Recent advancements in the control of Taenia solium: A systematic review.

Recent advancements in the control of Taenia solium: A systematic review.
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DOI:
10.1016/j.fawpar.2018.e00030
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发表时间:
2018-12-01
影响因子:
2.5
通讯作者:
Gabriel, S
Gabriel, S
中科院分区:
其他
文献类型:
--
作者:
de Coster, T;Van Damme, I;Gabriel, S

文献摘要

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猪带绦虫对健康和经济的综合影响促使人们控制并在可能的情况下消除这种被忽视的人畜共患病。到目前为止,对于最具成本效益和最可行的控制方法仍然没有达成共识。本系统综述的目的是识别和总结英文科学文献中关于控制和消除T。自2014年以来,基于控制和消除T.索利亚。检索结果确定了458条记录,其中包括31条,涵盖13个田间试验和18篇文章,其中包含实验数据,数学模型和其他直接相关的控制T。索利亚最近的实地研究证实,综合干预或多轮干预在迅速减少传播和寄生虫发生方面更为成功,南亚和秘鲁证实了人和猪联合治疗的快速影响。此外,秘鲁的一项研究描述了通过一年的强化方案,结合人和猪的治疗/疫苗接种,消除传播。最近的研究还提供了更多关于具体健康教育的积极影响的数据,以及新开发的电子教育工具,为特定地区的社区参与式干预提供了机会。一旦达到控制,监测潜在感染的人和猪从控制区以外的迁移对于持续的疾病控制很重要。
The combined health and economic impact of Taenia solium urges for control and, if possible, elimination of this neglected parasitic zoonosis. Up till now there is still no consensus about the most cost-effective and feasible approaches for control. The objective of this systematic review is to identify and summarize the evidence in English scientific literature on the control and elimination of T. solium since 2014, based on the rapidly evolving field of evidence on control and elimination of T. solium. The search resulted in the identification of 458 records of which 31 were included, covering 13 field trials and 18 articles containing experimental data, mathematical models, and other information directly relevant the control of T. solium. Recent field studies confirm that combinations of interventions or multiple rounds are more successful in obtaining rapid reductions in transmission and parasite occurrence, with the quick impact of the combination of human and pig treatment confirmed in a South Asian and Peruvian context. Moreover, elimination of transmission through a one-year intensive program, combining human and pig treatment/vaccination was described in a Peruvian study. Recent studies also provide more data on the positive impact of specific health education, as well as newly developed electronic educational tools, providing opportunities for area specific community-engaged participatory interventions. Once control has been achieved, monitoring of migration of both potentially infected people and pigs from outside the control area is important for sustained disease control.