Global prevalence patterns and distribution of Vibrio cholerae: A systematic review and meta-analysis of 176,740 samples

IF 4.7 3区医学 Q1 INFECTIOUS DISEASES Journal of Infection and Public Health Pub Date : 2024-09-27 DOI:10.1016/j.jiph.2024.102558

Engku Nur Syafirah Engku Abd Rahman , Ahmad Adebayo Irekeola , Abdirahman Hussein Elmi , Wei Chuan Chua , Yean Yean Chan

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Abstract

This global systematic review and meta-analysis of Vibrio cholerae prevalence, covering environmental, food, animal, and human samples, analysed 111 studies from five databases. The meta-analysis, adhering to standard reporting guidelines, revealed a pooled prevalence of 10.6 % (95 % CI; 8.2 – 13.5; I² = 99.595 %, p < 0.001) from 176,740 samples, including 27,219 cholera cases. Despite significant publication bias (Egger’s test, p = 0.00018), prevalence estimate remained stable in leave-one-out analysis. Subgroup analysis showed prevalence varied by region, with Indonesia highest (55.2 %) and Jordan lowest (0.2 %). Asia continent had the highest prevalence (13.9 %), followed by South America (12.1 %), and lowest in Europe (3.8 %). Environmental samples exhibited the highest prevalence (24.9 %), while human samples had the lowest (7.1 %). The pervasive presence of V. cholerae in environmental resources highlights the persistent risk of global cholera outbreaks, necessitating urgent proactive measures and ongoing surveillance for effective cholera control.

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霍乱弧菌的全球流行模式和分布：对 176 740 份样本的系统回顾和荟萃分析

这项关于霍乱弧菌流行率的全球系统综述和荟萃分析涵盖了环境、食品、动物和人体样本，分析了来自五个数据库的 111 项研究。根据标准报告指南进行的荟萃分析显示，从 176,740 份样本（包括 27,219 例霍乱病例）中汇总的流行率为 10.6 %（95 % CI；8.2 - 13.5；I2 = 99.595 %，p < 0.001）。尽管存在明显的发表偏倚（Egger 检验，p = 0.00018），但在剔除分析中，流行率估计值保持稳定。分组分析表明，流行率因地区而异，印度尼西亚最高（55.2%），约旦最低（0.2%）。亚洲大陆的流行率最高（13.9%），其次是南美洲（12.1%），欧洲最低（3.8%）。环境样本的感染率最高（24.9%），而人体样本的感染率最低（7.1%）。霍乱弧菌在环境资源中的普遍存在凸显了全球霍乱爆发的持续风险，因此有必要采取紧急的前瞻性措施并进行持续监测，以有效控制霍乱。

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来源期刊

Journal of Infection and Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -INFECTIOUS DISEASES

CiteScore

13.10

自引率

1.50%

发文量

203

审稿时长

96 days

期刊介绍： The Journal of Infection and Public Health, first official journal of the Saudi Arabian Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences and the Saudi Association for Public Health, aims to be the foremost scientific, peer-reviewed journal encompassing infection prevention and control, microbiology, infectious diseases, public health and the application of healthcare epidemiology to the evaluation of health outcomes. The point of view of the journal is that infection and public health are closely intertwined and that advances in one area will have positive consequences on the other. The journal will be useful to all health professionals who are partners in the management of patients with communicable diseases, keeping them up to date. The journal is proud to have an international and diverse editorial board that will assist and facilitate the publication of articles that reflect a global view on infection control and public health, as well as emphasizing our focus on supporting the needs of public health practitioners. It is our aim to improve healthcare by reducing risk of infection and related adverse outcomes by critical review, selection, and dissemination of new and relevant information in the field of infection control, public health and infectious diseases in all healthcare settings and the community.