马来西亚土壤传播蠕虫感染的流行情况：系统回顾与元分析

Open Access Macedonian Journal of Medical Sciences Pub Date : 2024-01-28 DOI:10.3889/oamjms.2024.11467

Zulkefley Mohammad, Ariff Azfarahim Ibrahim, Muhammad Alimin Mat Reffien, Mohd Rohaizat Hassan, S. Rahim, M. S. Jeffree, Z. Ahmad

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引用次数: 0

摘要

背景：在马来西亚，预防和控制土壤传播蠕虫（STH）感染仍是一项挑战，尤其是在原住民和农村人口中。目的：本研究旨在通过对1999年至2019年期间发表的数据进行系统性回顾和荟萃分析，确定马来西亚土壤传播蠕虫感染的流行率、流行种类、分布和风险区（RZs）。方法：本研究采用了系统性回顾和荟萃分析首选报告项目的建议。本综述使用的数据库包括 SCOPUS、WEB OF SCIENCE、OVID MEDLINE 和 PUBMED。结果：研究期间共检测了 13240 份样本，其中 6235 份样本感染了一种或多种 STHs。感染 STH 的总体 PPE 为 51%（95% 置信区间 [CI]：34-67）。亚群的 PPE 在 13% （95% 置信区间：5, 22）和 69% （95% 置信区间：50, 87）之间。原住民儿童感染性传播疾病的 PPE 值最高（69% 95% CI：50-87）。毛滴虫是最常见的病原体（46%，95% CI：27，65）。结论：在原住民社区中，涉及毛滴虫、蛔虫、钩虫和盘尾丝虫的性传播疾病感染率很高。在马来西亚，使用驱虫药、健康教育和适当的卫生条件等初级和二级预防措施对于控制这些感染以改善个人和社区健康至关重要。

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Prevalence of Soil-Transmitted Helminth Infections in Malaysia: A Systematic Review and Meta-Analysis

BACKGROUND: Prevention and control of soil-transmitted helminth (STH) infections in Malaysia remain a challenge, especially among aborigine and rural population. Despite several community-based reports, there are lacking national data on the overall prevalence for STH infection. AIM: The study aimed to determine the prevalence, endemic species, and distribution and risk zones (RZs) for STH infections in Malaysia through a systematic review and meta-analysis of the data published between 1999 and 2019. METHODS: This study employed the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The databases used in this review include SCOPUS, WEB OF SCIENCE, OVID MEDLINE, and PUBMED. The random-effects model determined the pooled prevalence estimate (PPE) while Cochran’s Q-test evaluated the heterogeneity. RESULTS: A total of 13240 samples were examined during the period under review with 6235 were infected with one or more species of STHs. The overall PPE for STH infections was 51% (95% Confidence interval [CI]: 34, 67). PPEs for sub-groups ranged between 13% (95% CI: 5, 22) and 69% (95% CI: 50, 87). Highest PPEs for STH infections were observed among aborigine children (69% 95% CI: 50, 87). Trichuris trichiura was the most prevalent species (46%, 95% CI: 27, 65). Over 46% (17/37) of the studies, especially among aborigine community and their area showed high-HRZ for STH infections. CONCLUSION: STH infections involving T. trichiura, Ascaris lumbricoides, hookworms and Strongyloides stercoralis are highly prevalent among aborigine community. Primary and secondary prevention such as the use of anthelmintic, health education, and adequate sanitation was essential in the control of these infections in Malaysia to improve individual and community health.

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Open Access Macedonian Journal of Medical Sciences Medicine-Medicine (all)

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0.00%

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1225

期刊介绍： Open Access Macedonian Journal of Medical Sciences (OAMJMS) [formerly known as Macedonian Journal of Medical Sciences] is a top-tier open access medical science journal published by the ID Design 2012/DOOEL Skopje, Rajko Zhinzifov No 48, 1000 Skopje, Republic of Macedonia. OAMJMS is an international, modern, general medical journal covering all areas in the medical sciences, from basic studies to large clinical trials and cost-effectiveness analyses. We publish mostly human studies that substantially enhance our understanding of disease epidemiology, etiology, and physiology; the development of prognostic and diagnostic technologies; trials that test the efficacy of specific interventions and those that compare different treatments; and systematic reviews. We aim to promote translation of basic research into clinical investigation, and of clinical evidence into practice. We publish occasional studies in animal models when they report outstanding research findings that are highly clinically relevant. Our audience is the international medical community as well as educators, policy makers, patient advocacy groups, and interested members of the public around the world. OAMJMS is published quarterly online version. The Open Access Macedonian Journal of Medical Sciences (OAMJMS) publishes Medical Informatics, Basic Science, Clinical Science, Case Report, Brief Communication, Public Health, Public Policy, and Review Article from all fields of medicine and related fields. This journal also publishes, continuously or occasionally, the bibliographies of the members of the Society, medical history, medical publications, thesis abstracts, book reviews, reports on meetings, information on future meetings, important events and dates, and various headings which contribute to the development of the corresponding scientific field.