人类勒螺杆菌病在美洲的流行:系统性审查和元分析
Ericka Souza Browne1, Marcos Pereira1, Ana Barreto1
1Universidade Federal da Bahia Collective Health Institute SalvadorBahia Brazil Universidade Federal da Bahia, Collective Health Institute, Salvador, Bahia, Brazil.
概括
在美洲,白病的患病率为28%,在不同国家和血清病毒之间存在显著差异. 这凸显了在受影响地区迫切需要疾病控制战略.
科学领域:
- 动物传染病是动物传播的疾病.
- 流行病学 流行病学
- 传染病监测 传染病监测 传染病监测 传染病监测
背景情况:
- 莱普托斯皮罗斯是一个重要的动物传染病,对全球健康有影响.
- 了解其流行和分布对于有效的公共卫生干预至关重要.
研究的目的:
- 系统地审查和分析北美,中美洲和南美洲的白病发病率.
- 为了确定Leptospira的地理热点和常见的血清病毒.
主要方法:
- 进行了全面的系统审查和元分析.
- 数据来源于1930年至2017年的六个主要科学数据库 (PubMed,科学网,Scopus,Lilacs,Embase,Cochrane) 的数据.
- 在最终分析中,包含77篇出版物的62项研究被包括在内.
主要成果:
- 在分析的研究中,白病的总流行率为28% (95% CI [23,32]).
- 患病率因国家而异,美国 (41%),哥伦比亚 (29%) 和巴西 (21%) 的患病率较高.
- 最常被发现的血清病毒是Icterohaemorrhagiae (55%),Canicola (45%),Pomona (36%) 和Grippotyphosa (33%).这些病毒中最常被发现的血清病毒是Icterohaemorrhagiae (55%),Canicola (45%),Pomona (36%) 和Grippotyphosa (33%).
结论:
- 莱普托斯皮罗斯在整个美洲表现出莱普托斯皮拉物种和血清病毒的异质分布.
- 特定国家的高患病率强调了有针对性的公共卫生行动的必要性.
- 有效的疾病控制措施对于减轻白病的影响至关重要.
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