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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
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Risk Factors for Opisthorchis Viverrini Infection: A Systematic Review.

Anuwat Pengput1, Diane G Schwartz2

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|June 23, 2020
PubMed
Summary
This summary is machine-generated.

Opisthorchis viverrini (O. viverrini) infection, a cause of cholangiocarcinoma (CCA), is linked to demographic, environmental, and behavioral factors in the Mekong region. Understanding these risk factors is crucial for developing effective prevention and control strategies.

Keywords:
O. viverriniOpisthorchis viverriniOpisthorciasisRisk factorsSystematic review

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Area of Science:

  • Parasitology
  • Public Health
  • Epidemiology

Background:

  • Opisthorchis viverrini (O. viverrini) infection is a significant public health concern in the Mekong River basin.
  • It is the primary etiological agent for cholangiocarcinoma (CCA), a severe liver fluke disease.
  • Identifying risk factors for O. viverrini infection is essential for disease control.

Purpose of the Study:

  • To systematically review and appraise the risk factors associated with Opisthorchis viverrini infection.
  • To synthesize findings from existing human studies on O. viverrini infection risk factors.
  • To inform public health strategies for prevention and control in endemic regions.

Main Methods:

  • Systematic literature search across multiple databases (PubMed, EMBASE, Global Health, Thai Journals Online) using MeSH and keywords.
  • Inclusion of human studies; exclusion of in vitro, animal, genetic research, and systematic reviews.
  • Data extraction and summarization of study design, demographics, settings, methods, and significant risk factors.

Main Results:

  • Twenty-four articles were included, primarily cross-sectional studies (79.2%) conducted in Thailand (75%) and Lao PDR (20.8%).
  • Significant risk factors identified include demographic characteristics, environmental exposures, geographic location, health behaviors, praziquantel treatment history, and prior O. viverrini infection.
  • The review synthesized data from 1,098 initially identified records.

Conclusions:

  • Demographic, environmental, geographic, and behavioral factors are significantly associated with Opisthorchis viverrini infection.
  • A history of infection and praziquantel treatment are also key risk indicators.
  • Further investigation and innovative methods for prevention and control are recommended for health professionals in affected countries.