亚洲发展中国家持续性和慢性腹的传染性病因:系统性审查和元分析
Matthew Chung Yi Koh1, Shi Ni Tan2, Jinghao Nicholas Ngiam1
1Division of Infectious Diseases, Department of Medicine, National University Health System, Singapore.
Journal of gastroenterology and hepatology
|May 13, 2024
概括
寄生虫感染是亚洲成年人持续腹的最常见原因. 由于显著的研究异质性和负测试的高患病率,需要进一步的研究.
科学领域:
- 传染病 传染病 传染病
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 传染性腹是亚洲的主要疾病原因之一.
- 了解特定病原体的流行率对于有效的治疗和预防策略至关重要.
研究的目的:
- 系统地审查和分析导致亚洲成年人持续和慢性腹的传染病病因的流行情况.
- 为了确定最常见的传染病原体,负责这些条件.
主要方法:
- 1970年至2023年间发表的16项研究的系统综述和元分析.
- 在PubMed和Scopus数据库中进行的搜索.
- 随机效应模型用于估计各种病原体组的聚合流行率.
主要成果:
- 寄生虫感染是最常见的腹原因,综合患病率为0.52.
- 细菌,真菌和病毒病因不太常见.
- 观察到负面微生物测试的0.37的显著聚合患病率.
- 在各个研究中发现了高异质性和出版偏差.
结论:
- 寄生虫感染是亚洲成年人持续性和慢性腹的主要感染原因.
- 研究中的显著异质性限制了准确估计流行率.
- 建议进行进一步的研究,特别关注在后抗逆转录病毒疗法时代和高收入国家的人类免疫缺陷病毒 (PLHIV) 感染者.
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