撒哈拉以南非洲儿童杆菌病控制计划的影响:系统性审查
Maryline Vere1, Wilma Ten Ham-Baloyi1,2, Paula Ezinne Melariri2
1Faculty of Health Sciences, Department of Environmental Health, Nelson Mandela University, University Way, Summerstrand, Gqeberha, South Africa.
PloS one
|May 2, 2024
概括
预防性化疗降低了儿童的杆杆菌病的患病率,但再感染是常见的. 综合卫生和教育的全面控制计划对于撒哈拉以南非洲的消除至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 热带医学 热带医学
背景情况:
- 杆菌仍然是一个重要的健康负担,特别是在撒哈拉以南非洲的儿童.
- 通过预防性化疗进行大规模药物管理 (MDA) 是消除杆菌病的首要全球战略.
- 儿童群体具有高风险,是控制计划的关键目标.
研究的目的:
- 在撒哈拉以南非洲地区系统地审查儿童杆菌病控制计划对消除疾病的影响.
- 评估当前策略的有效性,并确定影响杆菌病根除的因素.
主要方法:
- 在PubMed,EBSCOhost和其他数据库进行系统的文献搜索.
- 选了3,455项研究,其中40项被批评评估,30项被纳入分析.
- 定量描述性分析和发现的叙事综合.
主要成果:
- 预防性化疗有效地降低了儿童杆菌病的患病率.
- 流行病地区的高再感染率持续存在,限制了完全消除.
- 单靠MDA是不够的;补充干预措施是必不可少的.
结论:
- 综合控制策略是必要的,以消除杆菌病.
- 将预防性化疗与安全的饮用水,卫生设施,牛控制和健康教育相结合至关重要.
- 需要持续努力,以克服撒哈拉以南非洲地区的再感染挑战.
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