关于东非牛锥虫病流行情况的系统回顾和荟萃分析

IF 2 Q3 INFECTIOUS DISEASES Parasite Epidemiology and Control Pub Date : 2024-08-01 DOI:10.1016/j.parepi.2024.e00371
Getie Mulat , Moges Maru , Zewdu Seyoum Tarekegn , Haileyesus Dejene
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引用次数: 0

摘要

牛锥虫病是由锥虫属原生动物寄生虫引起的一种使人丧失能力的致命疾病。这种疾病会导致牲畜和农业生产力损失,造成严重的社会经济影响。在东非,由于生态因素和病媒生物学的影响,锥虫病在很长一段时间内都是地方病。本调查通过荟萃分析概述了牛锥虫病在东非的发生情况。我们在 PubMed、Google Scholar、Scopus、Web of Science 和 AJOL 上进行了全面搜索。根据纳入和排除标准选择了合适的研究。流行率通过随机效应模型进行估算。此外,还对异质性导致的发表偏差和患病率估计值的变化进行了评估。分析针对 115 项包含相关流行率数据的研究。所有研究对牛锥虫病流行率的总体估计为 12% (95% CI: 11, 13),范围从 1% (95% CI: 0, 2) 到 51% (95% CI: 45, 58)。按国家进行的分组分析显示,流行率存在相当大的差异。索马里的估计流行率最高,为 24% (95% CI: 18, 30),而埃塞俄比亚的流行率最低,为 10% (95% CI: 9, 11)。即使进行了分组分析,大多数汇总的估计值仍存在明显的异质性。对漏斗图和 Egger 回归不对称系数(b = -5.13,95% CI:-7.49,-2.76,p = 0.00)以及 Begg 图(p = 0.00)的直观检查表明存在发表偏倚。总之,牛锥虫病是影响家畜的一种普遍而值得注意的疾病。本次调查的结果表明,牛锥虫病在被调查的大多数国家都有很高的流行率。尽管家畜锥虫病对非洲的畜牧业生产造成了众所周知的阻碍,但人们却很少关注锥虫病的情况,尤其是在东非国家。
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A systematic review and meta-analysis on prevalence of bovine trypanosomosis in East Africa

Bovine trypanosomosis is an incapacitating and lethal ailment brought about by protozoan parasites of the genus Trypanosoma. The disease leads to losses in livestock and agricultural productivity, resulting in significant socio-economic repercussions. In East Africa, trypanosomosis has been endemic for an extensive period due to ecological factors and vector biology that facilitate the persistent circulation of trypanosomes. This investigation outlines the occurrence of bovine trypanosomosis in East Africa through a meta-analysis. A thorough search was conducted on PubMed, Google Scholar, Scopus, Web of Science and AJOL. Suitable studies were chosen using inclusion and exclusion criteria. The prevalence was estimated through a random effect model. Publication bias and the variation in prevalence estimates due to heterogeneity were also evaluated. The analysis was performed on 115 studies that contained relevant prevalence data. The collective estimate of bovine trypanosomosis prevalence across the studies stood at 12% (95% CI: 11, 13), ranging from 1% (95% CI: 0, 2) to 51% (95% CI: 45, 58). The subgroup analysis by country revealed considerable disparities in prevalence. The highest estimated prevalence was 24% (95% CI: 18, 30) in Somalia, whereas the lowest prevalence was observed in Ethiopia at 10% (95% CI: 9, 11). A significant level of heterogeneity was noted in most pooled estimates, even after conducting subgroup analysis. The visual examination of the funnel plot and the Egger's regression asymmetry coefficient (b = −5.13, 95% CI: −7.49, −2.76, p = 0.00) and Begg's plot (p = 0.00) indicate the presence of publication bias. In conclusion, bovine trypanosomosis is a pervasive and noteworthy malady affecting livestock. The findings of this investigation imply a high prevalence of bovine trypanosomosis in the majority of the countries under scrutiny. Despite the well-known hindrance that livestock trypanosomosis poses to livestock production in Africa, little attention has been devoted to the trypanosomosis situation, particularly in East African nations.

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来源期刊
Parasite Epidemiology and Control
Parasite Epidemiology and Control Medicine-Infectious Diseases
CiteScore
5.70
自引率
3.10%
发文量
44
审稿时长
17 weeks
期刊介绍: Parasite Epidemiology and Control is an Open Access journal. There is an increasing amount of research in the parasitology area that analyses the patterns, causes, and effects of health and disease conditions in defined populations. This epidemiology of parasite infectious diseases is predominantly studied in human populations but also spans other major hosts of parasitic infections and as such this journal will have a broad remit. We will focus on the major areas of epidemiological study including disease etiology, disease surveillance, drug resistance and geographical spread and screening, biomonitoring, and comparisons of treatment effects in clinical trials for both human and other animals. We will also look at the epidemiology and control of vector insects. The journal will also cover the use of geographic information systems (Epi-GIS) for epidemiological surveillance which is a rapidly growing area of research in infectious diseases. Molecular epidemiological approaches are also particularly encouraged.
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