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Prevalence of Human Metapneumovirus Infections in Iran: A Systematic Review and Meta-Analysis
Somayeh Shatizadeh Malekshahi1, Jila Yavarian2, Nazanin-Zahra Shafiei-Jandaghi2
1Department of Virology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Abstract:
BackgroundWe sought to systematically review the literature and perform a meta-analysis by assessing the prevalence of human metapneumovirus (hMPV) infections from a number of studies conducted in Iran. Methods: Entire studies addressing epidemiology of hMPV in Iran using data from PubMed, Scopus, Science Direct, Web of science, Google Scholar, Embase, and national Persian databases up to June 2019 were included. Results: The estimated prevalence of hMPV was 8.9% (95% CI 5.4-14.2) in different regions in Iran. Compared to the global rate, in Iran hMPV infection presented an intermediate prevalence rate. The majority of hMPV positive patients were pediatric populations with pooled prevalence of 7.6% (I2 = 95%, 95% CI 3.5-15.6). Conclusion: This first comprehensive review covering researches over the last 11 years expanded our knowledge about hMPV circulating in Iran. Future large epidemiological studies are needed for the evaluation of hMPV prevalence and genotype distribution in different unanalyzed regions in Iran.
Insights
This study found human metapneumovirus (hMPV) has an intermediate prevalence in Iran, affecting 8.9% of the population, particularly children. Further research is needed to understand its distribution and genotypes across the country.
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- Human metapneumovirus (hMPV) is an important respiratory pathogen.
- Understanding hMPV prevalence in Iran is crucial for public health strategies.
- Previous data on hMPV epidemiology in Iran is fragmented.
Purpose of the Study:
- To systematically review and meta-analyze the prevalence of hMPV infections in Iran.
- To consolidate existing epidemiological data on hMPV in the Iranian population.
- To compare Iranian hMPV prevalence with global rates.
Main Methods:
- Comprehensive literature search of multiple databases (PubMed, Scopus, Web of Science, etc.) and Persian national databases.
- Inclusion of studies on hMPV epidemiology in Iran published up to June 2019.
- Meta-analysis to estimate pooled prevalence rates and confidence intervals.
Main Results:
- The overall estimated prevalence of hMPV in Iran was 8.9% (95% CI 5.4-14.2).
- hMPV prevalence in Iran is intermediate compared to global estimates.
- Pediatric populations showed a pooled prevalence of 7.6% (I² = 95%) for hMPV infections.
Conclusions:
- This meta-analysis provides the first comprehensive overview of hMPV epidemiology in Iran over an 11-year period.
- hMPV is circulating in Iran with a notable prevalence, especially in children.
- Further large-scale epidemiological studies are recommended to assess prevalence and genotype distribution in understudied regions of Iran.
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