Tick

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  • 文章类型: Journal Article
    尽管有蜱传脑炎(TBE)疫苗,TBE的发病率正在增加。为了了解感染的历史模式,我们对2023年12月之前的研究进行了全球荟萃分析,这些研究报告了按国家分层的普通或高危人群中针对TBEV(TBE病毒)的人类抗体患病率,收集年,血清学方法,和疫苗接种状况。通过随机效应模型在组内比较汇总数据。总的来说,检索到2403篇文章;包括自1959年以来发表的130篇文章。数据来自33个国家的96名一般人群(117,620名参与者)和71名高危人群(53,986名参与者)。德国有最多的人口群体(21),波兰的参与者最多(44,688人)。使用了七种血清学方法;最常见的是常规IgG/IgMELISA(44%)。四项研究(1.7%)使用NS1-ELISA血清学。在1956-1991年和1992-2022年之间,来自“高风险”地区(p=0.458)的所有人群的抗TBEV血清阳性率保持在〜2.75%,但在普通人群(1.7%至1%;p=0.001)和高风险人群(5.1%至1.3%;p<0.001)中有所下降,可能是由于不同时期研究方法的差异。本总结探讨了血清学方法如何用于评估TBE疫苗接种覆盖率和TBEV的潜在暴露或测量TBE负担,并强调了在进行TBE血清阳性率研究以比较人群时需要标准化方法。
    Despite the availability of tick-borne encephalitis (TBE) vaccines, the incidence of TBE is increasing. To understand the historical patterns of infection, we conducted a global meta-analysis of studies before December 2023 reporting human antibody prevalence against TBEV (TBE virus) among general or high-risk population groups stratified by country, collection year, serological method, and vaccination status. Pooled data were compared within groups over time by random-effects modeling. In total, 2403 articles were retrieved; 130 articles published since 1959 were included. Data were extracted from 96 general populations (117,620 participants) and 71 high-risk populations (53,986 participants) across 33 countries. Germany had the most population groups (21), and Poland had the most participants (44,688). Seven serological methods were used; conventional IgG/IgM ELISAs were the most common (44%). Four studies (1.7%) used NS1-ELISA serology. Between 1956-1991 and 1992-2022, anti-TBEV seroprevalence remained at ~2.75% across all population groups from \"high-risk\" areas (p = 0.458) but decreased within general populations (1.7% to 1%; p = 0.001) and high-risk populations (5.1% to 1.3%; p < 0.001), possibly due to differences in the study methodologies between periods. This global summary explores how serological methods can be used to assess TBE vaccination coverage and potential exposure to TBEV or measure TBE burden and highlights the need for standardized methodology when conducting TBE seroprevalence studies to compare across populations.
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  • 文章类型: Journal Article
    克里米亚-刚果出血热(CCHF)是影响人类的最广泛的新兴严重病毒性蜱传疾病。克里米亚-刚果出血热病毒(CCHFV)通过常规的地方性蜱-脊椎动物宿主-蜱传播周期传播。我们旨在在全球范围内评估CCHFV在蜱中的分子患病率。
    使用PubMed进行系统的审查和荟萃分析,谷歌学者,和WebofScience数据库,从2000年1月1日至2023年4月12日。在确定的2310篇论文中,43篇文章符合本研究的纳入标准。
    在全球范围内,CCHFV的总体患病率为4.0%(95CI:2.7-6.0%),具有异质性(I2=96.387;p=0.0001)。Hyalomma属被显示为感染CCHFV5.4%(95CI:3.3-8.7%)的最常见蜱。我们发现CCHFV的合并患病率在Hyalomma埃及菜27.6%(95CI:22.7-33.2%)中较高。亚洲的合并患病率较高5.1%(95CI:3.3-7.7%),西班牙21.0%(95CI:3.4-66.9)。年降雨量为401-1000毫米6.1%(95CI:2.6-13.5%)和纬度为31-40°6.0%(95CI:4.1-8.9%)的位置与cchfv的最大合并患病率相关。
    对蜱中CCHFV的监测将为未来公共卫生干预措施的实施提供更好的理解。Hyalomma埃及皮是否是一个合理的或某些载体的问题应该是进一步研究的主题。
    UNASSIGNED: Crimean-Congo hemorrhagic fever (CCHF) is the widest emerging severe viral tick-borne disease affecting humans. Crimean-Congo haemorrhagic fever virus (CCHFV) circulates by routine enzootic tick-vertebrate hosts-tick transmission cycles. We aimed to evaluate the molecular prevalence of CCHFV in ticks on a global scale.
    UNASSIGNED: A systematic procedure was used to perform this review and meta-analysis using PubMed, Google Scholar, and Web of Science databases from 1 January 2000 through 12 April 2023. Of the 2310 papers identified, 43 articles met the inclusion criteria for this study.
    UNASSIGNED: The overall prevalence of CCHFV was 4.0% (95%CI: 2.7-6.0%) in ticks on the global scale, with heterogeneity (I2=96.387; p=0.0001). The genus Hyalomma was shown as the most frequent tick infected with CCHFV 5.4% (95%CI: 3.3-8.7%). We found that the pooled prevalence of CCHFV was higher in Hyalomma aegyptium 27.6% (95%CI: 22.7-33.2%). The pooled prevalence was higher in Asia 5.1% (95%CI: 3.3-7.7%), and Spain 21.0% (95%CI: 3.4-66.9). The locations with annual rainfall of 401-1000 mm 6.1% (95%CI: 2.6-13.5%) and latitude of 31-40° 6.0% (95%CI: 4.1-8.9%) were associated with the greatest pooled prevalence of CCHFV in ticks.
    UNASSIGNED: Surveillance of CCHFV in ticks will give a better comprehension for the future implementation of public health interventions. The question of whether Hyalomma aegyptium is a plausible or certain vector should be the subject of further investigation.
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  • 文章类型: Journal Article
    Alkhumra出血热病毒(AHFV)已传播到中东以外。然而,该病毒的实际全球流行程度尚不清楚。本系统综述和荟萃分析,因此,遵循标准报告指南,提供全球Alkhumra病毒感染流行的全面细节.全球AHFV的合并患病率估计为1.3%(95%CI:0.3-6.3),在人类中患病率较高(3.4%,95%CI:0.4-25.0)与动物(0.7%,95%CI:0.3-1.8)。蜱和骆驼的患病率分别为0.7%和0.2%,分别。总的来说,与非洲(0.5%)相比,亚洲(2.6%)的患病率较高,与世界其他地区(<1%)相比,沙特阿拉伯的患病率明显更高(4.6%)。近年来观察到人类的监测率较低。这些发现将有助于公共卫生准备,监视,以及由于AHFV爆发和严重健康后果的可能性而制定的预防措施。
    Alkhumra hemorrhagic fever virus (AHFV) has spread beyond the Middle East. However, the actual global prevalence of the virus is yet unknown. This systematic review and meta-analysis, thus, followed the standard reporting guidelines to provide comprehensive details on the prevalence of Alkhumra virus infection globally. The pooled prevalence of AHFV globally was estimated at 1.3% (95% CI: 0.3-6.3), with higher prevalence in humans (3.4%, 95% CI: 0.4-25.0) compared to animals (0.7%, 95% CI: 0.3-1.8). The prevalence in ticks and camels were 0.7% and 0.2%, respectively. Overall, there was a high prevalence rate in Asia (2.6%) compared to Africa (0.5%), and a distinctly higher prevalence in Saudi Arabia (4.6%) compared to other parts of the world (<1%). Lower surveillance rate in humans was observed in recent years. These findings will aid public health preparedness, surveillance, and development of preventive measures due to AHFV\'s potential for outbreaks and severe health consequences.
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  • 文章类型: Systematic Review
    背景:布鲁氏菌病是由布鲁氏菌属细菌引起的人畜共患疾病,其特征是具有多种普遍性,多条传输路线,和严重的危险。必须合并当前的知识,并确定与蜱在布鲁氏菌病传播中的作用有关的差距。
    方法:我们系统地搜索了中国国家知识基础设施(CNKI),万方,谷歌学者,和PubMed关于该主题的文章发布至2022年4月23日。该程序是根据系统审查和Meta分析扩展范围审查(PRISMA-ScR)指南进行的。选定的文章分为三个主要主题领域,并提取了潜在的数据来描述两名审查员的证据-实践差距。
    结果:搜索确定了83个合格的最终分析研究。结果强调了蜱在布鲁氏菌病传播中的潜在能力,如在16种不同蜱种中检测到的布鲁氏菌所证明的。蜱中布鲁氏菌的总体患病率为33.87%(范围:0.00-87.80%)。该综述还揭示了布鲁氏菌在寄生蜱的不同发育阶段循环的能力,从而对动物和人类健康构成潜在威胁。来自体外啮齿动物感染实验的经验证据表明,蜱具有将布鲁氏菌传播给未感染动物的能力(范围:45.00-80.00%)。此外,已发现动物布鲁氏菌病的发生与牧场的蜱虫控制之间存在显著的流行病学关联,这进一步表明,蜱可能是布鲁氏菌病在反刍动物中传播的潜在载体。值得注意的是,在搜索1963年至2019年的全球临床病例报告时,仅发现了3例由潜在蜱叮咬引起的人类布鲁氏菌病。
    结论:必须改进用于识别蜱中布鲁氏菌的技术,特别是通过开发小说,高效,可应用于现场设置的精确方法。此外,由于缺乏蜱传布鲁氏菌病的充分证据,整合各个学科至关重要,包括实验动物科学,流行病学,分子遗传学,和其他人,更好地了解蜱传布鲁氏菌病的疗效。通过合并多个学科,我们可以提高我们应对蜱传布鲁氏菌病的理解和熟练程度。
    BACKGROUND: Brucellosis is a zoonotic affliction instigated by bacteria belonging to the genus Brucella and is characterized by a diverse range of pervasiveness, multiple transmission routes, and serious hazards. It is imperative to amalgamate the current knowledge and identify gaps pertaining to the role of ticks in brucellosis transmission.
    METHODS: We systematically searched China National Knowledge Infrastructure (CNKI), WanFang, Google Scholar, and PubMed on the topic published until April 23, 2022. The procedure was performed in accordance with the Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. The selected articles were categorized across three major topic areas, and the potential data was extracted to describe evidence-practice gaps by two reviewers.
    RESULTS: The search identified 83 eligible studies for the final analyses. The results highlighted the potential capacity of ticks in brucellosis transmission as evidenced by the detection of Brucella in 16 different tick species. The pooled overall prevalence of Brucella in ticks was 33.87% (range: 0.00-87.80%). The review also revealed the capability of Brucella to circulate in parasitic ticks\' different developmental stages, thus posing a potential threat to animal and human health. Empirical evidence from in vitro rodent infection experiments has revealed that ticks possess the capability to transmit Brucella to uninfected animals (range: 45.00-80.00%). Moreover, significant epidemiological associations have been found between the occurrence of brucellosis in animals and tick control in rangelands, which further suggests that ticks may serve as potential vectors for brucellosis transmission in ruminants. Notably, a mere three cases of human brucellosis resulting from potential tick bites were identified in search of global clinical case reports from 1963 to 2019.
    CONCLUSIONS: It is imperative to improve the techniques used to identify Brucella in ticks, particularly by developing a novel, efficient, precise approach that can be applied in a field setting. Furthermore, due to the lack of adequate evidence of tick-borne brucellosis, it is essential to integrate various disciplines, including experimental animal science, epidemiology, molecular genetics, and others, to better understand the efficacy of tick-borne brucellosis. By amalgamating multiple disciplines, we can enhance our comprehension and proficiency in tackling tick-borne brucellosis.
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  • 文章类型: Systematic Review
    背景:从20世纪初开始,在加拿大的监测工作中发现了蜱及其病原体。从那以后,随着tick和宿主种群的建立,tick媒介和tick传播病原体的地理传播在加拿大稳步增长。加拿大的前哨监视主要集中在肩胛骨上,它是伯氏疏螺旋体的主要媒介,引起莱姆病的细菌.其他蜱传病原体,比如无性体,巴贝西亚,和立克次体物种,在加拿大患病率较低,但是它们在蜱和宿主种群中正在出现或重新出现。
    这里,我们评估了滴答向量之间的历史关联,宿主和病原体,并使用从文献中提取的数据确定了加拿大蜱中病原体存在的时空簇。
    结果:大约三分之一的蜱被病原体感染,这些蜱主要以鸟类和哺乳动物宿主为食。B.burgdorferi是检测到的最多的病原体,而I.肩胛骨则含有最多的病原体。除了加拿大南部的五个时空集群外,我们还确定了蜱中高病原体存在的几个空间异常值,所有这些都有悠久的蜱种群。还根据监测方法确定了蜱中六个高病原体存在的时空簇,四个集群与被动监测相关,两个集群与主动监测相关。
    结论:我们的综述代表了对文献的首次系统评估,该文献在广泛的空间和时间尺度上确定了加拿大蜱-宿主-病原体疾病系统的历史关联和时空变化。
    结论:由于根据监测方法确定了不同的时空集群,监测工作必须采用标准化方法和数据报告来全面评估存在,蜱传病原体在蜱和宿主种群中的传播和风险。
    BACKGROUND: Starting in the early 20th century, ticks and their pathogens have been detected during surveillance efforts in Canada. Since then, the geographic spread of tick vectors and tick-borne pathogens has steadily increased in Canada with the establishment of tick and host populations. Sentinel surveillance in Canada primarily focuses on Ixodes scapularis, which is the main vector of Borrelia burgdorferi, the bacterium causing Lyme disease. Other tick-borne pathogens, such as Anaplasma, Babesia, and Rickettsia species, have lower prevalence in Canada, but they are emerging or re-emerging in tick and host populations.
    UNASSIGNED: Here, we assessed the historical associations between tick vectors, hosts and pathogens and identified spatiotemporal clusters of pathogen presence in ticks in Canada using data extracted from the literature.
    RESULTS: Approximately one-third of ticks were infected with a pathogen, and these ticks were feeding primarily on bird and mammal hosts. B. burgdorferi was the most detected pathogen and I. scapularis harboured the greatest number of pathogens. We identified several spatial outliers of high pathogen presence in ticks in addition to five spatiotemporal clusters in southern Canada, all of which have long-established tick populations. Six spatiotemporal clusters of high pathogen presence in ticks were also identified based on surveillance method, with four clusters associated with passive surveillance and two clusters associated with active surveillance.
    CONCLUSIONS: Our review represents the first systematic assessment of the literature that identifies historical associations and spatiotemporal changes in tick-host-pathogen disease systems in Canada over broad spatial and temporal scales.
    CONCLUSIONS: As distinct spatiotemporal clusters were identified based on surveillance method, it is imperative that surveillance efforts employ standardized methods and data reporting to comprehensively assess the presence, spread and risk of tick-borne pathogens in tick and host populations.
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  • 文章类型: Review
    Ticks are obligate, haematophagous arthropods that are distributed across the world, which may transmit more than 200 pathogens, including viruses, bacteria and parasites. A large number of tick species are widespread in China, and their transmitting tick-borne viral diseases pose a great threat to human health in endemic foci. This review describes the epidemiology of common, emerging and potentially pathogenic tick-borne viruses in China, and recommends the assessment of public health significance and pathogenicity of emerging tick-borne viruses using reverse microbial etiology, so as to provide insights into the management of emerging tick-borne diseases in China.
    [摘要] 蜱是一种呈全球性分布的体外吸血节肢动物, 可传播包 括病毒、细菌、寄生虫在内的200余种病原。我国蜱种类多、分布 广, 其传播的病毒性疾病给流行区广大人民群众身体健康造成了 严重威胁。本文概述了我国常见、新发及具有潜在致病性的蜱媒 病毒流行现状, 并建议利用反向病原学研究策略开展新发蜱媒病 毒公共卫生意义评估及致病性研究, 从而为我国新发蜱传疾病防 控提供参考。.
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  • 文章类型: Journal Article
    蜱传病原体(TBP)可分为三类:细菌,寄生虫,和病毒。它们由各种各样的蜱物种传播,并引起各种各样的人类,动物,和人畜共患疾病。共发现148份有关野生动物蜱传病原体的出版物,报告了2000年至2021年2月期间来自35种蜱和17种野生动物宿主的85种病原体。报道的主要TBP是细菌来源的,包括支原体属。和立克次体。总共72.2%的TBP来自从野生动物收集的受感染的蜱。TBP阳性的主要蜱属是Ixodes。该属主要在西欧报道,这是大多数出版物的焦点(66.9%)。其次是Hyalomma属,主要报道在地中海沿岸的其他地区。据报道,这些TBP和TBP阳性蜱属来自总共17个野生动物宿主。报道的主要寄主是马鹿和野猪等游戏哺乳动物,但鸟类和啮齿动物等小型脊椎动物也被发现感染。148种出版物中,12.8%调查了地中海岛屿上的出版物,在那里的7个蜱属和11个野生动物宿主中报告了所有TBP的36.8%。在这些岛上报告的主要TBP阳性野生动物和tick属是鸟类和Hyalommaspp。尽管关注蜱的出版物比例很小,它们揭示了岛屿在监测野生动物TBP时的重要性。对于野生鸟类来说尤其如此,它们可能会沿着它们的迁移路径传播它们的蜱和TBP。
    Tick-borne pathogens (TBPs) can be divided into three groups: bacteria, parasites, and viruses. They are transmitted by a wide range of tick species and cause a variety of human, animal, and zoonotic diseases. A total of 148 publications were found on tick-borne pathogens in wild animals, reporting on 85 species of pathogens from 35 tick species and 17 wild animal hosts between 2000 and February 2021. The main TBPs reported were of bacterial origin, including Anaplasma spp. and Rickettsia spp. A total of 72.2% of the TBPs came from infected ticks collected from wild animals. The main tick genus positive for TBPs was Ixodes. This genus was mainly reported in Western Europe, which was the focus of most of the publications (66.9%). It was followed by the Hyalomma genus, which was mainly reported in other areas of the Mediterranean Rim. These TBPs and TBP-positive tick genera were reported to have come from a total of 17 wild animal hosts. The main hosts reported were game mammals such as red deer and wild boars, but small vertebrates such as birds and rodents were also found to be infected. Of the 148 publications, 12.8% investigated publications on Mediterranean islands, and 36.8% of all the TBPs were reported in seven tick genera and 11 wild animal hosts there. The main TBP-positive wild animals and tick genera reported on these islands were birds and Hyalomma spp. Despite the small percentage of publications focusing on ticks, they reveal the importance of islands when monitoring TBPs in wild animals. This is especially true for wild birds, which may disseminate their ticks and TBPs along their migration path.
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  • 文章类型: Review
    HemaphysalisKoch,1844年,是东南亚最大的蜱属,但是关于老挝存在的物种的信息很少。最近的研究已经记录了老挝的10种Haemphysalis物种,包括5个新记录,以及3个不确定状态的形态实体。需要进一步的形态学和分子研究来阐明我们对东南亚该属的分类学理解。
    Haemaphysalis Koch, 1844, is the largest genus of ticks in Southeast Asia, but little information is available concerning the species present in Laos. Recent research has yielded records for 10 Haemaphysalis species in Laos, including 5 new records, as well as 3 morphological entities of uncertain status. Further morphological and molecular studies are needed to clarify our taxonomic understanding of this genus in Southeast Asia.
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  • 文章类型: Journal Article
    背景:蜱是将广泛的病原体传播到脊椎动物宿主的嗜血寄生虫。蜱虫可以通过其基本但精心策划的先天免疫系统破坏入侵的微生物或减轻感染。抗菌肽(AMPs)是蜱固有免疫的重要组成部分。在这些体液效应分子中,防卫素在Ixodidae(硬蜱)和Argasidae(软蜱)的各种物种中得到了充分研究和广泛鉴定。这篇综述旨在介绍蜱防御素从基于结构的分类状态到抗菌功能的表征。
    方法:通过PubMed和WebofScience数据库搜索了2001年至2022年5月以英文撰写的所有已发表论文,并结合了有关蜱防御素的相关术语。包括有关蜱防御素的鉴定和表征的报告。在检索到的329个条目中,57篇文章终于有资格参加我们的范围审查。Tick防御素主要属于顺式防御素超家族的抗菌古代无脊椎动物型防御素。它们通常很小,阳离子,和两亲性,六个半胱氨酸残基形成三个分子内二硫键。Tick防御素主要针对多种病原体的膜,包括革兰氏阳性和革兰氏阴性细菌,真菌,病毒,和原生动物.由于蜱防御素具有高度的变异性,我们总结了它们的常见生物学特性并列举了具有代表性的肽。随着各种和有效的抗菌活性,讨论了蜱防御素在确定载体能力中的作用。
    结论:由于其广谱抗微生物活性,蜱防御素被认为是控制传染病的新候选物或靶标。
    BACKGROUND: Ticks are hematophagous parasites that transmit an extensive range of pathogens to their vertebrate hosts. Ticks can destroy invading microorganisms or alleviate infection via their rudimentary but orchestrated innate immune system. Antimicrobial peptides (AMPs) are important components of tick innate immunity. Among these humoral effector molecules, defensins are well-studied and widely identified in various species of Ixodidae (hard ticks) and Argasidae (soft ticks). This review was aimed at presenting the characterization of tick defensins from structure-based taxonomic status to antimicrobial function.
    METHODS: All published papers written in English from 2001 to May 2022 were searched through PubMed and Web of Science databases with the combination of relevant terms on tick defensins. Reports on identification and characterization of tick defensins were included. Of the 329 entries retrieved, 57 articles were finally eligible for our scoping review. Tick defensins mainly belong to the antibacterial ancient invertebrate-type defensins of the cis-defensins superfamily. They are generally small, cationic, and amphipathic, with six cysteine residues forming three intra-molecular disulfide bonds. Tick defensins primarily target membranes of a variety of pathogens, including Gram-positive and Gram-negative bacteria, fungi, viruses, and protozoa. Since tick defensins have a high degree of variability, we summarize their common biological properties and enumerate representative peptides. Along with the various and potent antimicrobial activities, the role of tick defensins in determining vector competence is discussed.
    CONCLUSIONS: Due to their broad-spectrum antimicrobial activities, tick defensins are considered novel candidates or targets for controlling infectious diseases.
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  • 文章类型: Journal Article
    莱姆病(LD)是北半球常见的节肢动物传播的炎症性疾病。LD是由一种名为Borreliaburgdorferis.l.的螺旋体引起的,通过蜱传播给人类。气候,环境,和其他因素影响土地利用;娱乐行为的变化会影响人类与受感染蜱的接触。欧洲和北美的研究已经研究了这些方面,但在亚洲的研究还没有。我们搜索了数据库,以确定直到2021年3月发布的所有相关摘要。使用Cochrane协作组织建立的标准方法和程序进行荟萃分析。91篇文章被纳入我们的荟萃分析。文献检索确定了来自9个国家(中国,Japan,马来西亚,蒙古,巴基斯坦,俄罗斯西伯利亚地区,韩国,泰国和土耳其)。此外,来自六个属的53,003个蜱(弱视,Dermacentor,Haemphysalis,Hyalomma,检查Ixodes和Rhipicephalus)是否感染了B.burgdorferi。合并患病率为11.1%(95%CI=8.3-14.2%)。在九个国家中,中国的研究最多(56),马来西亚的感染率最高(46.2%)。大多数被感染的蜱来自Ixodes和Haemphysalis属。Ixodes属的蜱虫感染率最高(16.9%)。在我们的荟萃分析中发现了明显的异质性。我们分析了各国的异质性,属,时间点,和检测方法。这项研究表明,Ixodes,血友病和皮肤病可能是亚洲最常见的B.burgdorferi阳性。被B.burgdorferi感染的蜱中比例最高的是Ixodes属。这项荟萃分析是首次尝试解释亚洲硬体蜱的B.burgdorferi感染。分析了每个国家的感染率和不同蜱属的感染率:它们之间存在很大差异。文献主要集中在东亚,数据有限。本研究可为更全面、深入地调查亚洲壁虱感染伯氏螺旋体提供参考。
    Lyme disease (LD) is a common arthropod-borne inflammatory disorder prevalent in the northern hemisphere. LD is caused by a spirochete named Borrelia burgdorferi s.l., which is transmitted to humans by ticks. Climate, environment, and other factors affect land use; recreational-behavior changes affect human contact with infected ticks. Studies in Europe and North America have looked at these aspects, but studies in Asia have not. We searched databases to identify all relevant abstracts published until March 2021. A meta-analysis was undertaken using the standard methods and procedures established by the Cochrane Collaboration. Ninety-one articles were included in our meta-analysis. The literature search identified data from nine countries (China, Japan, Malaysia, Mongolia, Pakistan, Russia Siberia region, South Korea, Thailand and Turkey). Furthermore, 53,003 ticks from six genera (Amblyomma, Dermacentor, Haemaphysalis, Hyalomma, Ixodes and Rhipicephalus) were inspected for infection with B. burgdorferi. The pooled prevalence was 11.1% (95% CI = 8.3-14.2%). Among the nine countries, China had the most studies (56) and Malaysia had the highest infection rate (46.2%). Most infected ticks were from the genera Ixodes and Haemaphysalis. Ticks of the genus Ixodes had the highest infection rate (16.9%). Obvious heterogeneity was noted in our meta-analysis. We analyzed the heterogeneity with regard to countries, genera, time points, and detection methods. This study suggests that Ixodes, Haemaphysalis and Dermacentor may be the most common tike of B. burgdorferi-positive in Asia. The highest proportion of ticks infected by B. burgdorferi were from the genus Ixodes. This meta-analysis is the first attempt to explain the B. burgdorferi infection of hard-body ticks in Asia. The infection rate for each country and infection rate of different tick genera were analyzed: there were large differences between them. The literature is concentrates mainly on East Asia, and data are limited. Our study can provide a reference for a more comprehensive and in-depth investigation of ticks in Asia infected by B. burgdorferi spirochetes.
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