Anisakis sensitization in different population groups and public health impact. A systematic review

Autor: Vincenzo Ferrantelli, Francesco Vitale, Antonella Costa, Walter Mazzucco, Claudia Marotta, Daniele Domenico Raia, Alessandra Casuccio
Přispěvatelé: Mazzucco, Walter, Raia, Daniele Domenico, Marotta, Claudia, Costa, Antonella, Ferrantelli, Vincenzo, Vitale, Francesco, Casuccio, Alessandra
Jazyk: angličtina
Rok vydání: 2018
Předmět:
0301 basic medicine
Nematoda
Urticaria
lcsh:Medicine
Settore MED/42 - Igiene Generale E Applicata
Anisakis
Geographical locations
0302 clinical medicine
Allergies
Epidemiology
Medicine and Health Sciences
antibodies
Enzyme-Linked Immunoassays
lcsh:Science
humans
helminth
Sensitization
education.field_of_study
Multidisciplinary
Allergic Diseases
biology
Shellfish allergy
Eukaryota
animals
anisakis
antibodies
helminth
enzyme-linked immunosorbent assay
hypersensitivity
occupational exposure
Clinical Laboratory Sciences
Europe
Clinical Laboratories
medicine.anatomical_structure
Systematic review
Research Article
medicine.medical_specialty
Immunology
Immunoblotting
030231 tropical medicine
Population
Food Allergies
Antibodies
Helminth
Molecular Probe Techniques
Dermatology
Research and Analysis Methods
03 medical and health sciences
Diagnostic Medicine
Environmental health
medicine
European Union
Immunoassays
Molecular Biology Techniques
education
Molecular Biology
Biochemistry
Genetics and Molecular Biology (all)
business.industry
Public health
lcsh:R
Anisakis simplex
Organisms
Biology and Life Sciences
medicine.disease
biology.organism_classification
Invertebrates
030104 developmental biology
Agricultural and Biological Sciences (all)
Spain
Immunologic Techniques
Clinical Immunology
lcsh:Q
Clinical Medicine
People and places
business
Zdroj: PLoS ONE, Vol 13, Iss 9, p e0203671 (2018)
PLoS ONE
Popis: Anisakis simplex spp. sensitization rates have increased worldwide, with a significant impact on health-care systems. To date, no clear-cut diagnostic criteria and laboratory algorithm have been established, so anisakiasis still represents an under-reported health problem whose clinical manifestations, when present, mimic the much more common allergic and digestive disorders. Aim of the study was to systematically review the available literature on the prevalence of sensitization against Anisakis in the general population and in specific population groups, taking into account the impact of the different available diagnostic techniques on the epidemiological data. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, relevant papers reporting Anisakis sensitization epidemiological data were found covering a period ranging from 1996 to February 2017. Overall, 41 studies comprising 31,701 participants from eleven countries were included in the qualitative synthesis. General asymptomatic population resulted sensitized to Anisakis in 0.4 to 27.4% of cases detected by means of indirect ELISA or ImmunoCAP specific IgE detection, and between 6.6% and 19.6% of the samples by Skin prick test (SPT). Occupationally exposed workers (fishermen, fishmongers and workers of fish-processing industries) documented specific IgE between 11.7% and 50% of cases, whereas SPT positivity ranged between 8% and 46.4%. Symptomatic allergic patients to any kind of allergen were found to be positive to Anisakis specific IgE detection between 0.0% (in children with mastocytosis) to 81.3% (among adults with shellfish allergy). Results highlighted that hypersensitivity prevalence estimates varied widely according to geographical area, characteristics of the population studied, diagnostic criteria and laboratory assays. Further studies are needed to overcome the documented misdiagnosis by improving the diagnostic approach and, consequently, providing more affordable estimates in order to address public health interventions on populations at high risk of exposure to Anisakis and to tailor health services related to specific groups.
Databáze: OpenAIRE
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