PDF(Pubmed)
Abstract：
Schistosomiasis is a parasitic infection that causes significant public health problems in tropical countries. Schistosoma haematobium species are blamable for causing urinary schistosomiasis. The infected person, specifically children, may be carrying the disease. This systematic review aimed to identify the current knowledge of urinary Schistosmiasis in children or USC on its epidemiology, risk factors, and challenges to spread the understanding of controlling the disease and reducing the complications.
In November 2021, a systematic computer-aided literature review was conducted using PubMed, SCOPUS and Web of Science, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. The results were updated in February 2022. We only used papers that have at least the abstract available in English. Relevant articles were screened, duplicates were deleted, eligibility criteria were applied, and studies that met the criteria were reviewed. The keywords Human Schistosoma infections, prevalence, risk factors and challenges were included. The protocol for the review was registered with PROSPERO (registration number CRD42022311609). Pooled prevalence rates were calculated using the programme R version 4.2.1. Heterogeneity was assessed using the I2 statistic and p-value. A narrative approach was used to describe risk factors and challenges. Studies were selected and finalised based on the review question to prioritise. The quality of the included studies was assessed using the Mixed-Method Appraisal Tool (MMAT).
A total of 248 publications met the requirements for inclusion. Fifteen articles were included in this review, with the result showing high heterogeneity. The pooled prevalence of urinary schistosomiasis in children is 4% (95% confidence interval (CI)). Age, poor socioeconomic status, education, exposure to river water, and poor sanitation are the risk factors identified in this review. Challenges are faced due to limitations of clean water, lack of water resources, and poor hygiene.
Modifiable risk factors such as poor knowledge and practices must be addressed immediately. Healthcare providers and schools could accomplish engaging in practical promotional activities. Communicating the intended messages to raise community awareness of urinary schistosomiasis is critical.
In November 2021, a systematic computer-aided literature review was conducted using PubMed, SCOPUS and Web of Science, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. The results were updated in February 2022. We only used papers that have at least the abstract available in English. Relevant articles were screened, duplicates were deleted, eligibility criteria were applied, and studies that met the criteria were reviewed. The keywords Human Schistosoma infections, prevalence, risk factors and challenges were included. The protocol for the review was registered with PROSPERO (registration number CRD42022311609). Pooled prevalence rates were calculated using the programme R version 4.2.1. Heterogeneity was assessed using the I2 statistic and p-value. A narrative approach was used to describe risk factors and challenges. Studies were selected and finalised based on the review question to prioritise. The quality of the included studies was assessed using the Mixed-Method Appraisal Tool (MMAT).
A total of 248 publications met the requirements for inclusion. Fifteen articles were included in this review, with the result showing high heterogeneity. The pooled prevalence of urinary schistosomiasis in children is 4% (95% confidence interval (CI)). Age, poor socioeconomic status, education, exposure to river water, and poor sanitation are the risk factors identified in this review. Challenges are faced due to limitations of clean water, lack of water resources, and poor hygiene.
Modifiable risk factors such as poor knowledge and practices must be addressed immediately. Healthcare providers and schools could accomplish engaging in practical promotional activities. Communicating the intended messages to raise community awareness of urinary schistosomiasis is critical.
摘要：
背景：血吸虫病是一种寄生虫感染，在热带国家引起重大公共卫生问题。血吸虫可引起尿血吸虫病。感染者,特别是儿童，可能携带疾病。本系统综述旨在确定儿童或南加州大学对尿血吸虫病流行病学的最新知识，危险因素，以及传播控制疾病和减少并发症的理解的挑战。
方法：2021年11月，使用PubMed进行了系统的计算机辅助文献综述，SCOPUS和WebofScience,遵循系统审查和荟萃分析(PRISMA)标准的首选报告项目。结果于2022年2月更新。我们只使用至少有英文摘要的论文。相关文章进行了筛选,重复项被删除,适用资格标准，并对符合标准的研究进行了审查。关键词人类血吸虫感染,患病率,包括风险因素和挑战。审查方案已在PROSPERO注册（注册号CRD42022311609）。使用程序R版本4.2.1计算汇总患病率。使用I2统计量和p值评估异质性。使用叙述方法来描述风险因素和挑战。根据审查问题选择并最终确定研究的优先顺序。使用混合方法评估工具（MMAT）评估纳入研究的质量。
结果：共有248份出版物符合纳入要求。这篇评论包括15篇文章，结果表明，异质性较高。儿童尿血吸虫病的合并患病率为4％（95％置信区间（CI））。年龄,贫穷的社会经济地位,教育,暴露在河水中，和卫生条件差是本次审查中确定的风险因素。由于清洁水的限制而面临挑战，缺乏水资源,卫生条件差。
结论：必须立即解决诸如知识和实践不足等可修改的风险因素。医疗保健提供者和学校可以完成实际的促销活动。传达预期的信息以提高社区对泌尿血吸虫病的认识至关重要。
方法：2021年11月，使用PubMed进行了系统的计算机辅助文献综述，SCOPUS和WebofScience,遵循系统审查和荟萃分析(PRISMA)标准的首选报告项目。结果于2022年2月更新。我们只使用至少有英文摘要的论文。相关文章进行了筛选,重复项被删除,适用资格标准，并对符合标准的研究进行了审查。关键词人类血吸虫感染,患病率,包括风险因素和挑战。审查方案已在PROSPERO注册（注册号CRD42022311609）。使用程序R版本4.2.1计算汇总患病率。使用I2统计量和p值评估异质性。使用叙述方法来描述风险因素和挑战。根据审查问题选择并最终确定研究的优先顺序。使用混合方法评估工具（MMAT）评估纳入研究的质量。
结果：共有248份出版物符合纳入要求。这篇评论包括15篇文章，结果表明，异质性较高。儿童尿血吸虫病的合并患病率为4％（95％置信区间（CI））。年龄,贫穷的社会经济地位,教育,暴露在河水中，和卫生条件差是本次审查中确定的风险因素。由于清洁水的限制而面临挑战，缺乏水资源,卫生条件差。
结论：必须立即解决诸如知识和实践不足等可修改的风险因素。医疗保健提供者和学校可以完成实际的促销活动。传达预期的信息以提高社区对泌尿血吸虫病的认识至关重要。
