在献血者中莱什曼病的流行:系统性审查和元分析
Maria Kantzanou1, Evangelos Kostares1, Georgia Kostare1
1Department of Microbiology, Medical School, National and Kapodistrian University of Athens, 115 27 Athens, Greece.
Diseases (Basel, Switzerland)
|July 26, 2024
概括
献血者中莱什曼病的患病率是2.3%通过分子测试和4.5%通过血清学测试. 这凸显了对影响莱什曼病传播和供体查因素的进一步研究的需要.
科学领域:
- 流行病学 流行病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 莱什曼病造成了严重的公共卫生问题,特别是在输血安全方面.
- 评估献血者中莱什曼病的患病率对于实施有效的查方案至关重要.
研究的目的:
- 为了全面评估全球献血者中莱什曼病的患病率.
- 为公共卫生战略提供信息,并提高输血的安全性.
主要方法:
- 在主要的电子数据库 (Medline,Scopus,Web of Science,Google Scholar) 进行了系统的文献搜索.
- 包括35项研究报告了献血者莱什曼病的患病率.
- 使用元分析估计了聚合流行率,进行了质量,异常值和影响力分析.
主要成果:
- 分子诊断方法估计莱什曼病的患病率为2.3% (95%CI为1-39%).
- 血清诊断方法表明患病率更高,为4.5% (95%CI为2.8-6.7%).
- 在包括的两种诊断方法的研究中观察到显著的异质性.
结论:
- 莱什曼病存在于献血者群体中,根据诊断方法,患病率有所不同.
- 观察到的异质性需要进一步调查影响莱什曼病患病率的因素.
- 未来的研究应侧重于前性和后性研究,以解决已识别的局限性和完善查策略.
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