Systematic review and meta-analysis of soil-transmitted helminth infections in South America (2000-2024).

Autor: Servián A; Instituto Nacional de Parasitología 'Dr. Mario Fatala Chaben'- ANLIS Malbrán, Ciudad Autónoma de Buenos Aires (CABA, 1063), Buenos Aires, Argentina. Electronic address: servianandrea3@gmail.com., Garimano N; Instituto Nacional de Parasitología 'Dr. Mario Fatala Chaben'- ANLIS Malbrán, Ciudad Autónoma de Buenos Aires (CABA, 1063), Buenos Aires, Argentina., Santini MS; Instituto Nacional de Parasitología 'Dr. Mario Fatala Chaben'- ANLIS Malbrán, Ciudad Autónoma de Buenos Aires (CABA, 1063), Buenos Aires, Argentina; CONICET: CONICET Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina.
Jazyk: angličtina
Zdroj: Acta tropica [Acta Trop] 2024 Dec; Vol. 260, pp. 107400. Date of Electronic Publication: 2024 Sep 10.
DOI: 10.1016/j.actatropica.2024.107400
Abstrakt: Soil-transmitted helminths (STHs) are parasitic nematodes commonly found in tropical and subtropical regions, where poor sanitation makes them a significant public health concern. This study provides a comprehensive review and meta-analysis of human STH infections across 13 South American countries from 2000 to 2023. It covers these infections' prevalence, distribution, and diagnosis, highlighting the environmental factors influencing transmission pathways. The review identified 134 studies on human STH infections, revealing Brazil as the most researched country. The meta-analysis found prevalence rates of Ascaris lumbricoides, Trichuris trichiura, hookworms, and Strongyloides stercoralis below 20 %, with notable heterogeneity across studies. Most studies used conventional microscopy for diagnosis, pointing out the need for implementing advanced diagnostic tools. Environmental and climatic factors, including temperature annual range, vegetation density, soil types, and properties were significant predictors of STH prevalence. The study calls for more research performing advanced diagnostic methods and broader geographical coverage to address existing data gaps. Furthermore, it emphasizes the need for holistic public health policies integrating biomedical and environmental approaches to ensure effective disease management.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024. Published by Elsevier B.V.)
Databáze: MEDLINE
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