Epidemiology of dengue in SAARC territory: a systematic review and meta-analysis.

Humans Dengue Virus Dengue Seroepidemiologic Studies Immunoglobulin G Immunoglobulin M Thrombocytopenia Antibodies, Viral
Dengue Dengue fever Dengue shock syndrome SAARC region

Journal

Parasites & vectors
ISSN: 1756-3305
Titre abrégé: Parasit Vectors
Pays: England
ID NLM: 101462774

Informations de publication

Date de publication:
24 Oct 2022
Historique:
received: 25 04 2022
accepted: 13 07 2022
entrez: 25 10 2022
pubmed: 26 10 2022
medline: 27 10 2022
Statut: epublish

Résumé

Dengue is one of the common arboviral infections and is a public health problem in South East Asia. The aim of this systematic review and meta-analysis was to evaluate the prevalence and distribution of dengue in SAARC (South Asian Association for Regional Cooperation) countries. The PubMed, PubMed Central, Embase and Scopus databases were searched for relevant studies. Statistical analysis on data extracted from the selected studied was conducted using the Comprehensive Meta-Analysis Software (CMA) version 3 software package. Proportions were used to estimate the outcome with a 95% confidence interval (CI). Across all studies, among cases of suspected dengue, 30.7% were confirmed dengue cases (proportion: 0.307, 95% CI: 0.277-0.339). The seroprevalence of dengue immunoglobulin (Ig)G, IgM or both (IgM and IgG) antibodies and dengue NS1 antigen was 34.6, 34.2, 29.0 and 24.1%, respectively. Among the different strains of dengue, dengue virus (DENV) strains DENV-1, DENV-2, DENV-3 and DENV-4 accounted for 21.8, 41.2, 14.7 and 6.3% of cases, respectively. The prevalence of dengue fever, dengue hemorrhagic fever and dengue shock syndrome was 80.5, 18.2 and 1.5%, respectively. Fever was a commonly reported symptom, and thrombocytopenia was present in 44.7% of cases. Mortality was reported in 1.9% of dengue cases. Dengue is a common health problem in South East Asia with high seroprevalence. DENV-2 was found to be the most common strain causing infection, and most dengue cases were dengue fever. In addition, thrombocytopenia was reported in almost half of the dengue cases.

Sections du résumé

BACKGROUND BACKGROUND
Dengue is one of the common arboviral infections and is a public health problem in South East Asia. The aim of this systematic review and meta-analysis was to evaluate the prevalence and distribution of dengue in SAARC (South Asian Association for Regional Cooperation) countries.
METHODS METHODS
The PubMed, PubMed Central, Embase and Scopus databases were searched for relevant studies. Statistical analysis on data extracted from the selected studied was conducted using the Comprehensive Meta-Analysis Software (CMA) version 3 software package. Proportions were used to estimate the outcome with a 95% confidence interval (CI).
RESULTS RESULTS
Across all studies, among cases of suspected dengue, 30.7% were confirmed dengue cases (proportion: 0.307, 95% CI: 0.277-0.339). The seroprevalence of dengue immunoglobulin (Ig)G, IgM or both (IgM and IgG) antibodies and dengue NS1 antigen was 34.6, 34.2, 29.0 and 24.1%, respectively. Among the different strains of dengue, dengue virus (DENV) strains DENV-1, DENV-2, DENV-3 and DENV-4 accounted for 21.8, 41.2, 14.7 and 6.3% of cases, respectively. The prevalence of dengue fever, dengue hemorrhagic fever and dengue shock syndrome was 80.5, 18.2 and 1.5%, respectively. Fever was a commonly reported symptom, and thrombocytopenia was present in 44.7% of cases. Mortality was reported in 1.9% of dengue cases.
CONCLUSIONS CONCLUSIONS
Dengue is a common health problem in South East Asia with high seroprevalence. DENV-2 was found to be the most common strain causing infection, and most dengue cases were dengue fever. In addition, thrombocytopenia was reported in almost half of the dengue cases.

Identifiants

DOI: 10.1186/s13071-022-05409-1 PMID: 36280877 PMC: PMC9594905
pubmed: 36280877
doi: 10.1186/s13071-022-05409-1
pii: 10.1186/s13071-022-05409-1
pmc: PMC9594905
doi:

Substances chimiques

Immunoglobulin G 0
Immunoglobulin M 0
Antibodies, Viral 0

Types de publication

Meta-Analysis Systematic Review Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

389

Informations de copyright

© 2022. The Author(s).

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Auteurs

Dhan Bahadur Shrestha (DB)

Department of Internal Medicine, Mount Sinai Hospital, Chicago, IL, USA.

Pravash Budhathoki (P)

Department of Internal Medicine, Bronxcare Health System, Bronx, NY, USA.

Bipana Gurung (B)

Chitwan Medical College, Chitwan, Nepal.

Subash Subedi (S)

Chitwan Medical College, Chitwan, Nepal.

Shishir Aryal (S)

Chitwan Medical College, Chitwan, Nepal.

Anisha Basukala (A)

Nepalese Army Institute of Health Sciences, Kathmandu, Nepal.

Barun Aryal (B)

Department of Emergency Medicine, Patan Academy of Health Sciences, Lalitpur, Nepal.

Anurag Adhikari (A)

Department of Emergency Medicine, Nepal National Hospital, Kathmandu, Nepal.

Ayusha Poudel (A)

Department of Emergency Medicine, Alka Hospital, Kathmandu, Nepal.

Gopal Kumar Yadav (GK)

Department of Emergency Medicine, Kalaiya Hospital, Bara, Nepal.

Mtanis Khoury (M)

Department of Internal Medicine, Mount Sinai Hospital, Chicago, IL, USA.

Binod Rayamajhee (B)

School of Optometry & Vision Science, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia.
Department of Infection and Immunology, Kathmandu Research Institute for Biological Sciences (KRIBS), Lalitpur, Nepal.

Lok Bahadur Shrestha (LB)

Department of Microbiology & Infectious Diseases, B. P. Koirala Institute of Health Sciences, Dharan, 56700, Nepal. lok.shrestha@bpkihs.edu.
School of Medical Sciences and the Kirby Institute, University of New South Wales, Sydney, Australia. lok.shrestha@bpkihs.edu.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Epidemiology of dengue in SAARC territory: a...
questionsmedicales.fr › Virus › Virus à ARN › Virus à ARN à brin positif › Flaviviridae › Flavivirus › Virus de la dengue › Epidemiology of dengue in SAARC territory: a...
questionsmedicales.fr › Infection › Maladies virales › Infections à virus à ARN › Fièvres hémorragiques virales › Dengue › Epidemiology of dengue in SAARC territory: a...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études séroépidémiologiques › Epidemiology of dengue in SAARC territory: a...
questionsmedicales.fr › Acides aminés, peptides et protéines › Protéines › Globulines › Sérum-globulines › Immunoglobulines › Anticorps › Isotypes des immunoglobulines › Immunoglobuline G › Epidemiology of dengue in SAARC territory: a...
questionsmedicales.fr › Acides aminés, peptides et protéines › Protéines › Globulines › Sérum-globulines › Immunoglobulines › Anticorps › Isotypes des immunoglobulines › Immunoglobuline M › Epidemiology of dengue in SAARC territory: a...
questionsmedicales.fr › Hémopathies et maladies lymphatiques › Hémopathies › Anomalies des plaquettes › Thrombopénie › Epidemiology of dengue in SAARC territory: a...
questionsmedicales.fr › Acides aminés, peptides et protéines › Protéines › Globulines › Sérum-globulines › Immunoglobulines › Anticorps › Anticorps antiviraux › Epidemiology of dengue in SAARC territory: a...