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Systematic review and meta-analysis on Schistosoma mansoni infection prevalence, and associated risk factors in Brazil

Published online by Cambridge University Press:  03 January 2018

Maria Teresinha Gomes Casavechia
Affiliation:
Graduate Program in Bioscience and Physiopathology, Department of Clinical Analysis and Biomedicine, State University Maringa, Avenida Colombo, 5790, Jardim Universitário, CEP 87020-900, Maringá, Paraná, Brazil
Gessilda de Alcântara Nogueira de Melo
Affiliation:
Graduate Program in Bioscience and Physiopathology, Department of Clinical Analysis and Biomedicine, State University Maringa, Avenida Colombo, 5790, Jardim Universitário, CEP 87020-900, Maringá, Paraná, Brazil
Andrea Claudia Bekner Da Silva Fernandes
Affiliation:
Graduate Program in Bioscience and Physiopathology, Department of Clinical Analysis and Biomedicine, State University Maringa, Avenida Colombo, 5790, Jardim Universitário, CEP 87020-900, Maringá, Paraná, Brazil
Karin Reinhold De Castro
Affiliation:
Graduate Program in Bioscience and Physiopathology, Department of Clinical Analysis and Biomedicine, State University Maringa, Avenida Colombo, 5790, Jardim Universitário, CEP 87020-900, Maringá, Paraná, Brazil
Raissa Bocchi Pedroso
Affiliation:
Graduate Program in Bioscience and Physiopathology, Department of Clinical Analysis and Biomedicine, State University Maringa, Avenida Colombo, 5790, Jardim Universitário, CEP 87020-900, Maringá, Paraná, Brazil
Thaís Da Silva Santos
Affiliation:
Graduate Program in Bioscience and Physiopathology, Department of Clinical Analysis and Biomedicine, State University Maringa, Avenida Colombo, 5790, Jardim Universitário, CEP 87020-900, Maringá, Paraná, Brazil
Jorge Juarez Vieira Teixeira*
Affiliation:
Graduate Program in Bioscience and Physiopathology, Department of Clinical Analysis and Biomedicine, State University Maringa, Avenida Colombo, 5790, Jardim Universitário, CEP 87020-900, Maringá, Paraná, Brazil
*
Author for correspondence: Jorge Juarez Vieira Teixeira, E-mail: [email protected]

Abstract

We performed a systematic review and meta-analysis on the prevalence and factors associated with Schistosoma mansoni infection in Brazil. We searched the PubMed, Web of Science and Latin-American and Caribbean System on Health Sciences Information (LILACS) databases, scientific publications articles, according to The PRISMA Statement, from 2000 to 2016. A total of 27 studies were included according to the established criteria. The prevalence of S. mansoni infection varied widely, from 0·1 to 73·1%, based on Kato-Katz technique. Of the identified studies, 42·9% were performed in the state of Minas Gerais, and 33·3% were performed in the northeast region of Brazil. We identified sex, age, education level, family income, contact with water and the presence of the intermediate host snail as major risk factors associated with infection. The meta-analysis summarized a high prevalence rate pooled for Schistosoma mansoni. On the other hand, the analysis of the subgroup showed a highly significant reduction of the prevalence rate after control measures. The epidemiological factors evidenced in the studies show the influence of environmental and social conditions on the occurrence of schistosomiasis.

Type
Review Article
Copyright
Copyright © Cambridge University Press 2018 

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Footnotes

Address of the University where the work was prepared. Avenida Colombo, 5790, Jardim Universitário, CEP 87020-900, Maringá, Paraná, Brazil.

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