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La eficacia del control del vector del dengue: una meta-revisión
Gary K K Low1,2, Sam Froze Jiee3, Siong Hee Lim3
1Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Tropical medicine & international health : TM & IH
|August 21, 2025
Resumen
Las pruebas sobre las intervenciones de control del vector del dengue son limitadas, y la movilización de la comunidad y los materiales tratados con insecticida muestran una eficacia débil. Se necesitan con urgencia nuevos métodos para combatir eficazmente la transmisión del dengue.
Área de la Ciencia:
- Salud pública
- La medicina tropical
- Enfermedades transmitidas por vectores
Sus antecedentes:
- El control del vector del dengue es crucial para reducir la carga de la enfermedad.
- Las revisiones sistemáticas son esenciales para evaluar la eficacia de la intervención.
- Comprender las estrategias eficaces es clave para las iniciativas de salud pública.
Objetivo del estudio:
- Para sintetizar la evidencia de las revisiones sistemáticas sobre las intervenciones de control del vector del dengue.
- Evaluar la eficacia de varios métodos de control de los vectores del dengue.
- Identificar las lagunas en la investigación actual y orientar las intervenciones futuras.
Principales métodos:
- Revisión sistemática de ensayos controlados aleatorizados en clúster (ECA) y ensayos controlados aleatorizados (ECA).
- La inclusión de todas las intervenciones de control del vector del dengue, los comparadores y los resultados.
- Búsqueda exhaustiva de bases de datos electrónicas y listas de referencia, con extracción independiente de datos y evaluación de la calidad.
Principales resultados:
- Se identificaron quince revisiones sistemáticas; la síntesis narrativa se centró en 3 revisiones de los cRCT/RCT.
- La movilización comunitaria y los materiales tratados con insecticida demostraron una eficacia débil.
- Las limitaciones potenciales incluyen poblaciones de ensayos que no se superponen en las revisiones incluidas.
Conclusiones:
- No existen pruebas suficientes para recomendar un método definitivo de control del vector del dengue.
- Las nuevas estrategias de control del vector del dengue requieren investigaciones y ensayos urgentes.
- Los programas actuales de control de vectores de los gobiernos locales siguen siendo importantes para controlar las poblaciones de mosquitos y la transmisión del dengue.
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