肠道寄生虫感染是常见的传染病,会引起许多健康问题,并损害生长和身体发育。.五岁以下的儿童最容易受到感染,由于他们不成熟的免疫力以及喂养和探索行为。本系统评价旨在评估5岁以下儿童肠道寄生虫感染与营养不良之间的关系。15项研究符合纳入和排除标准,被归类为高质量研究。报告了十二种寄生虫,包括蛔虫,隐孢子虫属。,溶组织内阿米巴,蛭虫,贾第虫Lamblia,钩虫,处女膜外膜外膜,胸骨类圆线虫,牛带虫属。和毛虫毛虫。蛔虫病是报告最多的感染,患病率从埃塞俄比亚的10.77%到马来西亚的57.14%不等,并与发育迟缓相关(OR2.17(95%CI1.14,4.13),p=0.02)。贾第鞭毛虫病是第二多报告的感染,埃塞俄比亚的患病率从4.43%到中非共和国的66.33%不等,并且与发育迟缓的风险增加有关(OR2.34(95%CI1.07,5.10),p=0.03)),浪费(OR2.90(95%CI1.12,7.49,p=0.03)),体重不足(OR1.53(95%CI1.02,2.29,p=0.04))。第三和第四最普遍的感染是Trichiura和钩虫感染。肠道寄生虫感染可以在生命的早期发生,并导致明显的生长迟缓。重要的是要了解基于寄生虫物种的感染的患病率和影响,以便实施治疗干预和预防控制。
Intestinal parasitic infections are common infectious diseases causing many health problems and impaired growth and physical development.. Children under five years old are the most vulnerable to infections, due to their immature immunity and feeding and exploratory behaviours. This systematic
review aimed to assess the relationship between intestinal parasitic infections and undernutrition among children under 5 years old. Fifteen studies met the inclusion and exclusion criteria and were classified as high-quality studies. Twelve parasites were reported, including Ascaris lumbricoides, Cryptosporodium spp., Entamoeba histolytica, Enterobius vermicularis, Giardia lamblia,
hookworm, Hymenolepis nana, Strongyloides sterocalis, Taenia spp. and Trichuris trichuria. Ascariasis is the most reported infection, with a prevalence ranging from 10.77% in Ethiopia to 57.14% in Malaysia, and is correlated with stunting (OR 2.17 (95% CI 1.14, 4.13), p = 0.02). Giardiasis is the second most reported infection, with a prevalence ranging from 4.43% in Ethiopia to 66.33% in the Central African Republic, and is related to an increased risk of stunting (OR 2.34 (95% CI 1.07, 5.10), p = 0.03)), wasting (OR 2.90 (95% CI 1.12, 7.49, p = 0.03)), and being underweight (OR 1.53 (95% CI 1.02, 2.29, p = 0.04)). The third and fourth most prevalent infections are T. trichiura and
hookworm infections. Intestinal parasitic infections can occur very early in life and cause significant growth retardation. It is important to understand the prevalence and effects of infection based on the parasite species in order to implement therapeutic interventions and prevention controls.