Epidemiology of Porcine Cysticercosis in Eastern and Southern Africa: Systematic Review and Meta-Analysis.

Epidemiology of Porcine Cysticercosis in Eastern and Southern Africa: Systematic Review and Meta-Analysis.
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DOI:
10.3389/fpubh.2022.836177
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发表时间:
2022
影响因子:
5.2
通讯作者:
Cook EAJ
Cook EAJ
中科院分区:
医学3区
文献类型:
--
作者:
Gulelat Y;Eguale T;Kebede N;Aleme H;Fèvre EM;Cook EAJ

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猪带绦虫囊虫病是非洲、拉丁美洲和亚洲养猪业和猪肉消费地区后天性癫痫的最常见原因。本综述旨在系统地汇编和综合东部和南部非洲(ESA)地区猪囊虫病的流行病学资料。采用综合检索策略,从Pub Med、Hinari、Google Scholar数据库和搜索平台检索1997年1月1日至2021年3月1日发表或报道的研究。然后对确定的符合纳入标准的研究进行方法学质量评估。最后,从9个国家获得的44项研究被选入本综述。使用标准化模板提取相关数据,用于定性综合和荟萃分析。欧空局地区猪囊虫病的总体合并患病率估计为17%(95%可信区间:14-20%)。国家之间和国家内部的流行率水平表现出很大的变异性。合并估计在各报告之间表现出高度的异质性(逆方差指数值(I2)为98.99%,p<0.05)。按诊断试验类型分组的Meta分析显示,身体解剖的合并患病率估计为27%(95%CI:9-50);基于抗体的免疫诊断技术为23%(95%CI:14-33);抗原检测(Ag)-ELISA为23%(95%CI:18-29);肉类检验为12%(95%CI:7-18);舌检为9%(95%CI:7-11)。按地区分组的荟萃分析显示,南部地区22%(95%可信区间:15-30)的合并患病率估计相对较高,而东部地区为13%(95%可信区间:11-15)。南非(33%,95%CI:20-48)和赞比亚(22%,95%CI:16-29)是以国家为基础的最高汇集流行率,马达加斯加(5%,95%CI:4-5)和卢旺达(7%,95%CI:6-8)是最低的汇集流行率。在综合研究中,缺乏厕所、传统的养猪业做法、没有保护的水源和年龄的增加被确定为猪囊虫病发生的重要危险因素。这项审查的结果将为确定欧空局地区防治玉米白粉菌的可能干预计划的优先顺序提供特定背景的投入。需要更敏感和更具体的基于检测的患病率估计、详细的风险因素调查和财务损失分析,以建立可行的控制策略。Http://www.crd.york.ac.uk/PROSPERO/,标识:CRD42021238931。
Taenia solium cysticercosis is the most common cause of acquired epilepsy in pig-raising and pork-consuming parts of Africa, Latin America, and Asia. This review aimed to systematically compile and synthesize data on the epidemiology of porcine cysticercosis in the Eastern and Southern Africa (ESA) region. Comprehensive searching strategies were employed to retrieve the studies published or reported between January 1,1997 and March 1, 2021, from Pub Med, Hinari, and Google Scholar databases and search platforms. The identified studies that met the inclusion criteria were then appraised for methodological quality. Finally, 44 studies obtained from nine countries were selected and included in this review. Relevant data were extracted using standardized templates for qualitative synthesis and meta-analysis. The overall pooled prevalence estimate of porcine cysticercosis in the ESA region was 17% (95% CI: 14–20%). The prevalence level between and within countries showed high variability. The pooled estimate showed high heterogeneity among the reports (the inverse variance index value (I2) of 98.99%, p < 0.05). The meta-analysis sub-grouped by the type of diagnostic test showed the pooled prevalence estimate of 27% (95% CI: 9–50) by carcass dissection; 23% (95% CI: 14–33) by Antibody-based immunodiagnostic techniques; 23% (95% CI: 18-29) by antigen detecting (Ag)-ELISA, 12% (95% CI: 7–18) by meat inspection, and 9% (95% CI: 7-11) by lingual examination. The meta-analysis sub-grouped by region showed a relatively higher pooled prevalence estimate for the Southern region 22% (95% CI: 15–30) compared to 13% (95% CI: 11–15) in the Eastern region. The highest country-based pooled prevalence was obtained from South Africa (33%, 95% CI: 20–48) and Zambia (22%, 95% CI: 16–29), whereas the lowest pooled prevalence was identified in Madagascar (5%, 95% CI: 4-5) and Rwanda (7%, 95% CI: 6–8). The lack of latrine, traditional pig husbandry practices, unprotected water sources, and increase in age were identified as significant risk factors for the occurrence of porcine cysticercosis in the pooled studies. The findings of this review will provide context-specific input to prioritize the possible intervention programs for T. solium control in the ESA region. More sensitive and specific test-based prevalence estimates, detailed risk factor investigations, and financial losses analysis are needed to establish feasible control strategies. http://www.crd.york.ac.uk/PROSPERO/, identifier: CRD42021238931.
坦桑尼亚自然感染的猪的taenia囊囊肿诊断中Ag-elisa的性能。
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