Prevalence of intestinal parasitic infections in Brazil: a systematic review
Rev. Soc. Bras. Med. Trop
;
54: e00332021, 2021. tab, graf
Article
in English
| LILACS
| ID: biblio-1250834
ABSTRACT
Abstract INTRODUCTION:
Parasitic infections are considered a major public health problem due to their associated morbimortality and negative impact on physical and intellectual development, especially in the at-risk pediatric group. Periodic prophylactic administration of antiparasitic agents against soil-transmitted helminths is recommended by the World Health Organization (WHO) to control parasitic infections and disease burden. We aimed to evaluate the prevalence of intestinal parasitic infections in Brazil.METHODS:
We performed a systematic review by searching the literature found in the PubMed, LILACS, and SciELO databases, followed by a meta-analysis of the proportions from studies published in English, Portuguese, and/or Spanish from January 2000 to May 2018. This systematic review was registered in the PROSPERO database (CRD42018096214).RESULTS:
The prevalence of intestinal parasitic infections (protozoa and/or helminths) in Brazil was 46% (confidence interval 39-54%), with 99% heterogeneity. Prevalence varied by region 37%, 51%, 50%, 58%, and 41% in the Southeast, South, Northeast, North, and Central-West regions, respectively. Most studies (32/40) evaluated children (<18 years) and found an average prevalence of 51%. Children also had the highest prevalence in all four regions Central-West (65%), South (65%), North (58%), Northeast (53%), and Southeast (37%). However, most studies evaluated specific populations, which may have created selection bias. Presumably, this review of intestinal parasitic diseases in Brazil includes the most studies and the largest population ever considered. CONCLUSIONS The prevalence of intestinal parasitic infections is high in Brazil, and anthelmintic drugs should be administered periodically as a prophylactic measure, as recommended by the WHO.
Full text:
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Index:
LILACS (Americas)
Main subject:
Helminths
/
Intestinal Diseases, Parasitic
/
Anthelmintics
Type of study:
Observational study
/
Prevalence study
/
Risk factors
/
Systematic reviews
Limits:
Animals
/
Humans
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Rev. Soc. Bras. Med. Trop
Journal subject:
Tropical Medicine
Year:
2021
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Federal Rural de Pernambuco/BR
/
Universidade Federal de Sergipe/BR
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