Systematic Review of Reported HIV Outbreaks, Pakistan, 2000–2019
Autor: | Martha Knuth, Elizabeth M. Rabold, Mirza Amir Baig, Rana Jawad Asghar, Saqib Shaikh, Oliver Morgan, Danielle Fernandez, Karl Schenkel, Hammad Ali |
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Rok vydání: | 2021 |
Předmět: |
iatrogenic infection
Microbiology (medical) Epidemiology Sexually Transmitted Diseases Human immunodeficiency virus (HIV) lcsh:Medicine HIV Infections medicine.disease_cause lcsh:Infectious and parasitic diseases Disease Outbreaks systematic review blood safety Environmental health bloodborne pathogens Humans Medicine lcsh:RC109-216 Pakistan viruses infection prevention and control sexually transmitted infections Bloodborne pathogens business.industry lcsh:R virus diseases HIV Outbreak Systematic Review of Reported HIV Outbreaks Pakistan 2000–2019 Infectious Diseases outbreaks Synopsis Blood safety business |
Zdroj: | Emerging Infectious Diseases Emerging Infectious Diseases, Vol 27, Iss 4, Pp 1039-1047 (2021) |
ISSN: | 1080-6059 1080-6040 |
DOI: | 10.3201/eid2704.204205 |
Popis: | In the absence of robust testing programs, timely and detailed outbreak reporting is essential for HIV control. Unsafe injection practices and injection drug use have been linked to multiple HIV outbreaks in Pakistan since 2003; however, few studies have systematically analyzed the causes of these outbreaks. We conducted a systematic review of published English-language literature indexed in bibliographic databases and search engines and a focused gray literature review to collate and analyze all reported HIV outbreaks in Pakistan during 2000–2019. Of 774 unique publications reviewed, we identified 25 eligible publications describing 7 outbreaks. More than half occurred during 2016–2019. The primary sources of transmission were iatrogenic transmission, affecting children, persons with chronic medical conditions, and the general population (4 outbreaks); injection drug use (2 outbreaks); and a combination of both (1 outbreak). In the absence of robust HIV testing and surveillance in Pakistan, timely and detailed outbreak reporting is important to understand the epidemiology of HIV in the country. |
Databáze: | OpenAIRE |
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