在摩洛哥的乙型肝炎表面抗原血清流行 (2000-2024):系统性审查和元分析
Mourad Feindiri1, Hakima Kabbaj2, Mouna Salihoun3
1Central Laboratory of Virology, Faculty of Medicine and Pharmacy of Rabat, Ibn Sina University Hospital Center, Mohammed V University, Rabat, Morocco. mouradfeindiri@gmail.com.
BMC infectious diseases
|November 19, 2025
概括
摩洛哥的乙型肝炎病毒 (HBV) 感染率很低,HBsAg总率为1.33%. 这表明国家控制措施取得了进展,尽管高风险群体需要持续关注.
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:
- 乙型肝炎病毒 (HBV) 感染是一个重大的全球健康问题,影响着全球数百万人.
- 慢性HBV感染导致严重的健康后果,包括肝病和死亡率.
- 摩洛哥缺乏关于乙型肝炎负担的全面流行病学数据.
研究的目的:
- 系统地审查和对过去25年来摩洛哥乙型肝炎患病率的研究进行元分析.
- 填补关于摩洛哥HBV负担的综合流行病学数据的空白.
- 评估摩洛哥不同地区和亚种群的HBV流行程度.
主要方法:
- 在主要数据库 (PubMed,Scopus,Web of Science,Google Scholar) 中进行了全面的文献搜索.
- 包括2000年至2024年间发表的观察性研究,报告了摩洛哥的HBsAg患病率.
- 使用DerSimonian-Laird随机效应模型来计算聚合流行率.
主要成果:
- 分析了包括34个队列和750,784个人的30项研究.
- 摩洛哥的HBsAg综合流行率为1.33% (95% CI:1.07-1.61).
- 患病率差异很大,在军人群体中患病率最低 (0.36%),在高危人群中患病率最高 (5.43%).
结论:
- 摩洛哥正在向HBV的低流行率过渡,这可能是由于国家控制措施和疫苗接种计划.
- 需要持续努力才能保持进展,并应对HBV管理的挑战,特别是在弱势群体中.
- 这些发现突出了HBV负担中特定亚群的差异,需要有针对性的干预措施.
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