worldwide burden of P. malariae and P. ovale spp. is very important for malaria elimination programmes and a particular focus towards improved tools for monitoring transmission for these non-falciparum species should be stressed upon to deal with increased infections in the future. The online version contains supplementary material available at 10.1186/s13071-021-04797-0.
在疟疾流行环境中对疟疾寄生虫血症的高度敏感性检测:在乌干达偏远诊所中新的环路介导的等温扩增试剂盒的性能。
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发表时间: 2013-08-15
期刊: The Journal of infectious diseases
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