{"title":"东非食品处理者肠道寄生虫感染患病率及相关因素：系统回顾和荟萃分析","authors":"Agenagnew Ashagre, Tadesse Misganaw, Wagaw Abebe, Zelalem Dejazmach, Gashaw Azanaw Amare, Yenesew Mihret Wondmagegn, Kassahun Misgana Worku, Adane Adugna, Hassen Ahmed, Solomon Gedifie, Getinet Kumie, Marye Nigatie, Abdu Jemal, Woldeteklehaimanot Kasahun, Sisay Ayana, Zelalem Asmare, Yalewayker Gashaw, Ermias Getachew, Muluken Gashaw, Assefa Sisay, Selamyhun Tadesse, Biruk Beletew Abate, Atitegeb Abera Kidie, Melesse Abate Reta","doi":"10.1007/s11686-024-00968-y","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Intestinal parasitic infections are a significant public health concern, especially among food handlers, who can transmit these infections to the public through food preparation and handling. This systematic review and meta-analysis aimed to determine the pooled prevalence and associated factors of intestinal parasitic infections among food handlers in the East African region.</p><h3>Methods</h3><p>A systematic review and meta-analysis on intestinal parasitic infections among food handlers involved a comprehensive search across various databases, including Scopus, PubMed, ScienceDirect, Google Scholar, and the institution’s library registers. Forty relevant articles were identified and analyzed using STATA Software version 17.0. Sensitivity analysis, publication bias assessment with Egger’s test, and the Trim-and-fill meta-analysis for bias adjustment were conducted. Heterogeneity across the studies was assessed using Cochran’s Q statistic and I<sup>2</sup> statistics, and subgroup analysis computed for significant heterogeneity (I<sup>2</sup> value ≥ 50%). A random effect model was used to determine the pooled prevalence of intestinal parasitic infections.</p><h3>Results</h3><p>The pooled prevalence of intestinal parasitic infections among food handlers was 32.27% (95% CI 27.90–36.65). The most prevalent parasites were <i>Entamoeba histolytica/dispar</i> 20.83% (95% CI 13.66–28%), <i>Ascaris lumbricoides</i> 13.84% (95% CI 10–17.68%), <i>Giardia lamblia</i> 8.55% (95% CI 6.03–11.06%), and hookworm 6.43% (95% CI 3.93–8.93%). Using a common knife for cutting raw meat (AOR = 2.27, 95% CI 1.21–4.31), food handler’s untrimmed fingernails (AOR = 2.14, 95% CI 1.50–2.78), and no hand washing practices with soap after using the toilet (AOR = 2.25, 95% CI 1.33–3.18) were associated with higher rates of intestinal parasitic infections among food handlers.</p><h3>Conclusions</h3><p>Parasitic infections among food handlers were found to be significantly prevalent. Factors contributing to this high prevalence included food handlers’ untrimmed fingernails, poor hand hygiene practices, and using a shared knife for chopping various food items, including raw meat. These findings emphasize the need for proper personal hygiene and sanitation practices among food handlers to prevent transmitting parasitic infections to consumers.</p></div>","PeriodicalId":6932,"journal":{"name":"Acta Parasitologica","volume":"70 1","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prevalence of Intestinal Parasitic Infections and Associated Factors Among Food Handlers in East Africa: A Systematic Review and Meta-analysis\",\"authors\":\"Agenagnew Ashagre, Tadesse Misganaw, Wagaw Abebe, Zelalem Dejazmach, Gashaw Azanaw Amare, Yenesew Mihret Wondmagegn, Kassahun Misgana Worku, Adane Adugna, Hassen Ahmed, Solomon Gedifie, Getinet Kumie, Marye Nigatie, Abdu Jemal, Woldeteklehaimanot Kasahun, Sisay Ayana, Zelalem Asmare, Yalewayker Gashaw, Ermias Getachew, Muluken Gashaw, Assefa Sisay, Selamyhun Tadesse, Biruk Beletew Abate, Atitegeb Abera Kidie, Melesse Abate Reta\",\"doi\":\"10.1007/s11686-024-00968-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Intestinal parasitic infections are a significant public health concern, especially among food handlers, who can transmit these infections to the public through food preparation and handling. This systematic review and meta-analysis aimed to determine the pooled prevalence and associated factors of intestinal parasitic infections among food handlers in the East African region.</p><h3>Methods</h3><p>A systematic review and meta-analysis on intestinal parasitic infections among food handlers involved a comprehensive search across various databases, including Scopus, PubMed, ScienceDirect, Google Scholar, and the institution’s library registers. Forty relevant articles were identified and analyzed using STATA Software version 17.0. Sensitivity analysis, publication bias assessment with Egger’s test, and the Trim-and-fill meta-analysis for bias adjustment were conducted. Heterogeneity across the studies was assessed using Cochran’s Q statistic and I<sup>2</sup> statistics, and subgroup analysis computed for significant heterogeneity (I<sup>2</sup> value ≥ 50%). A random effect model was used to determine the pooled prevalence of intestinal parasitic infections.</p><h3>Results</h3><p>The pooled prevalence of intestinal parasitic infections among food handlers was 32.27% (95% CI 27.90–36.65). The most prevalent parasites were <i>Entamoeba histolytica/dispar</i> 20.83% (95% CI 13.66–28%), <i>Ascaris lumbricoides</i> 13.84% (95% CI 10–17.68%), <i>Giardia lamblia</i> 8.55% (95% CI 6.03–11.06%), and hookworm 6.43% (95% CI 3.93–8.93%). Using a common knife for cutting raw meat (AOR = 2.27, 95% CI 1.21–4.31), food handler’s untrimmed fingernails (AOR = 2.14, 95% CI 1.50–2.78), and no hand washing practices with soap after using the toilet (AOR = 2.25, 95% CI 1.33–3.18) were associated with higher rates of intestinal parasitic infections among food handlers.</p><h3>Conclusions</h3><p>Parasitic infections among food handlers were found to be significantly prevalent. Factors contributing to this high prevalence included food handlers’ untrimmed fingernails, poor hand hygiene practices, and using a shared knife for chopping various food items, including raw meat. These findings emphasize the need for proper personal hygiene and sanitation practices among food handlers to prevent transmitting parasitic infections to consumers.</p></div>\",\"PeriodicalId\":6932,\"journal\":{\"name\":\"Acta Parasitologica\",\"volume\":\"70 1\",\"pages\":\"\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-01-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Parasitologica\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://link.springer.com/article/10.1007/s11686-024-00968-y\",\"RegionNum\":3,\"RegionCategory\":\"农林科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PARASITOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Parasitologica","FirstCategoryId":"3","ListUrlMain":"https://link.springer.com/article/10.1007/s11686-024-00968-y","RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PARASITOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
肠道寄生虫感染是一个重要的公共卫生问题，特别是在食品处理人员中，他们可以通过食品制备和处理将这些感染传播给公众。本系统综述和荟萃分析旨在确定东非地区食品加工人员肠道寄生虫感染的总流行率和相关因素。方法通过对Scopus、PubMed、ScienceDirect、谷歌Scholar和该机构图书馆注册等数据库的全面检索，对食品处理人员肠道寄生虫感染进行系统回顾和荟萃分析。使用STATA软件17.0版本对40篇相关文章进行识别和分析。进行敏感性分析、Egger检验的发表偏倚评估和偏倚校正的trim -fill meta分析。采用Cochran’s Q统计量和I2统计量评估各研究的异质性，并计算亚组分析是否存在显著异质性（I2值≥50%）。采用随机效应模型确定肠道寄生虫感染的总流行率。结果食品处理人员肠道寄生虫感染的总患病率为32.27% （95% CI 27.90 ~ 36.65）。最常见的寄生虫为溶组织内阿米巴/异蚊20.83% （95% CI 13.66 ~ 28%）、类蚓蛔虫13.84% （95% CI 10 ~ 17.68%）、兰第鞭毛虫8.55% （95% CI 6.03 ~ 11.06%）、钩虫6.43% （95% CI 3.93 ~ 8.93%）。使用普通刀切生肉（AOR = 2.27, 95% CI 1.21-4.31）、食品处理人员未修剪指甲（AOR = 2.14, 95% CI 1.50-2.78）以及如厕后不洗手（AOR = 2.25, 95% CI 1.33-3.18）与食品处理人员肠道寄生虫感染率较高相关。结论食品加工人员中寄生虫感染较为普遍。造成这种高流行率的因素包括食品处理人员未修剪指甲，手卫生习惯差，以及使用共用刀切各种食物，包括生肉。这些发现强调，食品处理人员需要采取适当的个人卫生和环境卫生措施，以防止将寄生虫感染传播给消费者。
Prevalence of Intestinal Parasitic Infections and Associated Factors Among Food Handlers in East Africa: A Systematic Review and Meta-analysis
Background
Intestinal parasitic infections are a significant public health concern, especially among food handlers, who can transmit these infections to the public through food preparation and handling. This systematic review and meta-analysis aimed to determine the pooled prevalence and associated factors of intestinal parasitic infections among food handlers in the East African region.
Methods
A systematic review and meta-analysis on intestinal parasitic infections among food handlers involved a comprehensive search across various databases, including Scopus, PubMed, ScienceDirect, Google Scholar, and the institution’s library registers. Forty relevant articles were identified and analyzed using STATA Software version 17.0. Sensitivity analysis, publication bias assessment with Egger’s test, and the Trim-and-fill meta-analysis for bias adjustment were conducted. Heterogeneity across the studies was assessed using Cochran’s Q statistic and I2 statistics, and subgroup analysis computed for significant heterogeneity (I2 value ≥ 50%). A random effect model was used to determine the pooled prevalence of intestinal parasitic infections.
Results
The pooled prevalence of intestinal parasitic infections among food handlers was 32.27% (95% CI 27.90–36.65). The most prevalent parasites were Entamoeba histolytica/dispar 20.83% (95% CI 13.66–28%), Ascaris lumbricoides 13.84% (95% CI 10–17.68%), Giardia lamblia 8.55% (95% CI 6.03–11.06%), and hookworm 6.43% (95% CI 3.93–8.93%). Using a common knife for cutting raw meat (AOR = 2.27, 95% CI 1.21–4.31), food handler’s untrimmed fingernails (AOR = 2.14, 95% CI 1.50–2.78), and no hand washing practices with soap after using the toilet (AOR = 2.25, 95% CI 1.33–3.18) were associated with higher rates of intestinal parasitic infections among food handlers.
Conclusions
Parasitic infections among food handlers were found to be significantly prevalent. Factors contributing to this high prevalence included food handlers’ untrimmed fingernails, poor hand hygiene practices, and using a shared knife for chopping various food items, including raw meat. These findings emphasize the need for proper personal hygiene and sanitation practices among food handlers to prevent transmitting parasitic infections to consumers.
期刊介绍：
Acta Parasitologica is an international journal covering the latest advances in the subject.
Acta Parasitologica publishes original papers on all aspects of parasitology and host-parasite relationships, including the latest discoveries in biochemical and molecular biology of parasites, their physiology, morphology, taxonomy and ecology, as well as original research papers on immunology, pathology, and epidemiology of parasitic diseases in the context of medical, veterinary and biological sciences. The journal also publishes short research notes, invited review articles, book reviews.
The journal was founded in 1953 as "Acta Parasitologica Polonica" by the Polish Parasitological Society and since 1954 has been published by W. Stefanski Institute of Parasitology of the Polish Academy of Sciences in Warsaw. Since 1992 in has appeared as Acta Parasitologica in four issues per year.
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