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Schistosomiasis and water resources development: For many years, clinical studies of the morbidity related to schistosomiasis have mainly focused on specific forms of advanced organ pathology and focal clinical signs.
The summary OR and confidence interval is indicated by the red diamond at the bottom of each plot. Rev Soc Bras Med Trop. Sensitivity analysis Forest Plot of the impact cuk therapy on diarrhea prevalence.
Thus, the decrease in ss007 after chemotherapy in this meta-analysis represent the complete reversal of morbidity. While immediate granulomatous inflammation is the cause of some of the morbidities included in our review hematuria, proteinuria, bladder irregularities for S. S007 heterogeneity was observed among the studies Fig 2 and subgroup analysis see Table J in S3 Text identified reduced heterogeneity among the studies that included an entire population, or studies where the follow-up time was less than six months, and among studies performed in West Africa.
Sensitivity analysis Forest Plot of the impact of therapy on portal vein dilation prevalence.
S007, studies of morbidity reduction related to drug treatment have had some conflicting results [ 23 — 26 ], which may be a reflection of differences in follow-up after treatment, methods used to measure morbidities, the Schistosoma species, the presence of co-infections especially malariathe type of population and the region, the initial prevalence of infection, the incidence of reinfection, and other factors [ e00727 ].
Acknowledgments The authors would like to thank the staff of the Cleveland Health Sciences Library-Allen Memorial Medical Library for ready assistance with retrieval of the many articles reviewed in this project.
CHK S pdf Datasheet P1 Part Num IC-ON-LINE
Log odds ratio of periportal fibrosis according to post-treatment egg reduction rate. Discussion Quantification of the net changes in Schistosoma infection-associated morbidity prevalence, from before to after treatment, is one way to critically value the impact of drug-based control of schistosomiasis, which is the strategy currently recommended by WHO and other agencies [ 10 ].
Forest plot showing sensitivity analysis, performed by removing one study at a time, for the effect of treatment on prevalence of portal vein dilation.
In order to strengthen the evidence base for Schistosoma morbidity control, there is a clear need to perform additional cohort trials that are both well-designed and well-reported. Although there is an association between intensity of infection and the presence and severity of morbidity [ 11 — 14 ], the correlation is imperfect, and monitoring infection intensity may provide only an indirect means to gauge morbidity risk.
As the time of follow-up increased, the chances of s07 of lesions decreased Table I in S3 Text. SinceWHO has endorsed drug treatment to reduce Schistosoma infection and its consequent morbidity. Color circles indicate summary odds ratios estimated by random effects meta-analysis for morbidity prevalences after treatment, as compared to pre-treatment levels. S13 Fig Sensitivity analysis Forest Plot of the impact of therapy on urinary tract abnormality prevalence.
Gisele Andrade1 David J. In addition, like w007 in urogenital schistosomiasis, splenic enlargement in intestinal schistosomiasis is likely a marker of more severe and more prolonged chronic intestinal schistosomiasis, and it may be more difficult to achieve regression with late treatment [ 46 chm, 47 ]. In recent years, millions of people have been treated in different contexts and, in general, prevalence of morbidity has been reduced after treatment [ 719 — 22 ].
S3 Text Tables A-K indicating the results of subgroup analysis of pre- and post-treatment morbidity prevalence. DOC Click here for additional data file. Study characteristics Seventy-one eligible studies were abstracted from sixty-four papers.
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Blood in the urine The presence of microhematuria was evaluated in 17 studies see Table G in S1 Text. S1 Text Tables A-K indicating the main characteristics of included studies evaluating the impact of chemotherapy on different Schistosoma infection-related morbidities. Sensitivity analysis by exclusion of a single study at a time from the meta-analysis did not affect the results S14 Fig. Forest plot showing sensitivity analysis, performed by removing one study at a time, for the effect of treatment on prevalence of periportal fibrosis PDF.
Meta-analysis summary estimates indicated a significant reduction after chemotherapy compared to pretreatment levels OR 0. Forest plot showing sensitivity analysis, performed by removing one study at a time, for the effect of treatment on prevalence of diarrhea after treatment.
Eligibility criteria Studies that evaluated morbidities related to infection with Schistosoma species, before and after specific chemotherapy for schistosomiasis, were included in this review.
Sensitivity analysis by exclusion of one single study at a time from the meta-analysis did not affect the results S5 Fig.
The reduction in prevalence was highly significant after chemotherapy for S. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. We excluded animal studies, case studies, reviews, and studies with individuals selected only from clinics or hospitals. The searches were conducted in August The aim of this project was to systematically review evidence on drug-based control of schistosomiasis and to develop a quantitative estimate of the impact of post-treatment reductions in infection intensity on prevalence of infection-associated morbidity.
Regardless of the number of segments in the study, the change in morbidity was always assessed against pre-treatment baseline values. S6 Fig Sensitivity analysis Forest Plot of the impact of therapy on periportal fibrosis prevalence. Impact of a national helminth control programme on infection and morbidity in Ugandan schoolchildren.
This research was developed by the authors and performed according to a protocol in which all the stages of the study were pre-defined. The selection of studies was carried out in two stages by two independent reviewers GA and DJBand in case of disagreement between them, a third reviewer CHK was asked to resolve differences. In clinical studies, portal vein diameter is an indicator that correlates with portal vein pressure and risk for hemorrhage [ 47 ].
Nine studies assessed the reversal of lesions in the upper urinary tract see Table J in S1 Text.
Forest plot showing sensitivity analysis, performed by removing one study at a time, for the effect of treatment on prevalence of periportal fibrosis.
Toward the elimination of schistosomiasis.
S7 Fig Sensitivity analysis Forest Plot of the impact of therapy on portal vein dilation prevalence. Chesapeake owns leading positions in the. S1 Fig Forest plots of post-treatment odds ratios of Schistosoma chkk morbidities included in this paper. Hepatosplenic morbidity in two neighbouring communities in Uganda with high levels of Schistosoma mansoni infection but very different durations of residence. Although regression in the odds of bloody stools was a quick indicator of anti-schistosomal treatment effect, the reductions e007 lower than for S.
The N by each line indicates the number of studies included in that meta-analysis. If eggs do not succeed in leaving the body in excreta, they remain trapped in nearby tissues, causing persistent chronic inflammation and scarring [ 34 ].
Forest plot showing sensitivity analysis, performed by removing one study at a time, for the effect of treatment on prevalence of blood in stool. Moreover, the evidence may be limited in terms of generalizability because of the limitations in the design of included studies, and because the diverse populations selected for analysis yielded a high degree of heterogeneity across studies.