Human Fasciolosis in Iran: A Meta-analysis Study.


Journal

Infectious disorders drug targets
ISSN: 2212-3989
Titre abrégé: Infect Disord Drug Targets
Pays: United Arab Emirates
ID NLM: 101269158

Informations de publication

Date de publication:
2019
Historique:
received: 12 09 2018
revised: 08 10 2018
accepted: 10 10 2018
pubmed: 20 10 2018
medline: 20 2 2020
entrez: 19 10 2018
Statut: ppublish

Résumé

Fasciolosis, an infectious disorder with a serious public health burden, is caused by two liver flukes belonging to the genus Fasciola. Iran is among the endemic areas for this disease. This study aimed to determine the seroprevalence of human fasciolosis in Iran. A systematic search was conducted in Embase, PubMed/MEDLINE, Web of Science (WoS), and Google Scholar, as well as Iranian databases including Scientific Information Database (SID), Magiran and Irandoc from January 2000 to June 2016. In order to determine fasciolosis prevalence, the DerSimonian-Laird random model was used. In order to assess the heterogeneity among studies, I2 and Q tests were used. To investigate the source of heterogeneity, meta-regressions based on the year of publication and sample size were performed. Sensitivity analysis was carried out to ensure the stability of obtained results. Eleven relevant studies were included. According to the data analysis a prevalence rate of 2% [95% CI 1-5] was found. No statistically significant relationship between gender and disease prevalence could be detected. We found an OR of developing fasciolosis of 1.67 [95% CI: 0.42 - 6.60] in people who had consumed vegetables versus those who did not eat vegetables, even though this did not yield statistical significance. The findings of the current study can be valuable and help the health-care workers and policy-makers in programming and implementing ad hoc interventions in order to prevent the incidence of disease.

Sections du résumé

BACKGROUND BACKGROUND
Fasciolosis, an infectious disorder with a serious public health burden, is caused by two liver flukes belonging to the genus Fasciola. Iran is among the endemic areas for this disease. This study aimed to determine the seroprevalence of human fasciolosis in Iran.
METHODS METHODS
A systematic search was conducted in Embase, PubMed/MEDLINE, Web of Science (WoS), and Google Scholar, as well as Iranian databases including Scientific Information Database (SID), Magiran and Irandoc from January 2000 to June 2016. In order to determine fasciolosis prevalence, the DerSimonian-Laird random model was used. In order to assess the heterogeneity among studies, I2 and Q tests were used. To investigate the source of heterogeneity, meta-regressions based on the year of publication and sample size were performed. Sensitivity analysis was carried out to ensure the stability of obtained results.
RESULTS RESULTS
Eleven relevant studies were included. According to the data analysis a prevalence rate of 2% [95% CI 1-5] was found. No statistically significant relationship between gender and disease prevalence could be detected. We found an OR of developing fasciolosis of 1.67 [95% CI: 0.42 - 6.60] in people who had consumed vegetables versus those who did not eat vegetables, even though this did not yield statistical significance.
CONCLUSION CONCLUSIONS
The findings of the current study can be valuable and help the health-care workers and policy-makers in programming and implementing ad hoc interventions in order to prevent the incidence of disease.

Identifiants

pubmed: 30332978
pii: IDDT-EPUB-93753
doi: 10.2174/1871526518666181017115028
doi:

Types de publication

Journal Article Meta-Analysis Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

258-263

Informations de copyright

Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.

Auteurs

Masoud Behzadifar (M)

Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.

Nicola Luigi Bragazzi (NL)

Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.

Meysam Behzadifar (M)

Department of Epidemiology, Faculty of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran.

Wesam Kooti (W)

Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran.

Ignazio Vecchio (I)

Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.

Giulia Malaguarnera (G)

Research Center "The Great Senescence", University of Catania, Catania, Italy.

Mariano Martini (M)

Department of Health Sciences (DISSAL), Section of Ethics and History of Medicine, University of Genoa, Genoa, Italy.

Farnaz Kheirandish (F)

Department of Parasitology and Mycology, School of Medicine, Razi Herbal Medicines Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.

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Classifications MeSH