结核病患者丙型肝炎病毒感染的风险:一项系统综述和荟萃分析

IF 1.4 4区 医学 Q3 Medicine
Neda Amoori, Bahman Cheraghian, Payam Amini, Seyed Mohammad Alavi
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引用次数: 0

摘要

背景:结核病(TB)和丙型肝炎病毒(HCV)感染已成为主要的公共卫生问题。本系统综述和荟萃分析旨在确定结核病与丙型肝炎病毒感染风险之间的关系。方法:截至2022年3月,检索谷歌Scholar、Embase、Medline、Pubmed、web of sciences (ISI)和Scopus。利用随机效应模型计算结核患者HCV的合并or值,置信区间为95%。采用I2检验评价异质性。为了检查发表偏倚,我们使用了Egger和Beggs的检验。结果:在2006 - 2020年的1500篇文献中,根据纳入/排除标准对13项研究进行了检查和分析。结核病患者感染丙型肝炎病毒的总风险为(OR: 1.34, 95% CI: 1.10-1.63, P=0.001)。根据国家亚组分析的类型,发展中国家结核病患者HCV感染的风险为(OR: 1.95, 95% CI: 1.00-3.80),高于发达国家的风险(OR: 1.47, 95% CI: 1.42-1.52)。此外,男性丙型肝炎感染的风险与女性相比(OR: 1.84, 95% CI: 1.75-1.94, P=0.001), 65岁以上年龄组与其他年龄组相比(OR: 1.46, 95% CI: 0.98-2.16)显著更高。结论:本研究结果强调了在结核病患者中筛查丙型肝炎病毒的重要性。了解这些患者是否存在丙型肝炎病毒有助于对其进行有效治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk of Hepatitis C Virus Infection in Tuberculosis Patients: A Systematic Review and Meta-Analysis.

Background: Tuberculosis (TB) and infection of Hepatitis C virus (HCV) have appeared as major public health problems. The present systematic review and meta-analysis aimed at determining the relationship between TB and the risk of HCV infection.

Methods: Google Scholar, Embase, Medline, Pubmed, web of sciences (ISI), and Scopus were searched until March 2022. The pooled ORs of HCV in patients with TB were calculated utilizing the random-effect model with a 95% confidence interval (CI). I2 test was utilized for evaluating the heterogeneity. To check publication bias Egger and Beggs' tests were used.

Results: From among 1500 articles from 2006 to 2020, 13 studies were examined and analyzed based on the inclusion/exclusion criteria. The overall risk of HCV infection in patients with TB was (OR: 1.34, 95% CI: 1.10-1.63, P=0.001). According to the type of the countries subgroup analysis, the risk of HCV infection in patients with TB in developing countries was (OR: 1.95, 95% CI: 1.00-3.80), which was higher than the risk in developed countries (OR: 1.47, 95% CI: 1.42-1.52). In addition, the risk of hepatitis C infection in men compared to women (OR: 1.84, 95% CI: 1.75-1.94, P=0.001) and in age groups over 65 yr compared to other age groups (OR: 1.46, 95% CI: 0.98-2.16) was significantly higher.

Conclusion: The results of this study emphasized the importance of screening HCV in patients with TB. Being aware of the presence or absence of HCV in these patients can contribute to their effective treatment.

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来源期刊
Iranian Journal of Public Health
Iranian Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.20
自引率
7.10%
发文量
0
审稿时长
2 months
期刊介绍: Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above men­tioned research areas.
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