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

Casavechia, M. T. G. and Melo, G. de A. N. de and Fernandes, A. C. B. da S. and Castro, K. R. de and Pedroso, R. B. and Santos, T. da S. and Teixeira, J. J. V.

Parasitology (2018) 145: 1000–1014

DOI: 10.1017/S0031182017002268

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.

Citation

Casavechia, M. T. G., Melo, G. de A. N. de, Fernandes, A. C. B. da S., Castro, K. R. de, Pedroso, R. B., Santos, T. da S., & Teixeira, J. J. V. (2018). Systematic review and meta-analysis on Schistosoma mansoni infection prevalence, and associated risk factors in Brazil. Parasitology, 145(8), 1000–1014. https://doi.org/10.1017/S0031182017002268 Animals, Humans, Risk Factors, Prevalence, meta-analysis, Brazil, data analysis, disease prevalence, human diseases, public health, scientific publications, Feces/parasitology, helminthoses, helminths, hosts, infections, parasites, parasitoses, risk factors, control, education, environmental health, trematode infections, *Schistosoma mansoni, *risk factors, Minas Gerais, Human Health and the Environment [VV500], Caribbean, *Environment, Brazil/epidemiology, parasitic diseases, parasitic infestations, parasitosis, Protozoan, Helminth and Arthropod Parasites of Humans [VV220], parasitic worms, *Prevalence, Public Health Pests, Vectors and Intermediate Hosts [VV230], Veterinary Pests, Vectors and Intermediate Hosts [LL823], control methods, fluke infections, Trematoda, parasitology, Pathogen, Pest, Parasite and Weed Management (General) [HH000], bilharzia, bilharziasis, Schistosoma, schistosomiasis, schistosomosis, snail-borne diseases, West Indies, Education and Training [CC100], living conditions, Health Services [UU350], Parasite Egg Count, Schistosoma mansoni, Income, *prevention and control, *Socioeconomic Factors, Biomphalaria/parasitology, intermediate hosts, Schistosomiasis mansoni/*epidemiology/transmission, secondary hosts

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