Chagas disease transmission by consumption of game meat: systematic review.

Autor: Sangenis LH; Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brasil., Nielebock MA; Universidade Estácio de Sá, Campus Nova Friburgo - Rio de Janeiro (RJ), Brasil., Santos CD; Universidade Estácio de Sá, Campus Nova Friburgo - Rio de Janeiro (RJ), Brasil., Silva MC; Universidade Estácio de Sá, Campus Nova Friburgo - Rio de Janeiro (RJ), Brasil., Bento GM; Universidade Estácio de Sá, Campus Nova Friburgo - Rio de Janeiro (RJ), Brasil.
Jazyk: Portuguese; English
Zdroj: Revista brasileira de epidemiologia = Brazilian journal of epidemiology [Rev Bras Epidemiol] 2016 Oct-Dec; Vol. 19 (4), pp. 803-811.
DOI: 10.1590/1980-5497201600040010
Abstrakt: Objective:: To evaluate the influence of game meat consumption in Chagas disease (CD) transmission, the conditions under which it occurs and the frequency of reports in the literature.
Methods:: Through systematic review, databases PubMed, LILACS, MEDLINE, and SciELO were consulted, and articles written in Portuguese, English, and Spanish were included, with no limitation over publication date. We used the following descriptors: oral, transmission, meat, wild animals, hunt, carnivory, and Chagas disease. Articles that mentioned consumption of animal meat as a form of human transmission of CD were included. We used epidemiological, clinical, and laboratory evidence criteria to confirm cases.
Results:: Among the 298 articles identified, only six met the eligibility criteria. Only five episodes of oral transmission through wild animal meat or blood consumption were identified. However, in two of them, the possibility of vectorial transmission could not be ruled out. Most reports met the epidemiological, clinical, and laboratory evidence criteria established to support the transmission.
Conclusion:: Though CD transmission is uncommon, hunting and consumption of wild mammals that serve as Trypanosoma cruzi reservoirs should be discouraged in endemic countries in light of the risks inherent to these practices.
Databáze: MEDLINE