Prevalence of human leishmaniasis in Sudan: A systematic review and meta-analysis.

Musa Ahmed, Abdullah Abdulslam Abdullah, Idris Bello, Suad Hamad, Aboelgassim Bashir
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引用次数: 1

Abstract

Background: There are three main forms of leishmaniasis in humans: cutaneous leishmaniasis (CL), visceral leishmaniasis (VL), and mucocutaneous leishmaniasis. The prevalence of human leishmaniasis varies widely in different countries and different regions of the same country. To date, there is no overall estimation of the prevalence of human leishmaniasis in Sudan.

Aim: To determine the pooled prevalence of human leishmaniasis and the disease risk factors among Sudanese citizens.

Methods: From all articles written in English or Arabic languages conducted before the 4th of August 2021 from [Scopus, Web of Science, PubMed, and MEDLINE, African Journals Online (AJOL), ResearchGate, direct Google search, Google Scholar, and universities websites], just 20 articles with a total of 230960 participants were eligible for this study. Data synthesis and analysis were done using STATA software, version 16. EndNote citation manager version X9.3.3 and Reference Citation Analysis (RCA) were used to remove the duplicated studies and manage the citation respectively.

Results: The overall pooled prevalence of human leishmaniasis in Sudan was 21% (with confidence interval 12%-30%). CL was the most common type of leishmaniasis in Sudan, with a pooled prevalence of 26% followed by VL (18%). Nevertheless, the pooled prevalence of human leishmaniasis in Sudan was higher in males compared with females (60% vs 40%). The current results revealed that the people in the age group between 15 and 44 were the most affected group (60%), and central Sudan has the highest pooled prevalence of human leishmaniasis (27%) compared with other regions of Sudan. Finally, the prevalence of human leishmaniasis seems to decrease with time.

Conclusion: This study showed that human leishmaniasis infection is still endemic in many regions in Sudan and highly prevalent in central and eastern Sudan, and CL is the most prevalent in the country. Males and adults were more susceptible to infection compared with females and children. However, the human leishmaniasis prevalence decreased relatively over time.

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苏丹人类利什曼病流行:系统回顾和荟萃分析。
背景:人类利什曼病主要有三种形式:皮肤利什曼病(CL)、内脏利什曼病(VL)和皮肤粘膜利什曼病。人类利什曼病的流行在不同国家和同一国家的不同地区差别很大。迄今为止,没有对苏丹人类利什曼病流行率的全面估计。目的:了解苏丹人利什曼病的流行情况及危险因素。方法:在2021年8月4日之前,从[Scopus, Web of Science, PubMed, and MEDLINE, African Journals Online (AJOL), ResearchGate,直接谷歌搜索,谷歌学术和大学网站]中以英语或阿拉伯语撰写的所有文章中,只有20篇文章,总共230960名参与者符合本研究的条件。数据综合分析使用STATA软件,版本16。使用EndNote引文管理器X9.3.3版本和参考引文分析(RCA)分别删除重复研究和管理引文。结果:苏丹人类利什曼病的总流行率为21%(置信区间为12%-30%)。CL是苏丹最常见的利什曼病类型,总患病率为26%,其次是VL(18%)。然而,苏丹男性的人类利什曼病总流行率高于女性(60%对40%)。目前的结果显示,15至44岁年龄组的人群是受影响最严重的群体(60%),与苏丹其他地区相比,苏丹中部的人类利什曼病总流行率最高(27%)。最后,人类利什曼病的流行似乎随着时间的推移而减少。结论:本研究表明,人类利什曼病感染在苏丹许多地区仍然流行,在苏丹中部和东部高度流行,CL在该国最流行。男性和成人比女性和儿童更容易感染。然而,随着时间的推移,人类利什曼病流行率相对下降。
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