The characteristics of men who have sex with men with Blastocystis: A systematic review.

IF 1.4 4区 医学 Q4 IMMUNOLOGY
Sophie Ettinger, John C Castle, Julian Robinson, Nicolas Pinto-Sander, Daniel Richardson
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引用次数: 0

Abstract

ObjectiveBlastocystis is an enteric parasite which can cause gastrointestinal symptoms and may be sexually transmissible in men who have sex with men (MSM). This review aimed to explore the characteristics of MSM with Blastocystis.MethodFive bibliographical databases (CINAHL, EMBASE, MEDLINE, EMCARE, Cochrane-central) were searched for manuscripts which explored the characteristics of MSM with Blastocystis written in English, French or Spanish in October 2024. Following the initial search, duplicates were removed, and two authors independently conducted a full text review and risk of bias assessment using the Joanna Briggs Institute toolkits. Narrative data were synthesised to generate themes. The protocol was registered on PROSPERO(ID:CRD42024582946).ResultsFourteen manuscripts were included in this review; from Australia (n = 2), Spain (n = 2), Denmark (n = 2), USA (n = 2), UK(n = 1), Italy (n = 1), France (n = 1), Germany (n = 1), Canada (n = 1) & China (n = 1) published between 1988 and 2022. The manuscripts were case-reports (n = 2), case-series (n = 1) and cross-sectional studies (n = 11) and included 693 MSM who tested positive for Blastocystis. The majority of MSM in this review were living with HIV which either represents a biological, a behavioural (surrogate) characteristic or a confounding association. This review also highlighted demographic (being asymptomatic), behavioural (multiple sexual partners, recent (tropical) travel, oral-anal sex) and infection (co-infection with STI [N. gonorrhoeae, C. trachomatis], co-infection with other sexually transmissible enteric pathogens [Salmonella spp., Campylobacter spp., E.coli, E. histolytica, G. duodenalis, Cryptosporidium spp.], co-infection with intestinal spirochaetosis, co-infection with a non-pathogenic enteric parasite) characteristics of MSM who tested positive for Blastocystis.ConclusionThis review serves as a resource for future public health control strategies, clinical guidelines and research to understand the sexual transmissibility of Blastocystis in MSM.

与患有囊胚炎的男性发生性行为的男性特征:一项系统综述。
目的囊虫是一种可引起胃肠道症状的肠道寄生虫,可在男男性行为者(MSM)中传播。本文旨在探讨囊胚性男男性行为的特点。方法检索cnahl、EMBASE、MEDLINE、EMCARE、Cochrane-central等5个文献数据库,检索2024年10月以英文、法文或西班牙文撰写的探讨囊胚性男男性行为特征的文献。在最初的搜索之后,删除了重复的内容,两位作者独立地使用乔安娜布里格斯研究所的工具包进行了全文审查和偏见风险评估。叙事数据被合成以生成主题。协议在PROSPERO上注册(ID:CRD42024582946)。结果共纳入14篇文献;来自澳大利亚(n = 2)、西班牙(n = 2)、丹麦(n = 2)、美国(n = 2)、英国(n = 1)、意大利(n = 1)、法国(n = 1)、德国(n = 1)、加拿大(n = 1)和中国(n = 1) 1988年至2022年间发表的论文。这些手稿包括病例报告(n = 2)、病例系列(n = 1)和横断面研究(n = 11),包括693名囊胚病检测阳性的男男性行为者。在这篇综述中,大多数男男性接触者都感染了艾滋病毒,这要么代表了生物学上的,要么代表了行为(替代)特征,要么代表了一种混杂的关联。该综述还强调了人口统计学(无症状)、行为(多个性伴侣、最近(热带)旅行、口肛交)和感染(合并感染STI) [N]。淋病,沙眼衣原体],同时感染其他性传播的肠道病原体[沙门氏菌,弯曲杆菌,大肠杆菌,溶组织杆菌,十二指肠杆菌,隐孢子虫],同时感染肠道螺旋体病,同时感染一种非致病性肠道寄生虫],这些都是男男性接触者囊胚病检测阳性的特征。结论本综述可为今后公共卫生控制策略、临床指导和研究提供参考,有助于进一步了解MSM中囊虫的性传播性。
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
CiteScore
2.60
自引率
7.10%
发文量
144
审稿时长
3-6 weeks
期刊介绍: The International Journal of STD & AIDS provides a clinically oriented forum for investigating and treating sexually transmissible infections, HIV and AIDS. Publishing original research and practical papers, the journal contains in-depth review articles, short papers, case reports, audit reports, CPD papers and a lively correspondence column. This journal is a member of the Committee on Publication Ethics (COPE).
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