在透析患者中艾滋病毒的全球流行病学:系统性审查和元分析
Shahad Saif Khandker1, Safrin Jahan2, Adiba Ayesha Khan3
1Department of Biochemistry and Molecular Biology, Gono Bishwabidyalay, Dhaka, 1344, Bangladesh. shahadsaifkhandker@gmail.com.
International urology and nephrology
|February 20, 2025
概括
在透析患者中,人类免疫缺陷病毒 (HIV) 的全球流行率为0.8%. 在非洲和北美观察到更高的比率,可能是由于意识和医疗保健差异.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 透析患者的艾滋病毒感染是全球重要的健康问题.
- 透析患者由于免疫系统受损和治疗期间潜在的暴露,风险增加.
- 了解全球流行病学对于有针对性的预防和控制战略至关重要.
研究的目的:
- 确定透析患者中艾滋病毒感染的全球流行病学状况.
- 为了识别不同大陆的艾滋病毒流行率的变化.
- 为这个弱势群体提供公共卫生干预信息.
主要方法:
- 进行了系统性审查和元分析.
- 在Google Scholar,PubMed和ScienceDirect数据库中进行了搜索.
- 分析中包括了15项符合条件的研究.
主要成果:
- 在透析患者中,艾滋病毒的全球综合流行率为0.8% (95%CI为0.4至1.2).
- 在研究中观察到显著的异质性 (95%).
- 患病率因大陆而异:非洲 (21.1%) 和北美 (19.3%) 与欧洲 (0.3%),南美 (0.7%) 和亚洲 (0.7%) 相比,患病率更高.
结论:
- 在透析患者中,艾滋病毒发病率存在显著的地理差异.
- 缺乏意识,医疗保健不足和感染控制方面的漏洞等因素可能导致某些地区的发病率更高.
- 全球范围内建议加强预防实践,开展公众宣传活动,改善医疗保健系统.
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