Rolling up the pieces of a puzzle: A systematic review and meta-analysis of the prevalence of toxoplasmosis in Iran

Autor: Masoud Foroutan, Sahar Dalvand, Ahmad Daryani, Ehsan Ahmadpour, Hamidreza Majidiani, Shahram Khademvatan, Esmaeil Abbasi
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Alexandria Journal of Medicine, Vol 54, Iss 3, Pp 189-196 (2018)
Druh dokumentu: article
ISSN: 2090-5068
DOI: 10.1016/j.ajme.2017.06.003
Popis: Toxoplasmosis is a neglected parasitic disease with global distribution in warm-blooded vertebrates and high prevalence among different human societies. We contrived a systematic review and meta-analysis on the prevalence of toxoplasmosis in Iran. Following the general methodology recommended for systematic reviews and meta-analysis, four English and three Persian electronic databases were explored up to April 2016. Out of 105,139 examined samples of different hosts, the weighted overall prevalence was 37% (95% CI = 31–43). Due to the significant heterogeneity (I2 = 81.9%) the random-effects model was used. The pool estimated prevalence of toxoplasmosis in human intermediate hosts, animal intermediate hosts, and definitive hosts was 43% (95% CI = 38–47), 26 (95% CI = 17–35) and, 34% (95% CI = 22–46), respectively. Our results represent that regular inspection in food industries, improved screening programs using standard diagnostic assay as well as distinguishing toxoplasmosis condition in other zoonotic hosts are extremely recommended for better disease management in Iran. Keywords: Toxoplasma gondii, Prevalence, Iran, Systematic review, Meta-analysis
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