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Sporothrix brasiliensis as the major causative species of the zoonotic outbreak of human sporotrichosis in the Brazilian Amazon. 巴西亚马孙地区人畜共患孢子菌病暴发的主要致病种为巴西孢子菌。
IF 2.6 4区 医学
Tropical Medicine & International Health Pub Date : 2025-01-01 Epub Date: 2024-12-03 DOI: 10.1111/tmi.14065
Guilherme Caldas de Souza, Euzenio Moreira de Brito, Débora Cristina de Lima Fernandes, Maria Zeli Moreira Frota, Felipe Jules de Araújo Santos, Cynthia de Oliveira Ferreira, Camila Gurgel Dos Santos Silva, Silvia Rocha Nakajima, Silmara Navarro Pennini, Sinesio Talhari, Valderiza Lourenço Pedrosa, Marcelo Mira, Helio Amante Miot, Carolina Talhari, André Luiz Leturiondo
{"title":"Sporothrix brasiliensis as the major causative species of the zoonotic outbreak of human sporotrichosis in the Brazilian Amazon.","authors":"Guilherme Caldas de Souza, Euzenio Moreira de Brito, Débora Cristina de Lima Fernandes, Maria Zeli Moreira Frota, Felipe Jules de Araújo Santos, Cynthia de Oliveira Ferreira, Camila Gurgel Dos Santos Silva, Silvia Rocha Nakajima, Silmara Navarro Pennini, Sinesio Talhari, Valderiza Lourenço Pedrosa, Marcelo Mira, Helio Amante Miot, Carolina Talhari, André Luiz Leturiondo","doi":"10.1111/tmi.14065","DOIUrl":"10.1111/tmi.14065","url":null,"abstract":"<p><strong>Background: </strong>Sporotrichosis is a neglected tropical disease and the most common subcutaneous mycosis, mainly caused by Sporothrix species, particularly S. brasiliensis, S. schenckii and S. globosa, which exhibit varying biological behaviours and virulence. The epidemic of sporotrichosis in Brazil, initiated in Rio de Janeiro in the late 1990s, rapidly spread to other states, including Amazonas in 2021. This study aimed to identify the specific Sporothrix species responsible for the human sporotrichosis outbreak in the Brazilian Amazon.</p><p><strong>Methods: </strong>A cross-sectional study was conducted by enrolling clinically suspected cases of sporotrichosis attended at a reference dermatologic centre, in Manaus (Brazil). Biological material was collected from their skin lesions for culture (Mycosel) and for species identification (qPCR).</p><p><strong>Results: </strong>Sporothrix cultures were obtained from 150 cases. Sporotrichosis predominantly affected females (67.3%), aged 44.5 years on average, with lymphocutaneous lesions (72.7%). Sporothrix brasiliensis was identified in 89.3% of patients. Up to 83.3% of these patients reported contact with cats previously to the skin lesion, and the time-spatial progression of the human cases followed the notification of cases in cats, in the metropolitan region of Manaus.</p><p><strong>Conclusion: </strong>Sporothrix brasiliensis is the dominant species in the zoonotic outbreak of human sporotrichosis in the Brazilian Amazon, with cats identified as the primary vectors. Effective sanitary control measures, education and responsible pet ownership are crucial to mitigating zoonotic sporotrichosis' impact in Brazil and preventing its spread to neighbouring Latin American cities.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"65-69"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to "Intestinal schistosomiasis among preschool and school-aged children in a rural setting near Alexandria: Initiative for elimination". 更正 "亚历山大附近农村地区学龄前和学龄儿童中的肠血吸虫病:消灭血吸虫病倡议"。
IF 2.6 4区 医学
Tropical Medicine & International Health Pub Date : 2024-12-01 Epub Date: 2024-11-18 DOI: 10.1111/tmi.14054
{"title":"Correction to \"Intestinal schistosomiasis among preschool and school-aged children in a rural setting near Alexandria: Initiative for elimination\".","authors":"","doi":"10.1111/tmi.14054","DOIUrl":"10.1111/tmi.14054","url":null,"abstract":"","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"1062"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of the incidence of influenza before and after the COVID-19 pandemic in South Korea. 韩国 COVID-19 大流行前后的流感发病率分析。
IF 2.6 4区 医学
Tropical Medicine & International Health Pub Date : 2024-12-01 Epub Date: 2024-11-06 DOI: 10.1111/tmi.14055
Hayeon Kim, Hyeon S Son
{"title":"Analysis of the incidence of influenza before and after the COVID-19 pandemic in South Korea.","authors":"Hayeon Kim, Hyeon S Son","doi":"10.1111/tmi.14055","DOIUrl":"10.1111/tmi.14055","url":null,"abstract":"<p><strong>Objectives: </strong>Influenza outbreaks of varying size occur every year, but during the COVID-19 pandemic, many countries experienced influenza at lower levels. However, following the relaxation of COVID-19 prevention measures in 2022, the incidence of influenza began to increase gradually. Thus, this study compared the occurrence of influenza from week 36 of 2017, before the COVID-19 outbreak, until 2023.</p><p><strong>Methods: </strong>The analysis was conducted using influenza-like illness occurrence data available from the Korea Disease Control and Prevention Agency infectious disease website. Additionally, to examine the changes in COVID-19 and influenza occurrence during the pandemic, COVID-19 incidence data from 20 January 2020 to 31 August 2023 were obtained from the KDCA Coronavirus Disease 19 homepage.</p><p><strong>Results: </strong>During the COVID-19 pandemic, which corresponds to the 2020/2021 and 2021/2022 influenza seasons, there was no seasonal influenza epidemic, and the incidence rates were below the usual outbreak levels. However, in the 2022/2023 season, when the spread of COVID-19 had eased, a seasonal pattern similar to that observed before the COVID-19 pandemic was noted. Furthermore, correlation analysis between the rates of influenza-like illness and COVID-19 incidence showed no significant correlation during the entire period. However, a significant correlation emerged in 2023 (r = 0.393, p <0.05). These results suggest that influenza was suppressed during the COVID-19 pandemic but returned to typical seasonal patterns after the COVID-19 prevention policies were eased.</p><p><strong>Conclusion: </strong>The positive correlation observed between the incidences of COVID-19 and influenza in 2023 indicates that COVID-19, no longer a novel pandemic-causing infectious disease, may have transitioned to an endemic pattern similar to seasonal influenza.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"1018-1025"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of preventive chemotherapy for neglected tropical diseases in Indonesia from 1992 to 2022: A systematic review and meta-analysis. 1992年至2022年印度尼西亚被忽视热带病预防性化疗的效果:系统回顾和荟萃分析。
IF 2.6 4区 医学
Tropical Medicine & International Health Pub Date : 2024-12-01 Epub Date: 2024-11-16 DOI: 10.1111/tmi.14057
Elsa Herdiana Murhandarwati, Ari Probandari, Rizqiani Amalia Kusumasari, Astri Ferdiana, Christina Yeni Kustanti, Kharisma Dewi, Siti Nadia Tarmizi, Luh Putu Lila Wulandari, Gill Schierhout, Lucia Romani, John Kaldor, Susana Vaz Nery
{"title":"Effect of preventive chemotherapy for neglected tropical diseases in Indonesia from 1992 to 2022: A systematic review and meta-analysis.","authors":"Elsa Herdiana Murhandarwati, Ari Probandari, Rizqiani Amalia Kusumasari, Astri Ferdiana, Christina Yeni Kustanti, Kharisma Dewi, Siti Nadia Tarmizi, Luh Putu Lila Wulandari, Gill Schierhout, Lucia Romani, John Kaldor, Susana Vaz Nery","doi":"10.1111/tmi.14057","DOIUrl":"10.1111/tmi.14057","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to describe the prevalence of lymphatic filariasis (LF), soil-transmitted helminthiasis (STH) and schistosomiasis (SC) in Indonesia before and after PC implementation through a systematic review and meta-analysis.</p><p><strong>Methods: </strong>Embase, MEDLINE, PubMed, Scopus, Web of Science and Google Scholar were searched for articles published between 1 January 1992 and 31 December 2022, reporting LF, STH and SC in Indonesia. Using the Ministry of Health lists of districts receiving PC programs, we identified whether data collection was conducted before or after PC implementation in that particular district. A meta-analysis was performed with a random-effects model applied to pool pre- and post-PC prevalence of LF, STH and SC.</p><p><strong>Results: </strong>Overall, 195 studies were included. The pooled prevalence of LF was 9.72% (95% CI, 5.56%-13.87%). The pre-PC pooled prevalence of LF was 11.48% (95% CI, 5.52%-17.45%). The prevalence decreased after PC implementation, and the pooled prevalence was 7.12% (95% CI, 1.79%-12.44%). The overall prevalence of STH was 35.16% (95% CI, 30.36%-39.96%). The pre-PC prevalence of STH was 36.29% (95% CI, 30.37%-42.20%). The post-PC prevalence of STH decreased at 31.93% (95% CI, 24.25%-39.62%), although the difference between before and after PC was not significant (p = 0.379). Only nine studies investigated the prevalence of SC; based on the random-effects model, the pooled prevalence was 21.90% (95% CI, 4.88%-38.92%). Owing to the scarcity of studies, we could not perform the funnel tests for publication bias and moderating variables of the pooled prevalence for SC.</p><p><strong>Conclusions: </strong>The prevalence of LF and STH decreased after PC implementation, although it was not significant. The difference for SC could not be assessed because of limited post-PC data. The uneven distribution of research and the lack of standardised sampling methods may not fully capture the situation.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"995-1005"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations of haematological and inflammatory biomarkers with brain volume in patients with sickle cell anaemia: A cross-sectional retrospective study. 镰状细胞贫血患者血液和炎症生物标志物与脑容量的关系:一项横断面回顾性研究
IF 2.6 4区 医学
Tropical Medicine & International Health Pub Date : 2024-12-01 Epub Date: 2024-11-07 DOI: 10.1111/tmi.14056
Naif A Majrashi, Ali M Hendi, Turki M Dhayihi, Abdullah M Khamesi, Mohammed A Masmali, Khalid J Hakami, Ali S Alyami, Bandar Alwadani, Wael A Ageeli, Yahia Madkhali, Ali Hakamy, Turkey A Refaee
{"title":"Associations of haematological and inflammatory biomarkers with brain volume in patients with sickle cell anaemia: A cross-sectional retrospective study.","authors":"Naif A Majrashi, Ali M Hendi, Turki M Dhayihi, Abdullah M Khamesi, Mohammed A Masmali, Khalid J Hakami, Ali S Alyami, Bandar Alwadani, Wael A Ageeli, Yahia Madkhali, Ali Hakamy, Turkey A Refaee","doi":"10.1111/tmi.14056","DOIUrl":"10.1111/tmi.14056","url":null,"abstract":"<p><p>Sickle cell disease is a genetic disorder characterised by abnormal haemoglobin production. This study aims to investigate the associations between haematological and inflammatory biomarkers and brain volumes in patients with sickle cell anaemia and compare brain structure between patients with sickle cell anaemia and healthy controls. This retrospective cross-sectional study included 130 participants (70 sickle cell anaemia patients and 60 healthy controls) who underwent brain MRI examinations at King Fahad Central Hospital between January 2010 and October 2022. Demographic data and haematological and inflammatory biomarkers were collected to examine their relationships with brain volumes. Brain volumes were measured using FreeSurfer. Specific haematological and inflammatory biomarkers were correlated with brain volume in patients with sickle cell anaemia, p < 0.05. Sickle cell anaemia patients exhibited smaller volumes in the brainstem, corpus callosum and amygdala compared to healthy controls. Males had significantly higher iron levels (p < 0.001) and larger various brain structure volumes (p < 0.05) than females. This study demonstrates significant associations between specific biomarkers and brain volume in sickle cell anaemia patients, underscoring the importance of monitoring these biomarkers for early detection and management of neurological complications in sickle cell anaemia.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"1026-1040"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Amazonian snakebite burden: Unveiling seasonal dynamics in a region with tenfold higher incidence compared to the Brazilian average. 亚马逊地区的蛇咬伤负担:揭示发病率比巴西平均水平高十倍的地区的季节性动态。
IF 2.6 4区 医学
Tropical Medicine & International Health Pub Date : 2024-12-01 Epub Date: 2024-11-19 DOI: 10.1111/tmi.14059
Jorge Emanuel Cordeiro Rocha, Samuel Campos Gomides
{"title":"The Amazonian snakebite burden: Unveiling seasonal dynamics in a region with tenfold higher incidence compared to the Brazilian average.","authors":"Jorge Emanuel Cordeiro Rocha, Samuel Campos Gomides","doi":"10.1111/tmi.14059","DOIUrl":"10.1111/tmi.14059","url":null,"abstract":"<p><strong>Background: </strong>Accidents caused by snakes constitute a serious public health problem in Latin America and worldwide. The situation in the Brazilian Amazon region is neglected, resulting in the highest incidence of cases per capita in the country. Furthermore, the distance from urban areas makes it difficult for the population to access timely and effective medical care, including antivenom treatment. The Brazilian Amazon is characterised by high ethnic and cultural diversity, yet it lacks robust epidemiological information that would allow for the development of surveillance and prevention policies. This study aimed to assess the epidemiological profile of individuals affected by snakebite accidents from 2007 to 2021 in a poorly studied region of the Brazilian Amazon.</p><p><strong>Methods: </strong>To assess the relationship between snakebite accidents, rainfall and river flood levels, cross-correlation functions were employed. Data from the public healthcare system database was used for this analysis.</p><p><strong>Results: </strong>The results indicate that the study area experiences a snakebite rate 10 times greater than the Brazilian average and double that of other Amazonian regions. The most affected victims consist of adult males residing in rural areas, with snakebite accidents being more common during the rainy season. Viperid snakes were responsible for most bites, with the lower limbs being the most common location of injury. The data revealed a positive correlation between the number of snakebite accidents both rainfall and fluvial data.</p><p><strong>Conclusions: </strong>The accident peak coincides with the Brazil nut harvest season, a highly significant forest product for the economy of rural communities. Our data reinforces the need for public policies focused on environmental education and prevention, such as the use of boots and leg guards. These preventive measures have the potential to reduce the number of snakebites accidents by approximately 85%.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"1041-1050"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spatial distribution and predictors of drug-resistant tuberculosis incidence in Mozambique: A nationwide Bayesian disease mapping study. 莫桑比克耐药结核病发病率的空间分布和预测因素:全国性贝叶斯疾病绘图研究。
IF 2.6 4区 医学
Tropical Medicine & International Health Pub Date : 2024-12-01 Epub Date: 2024-11-25 DOI: 10.1111/tmi.14060
Nelson Cuboia, Cláudia Mutaquiha, Ivan Manhiça, Benedita José, Marla Amaro, Isabel Pfumo-Cuboia, Luís Nitrogénio, Joana Reis-Pardal, Pereira Zindoga, Aleny Couto, Luís Azevedo
{"title":"Spatial distribution and predictors of drug-resistant tuberculosis incidence in Mozambique: A nationwide Bayesian disease mapping study.","authors":"Nelson Cuboia, Cláudia Mutaquiha, Ivan Manhiça, Benedita José, Marla Amaro, Isabel Pfumo-Cuboia, Luís Nitrogénio, Joana Reis-Pardal, Pereira Zindoga, Aleny Couto, Luís Azevedo","doi":"10.1111/tmi.14060","DOIUrl":"10.1111/tmi.14060","url":null,"abstract":"<p><strong>Introduction: </strong>Mozambique is among the highest-burden countries for drug-resistant tuberculosis in the world. However, the spatial distribution of drug-resistant tuberculosis, in the country is unknown. Therefore, we aimed to analyse the spatial distribution, predictors, and hotspot districts for drug-resistant tuberculosis incidence in Mozambique.</p><p><strong>Method: </strong>We carried out an ecological study using the district as the unit of analysis where we included all cases of drug-resistant tuberculosis diagnosed in Mozambique from 2016 to 2020. We obtained the data from the Minister of Health and other open sources. Parameters of interest were estimated through a spatial Bayesian Poisson regression model using Markov Chain Monte Carlo simulation.</p><p><strong>Results: </strong>A total of 5092 people with drug-resistant tuberculosis in Mozambique were diagnosed during our study period. We found heterogeneity in the spatial distribution of drug-resistant tuberculosis incidence across the country. Higher incidence rates were mainly observed in the south and central regions, and 26 (16.9%) districts out of 154 were identified as hotspot areas. The incidence of drug-resistant tuberculosis increased with an increase in the HIV prevalence (Relative risk [RR]: 1.53; 95% Credibility Interval [CrI]: 1.32 to 1.76), electricity coverage rate (RR: 1.59; 95% CrI: 1.19 to 2.09), and population density (RR: 1.36; 95% CrI: 1.08 to 1.69) and decreased with an increase in the proportion of people with a bank account per district (RR: 0.71; 95% Crl: 0.51 to 0.96).</p><p><strong>Conclusion: </strong>The incidence of drug-resistant tuberculosis was not homogeneous, and it was associated with social determinants of health. Targeting interventions in hotspot districts and addressing social determinants is crucial for tuberculosis elimination in Mozambique.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"1051-1061"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bridging the gap: Empirical contact matrix data is needed for modelling the transmission of respiratory infections in West Africa. 缩小差距:建立西非呼吸道感染传播模型需要经验性接触矩阵数据。
IF 2.6 4区 医学
Tropical Medicine & International Health Pub Date : 2024-12-01 Epub Date: 2024-11-24 DOI: 10.1111/tmi.14063
Isaac C H Fung, Gerardo Chowell, Gloria A Botchway, Jing Kersey, Joyce Komesuor, Kin On Kwok, Stephen E Moore, Sylvia K Ofori, Frank Baiden
{"title":"Bridging the gap: Empirical contact matrix data is needed for modelling the transmission of respiratory infections in West Africa.","authors":"Isaac C H Fung, Gerardo Chowell, Gloria A Botchway, Jing Kersey, Joyce Komesuor, Kin On Kwok, Stephen E Moore, Sylvia K Ofori, Frank Baiden","doi":"10.1111/tmi.14063","DOIUrl":"10.1111/tmi.14063","url":null,"abstract":"","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"991-994"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence and determinants of scabies: A global systematic review and meta-analysis. 疥疮的流行率和决定因素:全球系统回顾和荟萃分析。
IF 2.6 4区 医学
Tropical Medicine & International Health Pub Date : 2024-12-01 Epub Date: 2024-11-22 DOI: 10.1111/tmi.14058
Saptorshi Gupta, Simon Thornley, Arthur Morris, Gerhard Sundborn, Cameron Grant
{"title":"Prevalence and determinants of scabies: A global systematic review and meta-analysis.","authors":"Saptorshi Gupta, Simon Thornley, Arthur Morris, Gerhard Sundborn, Cameron Grant","doi":"10.1111/tmi.14058","DOIUrl":"10.1111/tmi.14058","url":null,"abstract":"<p><strong>Objectives: </strong>Scabies is a neglected skin disease that disproportionately affects people from resource poor and overcrowded countries. Global data on prevalence and risk factors are limited. This article aims to estimate the global burden of scabies and identifies the risks associated with it.</p><p><strong>Methods: </strong>Databases (PubMed, Scopus and Cochrane Reviews) were accessed to identify studies of scabies prevalence published between 2000 and 2024. Results were pooled to estimate prevalence and identify factors, which explained between-study heterogeneity. Odds ratios (ORs), risk of bias, subgroup analyses and meta-regression were used to describe variation in effect size and heterogeneity based on country-level demographic and economic variables.</p><p><strong>Results: </strong>Seventy studies yielded a pooled prevalence of 11.9% (95% confidence interval [CI]: 9.60-14.7) with substantial heterogeneity <math> <mrow> <mfenced> <mrow><msup><mi>I</mi> <mn>2</mn></msup> <mo>=</mo> <mn>100</mn> <mo>%</mo></mrow> <mrow><msup><mi>τ</mi> <mn>2</mn></msup> <mo>=</mo> <mn>1.04</mn></mrow> </mfenced> </mrow> </math> . Prevalence was highest in Oceania (17.9%; 95% CI: 13.9-22.8) compared to other regions. Pooled risk factors for scabies showed significant associations for demographic and behavioural factors including contact history with household members with itch (OR 11.3; 95% CI 4.82-26.51; <math> <mrow><msup><mi>I</mi> <mn>2</mn></msup> <mo>=</mo> <mn>96</mn> <mo>%</mo></mrow> </math> ; n = 7), lack of soap use (OR 3.41; 95% CI: 2.56-4.54; <math><mrow><mspace></mspace> <msup><mi>I</mi> <mn>2</mn></msup> <mo>=</mo> <mn>44</mn> <mo>%</mo></mrow> </math> ; n = 7), bed-sharing (OR 2.64; 95% CI: 1.50-4.63; <math> <mrow><msup><mi>I</mi> <mn>2</mn></msup> <mo>=</mo> <mn>76</mn> <mo>%</mo></mrow> </math> ; n = 7), sharing of clothes (OR 2.52; 95% CI: 1.58-4.03; <math> <mrow><msup><mi>I</mi> <mn>2</mn></msup> <mo>=</mo> <mn>85</mn> <mo>%</mo></mrow> </math> ; n = 7), infrequent bathing (OR 2.13; 95% CI: 1.41-3.22; <math><mrow><mspace></mspace> <msup><mi>I</mi> <mn>2</mn></msup> <mo>=</mo> <mn>77</mn> <mo>%</mo></mrow> </math> ; n = 6), presence of pets (OR 1.76; 95% CI: 1.08-2.87; <math> <mrow><msup><mi>I</mi> <mn>2</mn></msup> <mo>=</mo> <mn>84</mn> <mo>%</mo></mrow> </math> ; n = 4) and being a male (OR = 1.19; 95% CI: 1.04-1.37; <math> <mrow><msup><mi>I</mi> <mn>2</mn></msup> <mo>=</mo> <mn>83</mn> <mo>%</mo></mrow> </math> ; n = 22). Socioeconomic factors were not convincingly associated with scabies prevalence.</p><p><strong>Conclusion: </strong>Prevalence of scabies is associated with geographic location and behavioural factors, but not between-country socioeconomic status. In addition to mass drug administration, risk factors are identified which may be included in health promotion programmes to reduce scabies prevalence and its sequelae in the long term.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"1006-1017"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Systematic review of the evidence for treatment and management of common skin conditions in resource-limited settings: An update. 资源有限环境中常见皮肤病治疗和管理证据的系统性回顾:更新。
IF 2.6 4区 医学
Tropical Medicine & International Health Pub Date : 2024-11-01 Epub Date: 2024-10-13 DOI: 10.1111/tmi.14047
Ingrid Amgarth-Duff, Hannah Thomas, Bernadette M Ricciardo, Lorraine Anderson, Mike Stephens, Bart J Currie, Andrew C Steer, Steven Y C Tong, Kristy Crooks, Allison Hempenstall, Artiene Tatian, Rachel Foster, George Kavalam, Tharushi Pallegedara, Kennedy Walls, Asha Bowen
{"title":"Systematic review of the evidence for treatment and management of common skin conditions in resource-limited settings: An update.","authors":"Ingrid Amgarth-Duff, Hannah Thomas, Bernadette M Ricciardo, Lorraine Anderson, Mike Stephens, Bart J Currie, Andrew C Steer, Steven Y C Tong, Kristy Crooks, Allison Hempenstall, Artiene Tatian, Rachel Foster, George Kavalam, Tharushi Pallegedara, Kennedy Walls, Asha Bowen","doi":"10.1111/tmi.14047","DOIUrl":"10.1111/tmi.14047","url":null,"abstract":"<p><strong>Introduction: </strong>The skin is the largest and most visible organ of the human body. As such, skin infections can have a significant impact on overall health, social wellbeing and self-image. In 2019, we published a systematic review of the treatment, prevention and public health control of skin infections including impetigo, scabies, crusted scabies and tinea in resource-limited settings where skin infections are endemic. This current review serves as an update to assess the evidence for treatment of these conditions as well as atopic dermatitis, molluscum contagiosum and head lice in endemic settings. The data from this systematic review have supported an update to the Australian National Healthy Skin guidelines.</p><p><strong>Methods: </strong>A systematic review was conducted using two separate searches in MEDLINE, PubMed, Embase, CINAHL, Cochrane and Web of Science. The first search was an update of the 2018 systematic review using the same search strategy for the same skin conditions to identify emerging literature from 2018 to 2022. The second search strategy used the same key terms but with the addition of atopic dermatitis, head lice and molluscum contagiosum from 1960 to 2022. Eligible studies included Indigenous peoples and populations in resource-limited settings with a diagnosis of impetigo, scabies, crusted scabies, tinea capitis, atopic dermatitis, molluscum contagiosum or who presented with head lice. Studies conducted in high-income countries were excluded. Articles were screened for inclusion independently by one author with a second group of reviewers independently double screening. Data extraction and an in-depth quality assessment conducted by one author and checked by two others.</p><p><strong>Results: </strong>Of 1466 original articles identified, 68 studies were included and key findings outlined for impetigo, scabies, crusted scabies, atopic dermatitis, head lice and molluscum contagiosum. Recommendations for each condition based on the available evidence are provided.</p><p><strong>Conclusion: </strong>The importance of assessing literature relevant to the populations with heavy burden of skin infections is outlined in this systematic review. We have summarised updates to this literature, which may benefit in developing guidelines for skin infection management similar to the National Healthy Skin Guidelines for Australia.</p>","PeriodicalId":23962,"journal":{"name":"Tropical Medicine & International Health","volume":" ","pages":"923-950"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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