Prevalence of leptospirosis among soldiers: A systematic review.

IF 3.4 2区医学 Q1 PARASITOLOGY

PLoS Neglected Tropical Diseases Pub Date : 2025-03-17 DOI:10.1371/journal.pntd.0012927

Pavlo Petakh, Valentyn Oksenych, Oleksandr Kamyshnyi

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引用次数: 0

Abstract

Leptospirosis is a bacterial disease that spreads through water and soil contaminated with infected animal urine. Soldiers have a higher risk of infection because they often work in wet and muddy conditions. This systematic review examines how common leptospirosis is among military personnel. Studies published between January 2000 and November 2024 were collected from PubMed, Web of Science, and Scopus, following PRISMA guidelines. The review included studies that used laboratory tests to confirm leptospirosis cases in soldiers. Out of 67 studies, three met the inclusion criteria. These studies were conducted in Malaysia, Hawaii, and Honduras, with sample sizes between 488 and 1,000 soldiers. The infection rate ranged from 1.4% to 16.2%, with higher rates in tropical regions. Leptospirosis is often underdiagnosed in military personnel because symptoms are similar to other diseases, and testing is not always available. More awareness, better protective measures, and improved laboratory tests are needed to prevent infections. This review highlights the importance of better surveillance and health strategies for soldiers at risk of leptospirosis.

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士兵中钩端螺旋体病的流行：一项系统综述。

钩端螺旋体病是一种细菌性疾病，通过受感染动物尿液污染的水和土壤传播。士兵有更高的感染风险，因为他们经常在潮湿和泥泞的环境中工作。本系统综述探讨了钩端螺旋体病在军事人员中的常见程度。2000年1月至2024年11月期间发表的研究是根据PRISMA指南从PubMed、Web of Science和Scopus收集的。审查包括使用实验室测试确认士兵中钩端螺旋体病病例的研究。67项研究中，3项符合纳入标准。这些研究是在马来西亚、夏威夷和洪都拉斯进行的，样本量在488到1000名士兵之间。感染率从1.4%到16.2%不等，热带地区的感染率更高。钩端螺旋体病在军事人员中经常被误诊，因为症状与其他疾病相似，而且检测并不总是可用的。需要提高认识，采取更好的保护措施，改进实验室检测，以预防感染。本综述强调了对有钩端螺旋体病风险的士兵进行更好的监测和制定卫生战略的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

PLoS Neglected Tropical Diseases PARASITOLOGY-TROPICAL MEDICINE

自引率

10.50%

发文量

723

期刊介绍： PLOS Neglected Tropical Diseases publishes research devoted to the pathology, epidemiology, prevention, treatment and control of the neglected tropical diseases (NTDs), as well as relevant public policy. The NTDs are defined as a group of poverty-promoting chronic infectious diseases, which primarily occur in rural areas and poor urban areas of low-income and middle-income countries. Their impact on child health and development, pregnancy, and worker productivity, as well as their stigmatizing features limit economic stability. All aspects of these diseases are considered, including: Pathogenesis Clinical features Pharmacology and treatment Diagnosis Epidemiology Vector biology Vaccinology and prevention Demographic, ecological and social determinants Public health and policy aspects (including cost-effectiveness analyses).