全球由食物传播的甲型肝炎疫情:系统性审查和元分析
Aravind P Gandhi1, Mohammed Al-Mohaithef2, P Aparnavi3
1Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, India.
Heliyon
|April 10, 2024
概括
食物传播的甲型肝炎病毒 (HAV) 感染经常导致住院治疗,影响32%的患者. 虽然死亡率不到1%,但住院率正在增加,这突显了严重的食品安全问题.
科学领域:
- 食品安全 食品安全
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 甲型肝炎病毒 (HAV) 对食品安全构成重大风险.
- 食物传播的HAV感染呈现出各种临床结果,需要进行彻底的调查.
研究的目的:
- 系统地审查和分析食物传播的甲型肝炎病毒感染的临床结果.
- 估计与食物传播的HAV相关的死亡率,住院率和严重程度的综合流行率.
主要方法:
- 进行了系统的文献搜索,以确定相关研究.
- 从33项选定的研究中提取了数据进行元分析.
- 用95%的置信区间计算了临床结果的综合估计.
主要成果:
- 综合住院患病率为32% (95% CI 21-44%),具有显著的异质性 (I2 = 98%).
- 澳大利亚报告了最高的住院率 (82%),其次是欧洲 (42%).
- 随着时间的推移,观察到住院率的显著上升趋势 (β = 0.015,p = 0.002).
- 汇总的死亡率不到1% (I2 = 5%).
- 各种食品被确定为HAV爆发的来源.
结论:
- 食物传播的甲型肝炎病毒感染经常与住院有关,有明显的增加趋势.
- 死亡率仍然很低,但高患病率和住院治疗的增加趋势凸显了公共卫生的影响.
- 有效的食品安全措施对于减轻与HAV爆发相关的风险至关重要.
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