Global epidemiology of podoconiosis: A systematic review.

Global epidemiology of podoconiosis: A systematic review.
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DOI:
10.1371/journal.pntd.0006324
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发表时间:
2018-03
影响因子:
3.8
通讯作者:
Davey G
Davey G
中科院分区:
医学2区
文献类型:
--
作者:
Deribe K;Cano J;Trueba ML;Newport MJ;Davey G

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足尘病是少数几种可能在一代人内消除的疾病之一。尽管如此,该疾病的全球分布情况在很大程度上仍不清楚。全球足尘病地图集的构想是通过专门的调查和收集现有的流行病学数据来确定足尘病的流行病学和分布。我们综合了已发表的文献足尘病的流行病学。通过对SCOPUS和MEDLINE从成立到2018年2月14日的系统检索,我们确定了报告足尘病的观察性和基于人群的研究。为了确定足尘病的存在,我们使用了病例报告和存在数据。要将一项研究纳入流行率综合报告,这项研究必须是一项涉及特定地区所有居民的基于人口的调查。未报告原始数据的研究被排除。我们对提取的数据进行了描述性分析。本研究在PROSPERO注册,编号CRD 42018084959。我们确定了3,260项记录,其中27项研究符合纳入标准。据描述,足尘病在32个国家存在或流行,其中18个来自非洲区域,3个来自亚洲,11个来自拉丁美洲。总体而言,足尘病患病率范围为0.10%至8.08%,非洲地区最高,成人患病率远高于儿童和青少年。非洲报告的流行率最高(喀麦隆8.08%,埃塞俄比亚7.45%,乌干达4.52%,肯尼亚3.87%,坦桑尼亚2.51%)。在印度,曼尼普尔、米佐拉姆和拉贾斯坦邦的单一患病率为0.21%。没有一个拉丁美洲国家报告流行率数据。我们的数据表明,非洲地区的足尘病比其他地区更普遍,尽管这可能与大多数足尘病流行病学研究集中在非洲大陆的事实有关。汇集的数据集证实,非洲流行地区迫切需要全面的足病控制策略,如促进鞋类和个人卫生。在开展尘肺病控制活动的同时,必须进行绘图、积极监测和系统地监测疾病负担。足尘病是被忽视的热带病之一,会导致小腿疼痛和巨大肿胀。尽管这种疾病很重要,但人们对其全球分布和流行病学知之甚少。我们进行了一项系统回顾,以评估全球足尘病的流行病学。我们发现,足尘病被描述为存在或流行于32个国家,18个来自非洲,3个来自亚洲和11个来自拉丁美洲。几乎所有记录的流行率数据都与非洲区域有关。没有一个拉丁美洲国家报告流行率数据,尽管有些国家被怀疑是地方病。我们建议非洲区域的足病流行国家迫切需要全面的足病控制战略,如促进鞋类和个人卫生。在开展尘肺病控制活动的同时,必须进行绘图、积极监测和系统地监测疾病负担。
Podoconiosis is one of the few diseases that could potentially be eliminated within one generation. Nonetheless, the global distribution of the disease remains largely unknown. The global atlas of podoconiosis was conceived to define the epidemiology and distribution of podoconiosis through dedicated surveys and assembling the available epidemiological data. We have synthesized the published literature on the epidemiology of podoconiosis. Through systematic searches in SCOPUS and MEDLINE from inception to February 14, 2018, we identified observational and population-based studies reporting podoconiosis. To establish existence of podoconiosis, we used case reports and presence data. For a study to be included in the prevalence synthesis, it needed to be a population-based survey that involved all residents within a specific area. Studies that did not report original data were excluded. We undertook descriptive analyses of the extracted data. This study is registered with PROSPERO, number CRD42018084959. We identified 3,260 records, of which 27 studies met the inclusion criteria. Podoconiosis was described to exist or be endemic in 32 countries, 18 from the African Region, 3 from Asia and 11 from Latin America. Overall, podoconiosis prevalence ranged from 0·10% to 8.08%, was highest in the African region, and was substantially higher in adults than in children and adolescents. The highest reported prevalence values were in Africa (8.08% in Cameroon, 7.45% in Ethiopia, 4.52% in Uganda, 3.87% in Kenya and 2.51% in Tanzania). In India, a single prevalence of 0.21% was recorded from Manipur, Mizoram and Rajasthan states. None of the Latin American countries reported prevalence data. Our data suggest that podoconiosis is more widespread in the African Region than in the rest of the regions, although this could be related to the fact that most podoconiosis epidemiological research has been focused in the African continent. The assembled dataset confirms that comprehensive podoconiosis control strategies such as promotion of footwear and personal hygiene are urgently needed in endemic parts of Africa. Mapping, active surveillance and a systematic approach to the monitoring of disease burden must accompany the implementation of podoconiosis control activities. Podoconiosis is one of the Neglected Tropical Diseases, and causes painful and massive swelling of the lower legs. Despite the importance of the disease, its global distribution and epidemiology are poorly understood. We conducted a systematic review to assess the global epidemiology of podoconiosis. We found that podoconiosis was described to exist or be endemic in 32 countries, 18 from Africa, 3 from Asia and 11 from Latin America. Almost all prevalence data recorded corresponded to the African region. None of the Latin American countries reported prevalence data, although some countries are suspected to be endemic. We recommend that comprehensive podoconiosis control strategies such as promotion of footwear and personal hygiene are urgently needed in endemic countries in the African Region. Mapping, active surveillance and a systematic approach to the monitoring of disease burden must accompany the implementation of podoconiosis control activities.
DOI: 10.1016/0035-9203(88)90032-6
发表时间: 1988-11-01
影响因子: 2.2
作者:
DELALLA, F;ZANONI, P;MOLTRASIO, G
通讯作者: MOLTRASIO, G
DOI: 10.2471/blt.14.150276
发表时间: 2015-10-01
影响因子: 11.1
作者:
Deribe K;Wanji S;Shafi O;M Tukahebwa E;Umulisa I;Molyneux DH;Davey G
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DOI: 10.4269/ajtmh.14-0446
发表时间: 2015-01
期刊: The American journal of tropical medicine and hygiene
影响因子: --
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Deribe K;Brooker SJ;Pullan RL;Sime H;Gebretsadik A;Assefa A;Kebede A;Hailu A;Rebollo MP;Shafi O;Bockarie MJ;Aseffa A;Reithinger R;Cano J;Enquselassie F;Newport MJ;Davey G
通讯作者: Davey G
DOI: 10.1371/journal.pntd.0001184
发表时间: 2011-06
影响因子: 3.8
作者:
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DOI: 10.1093/inthealth/ihv043
发表时间: 2015-09
影响因子: 2.5
作者:
Deribe K;Wanji S;Shafi O;Muheki Tukahebwa E;Umulisa I;Davey G
通讯作者: Davey G