دورية أكاديمية

Prevalence of HTLV-1/2 infection in pregnant women in Central and South America and the Caribbean: a systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Prevalence of HTLV-1/2 infection in pregnant women in Central and South America and the Caribbean: a systematic review and meta-analysis.
المؤلفون: Sánchez-Núñez JP; San Juan University Hospital, Alicante, Spain., de-Miguel-Balsa E; Miguel Hernández University of Elche, Alicante, Spain., Soriano V; UNIR Health Sciences School & Medical Center, Madrid, Spain., Lorenzo-Garrido E; Marina Baja Hospital, Villajoyosa, Alicante, Spain., Giménez-Richarte A; Centro de Transfusiones de la Comunidad Valenciana, Alicante, Spain., Otero-Rodriguez S; Miguel Hernández University of Elche, Alicante, Spain., Celis-Salinas JC; Regional Hospital of Loreto, Iquitos, Peru., de-Mendoza C; Puerta de Hierro University Hospital, Madrid, Spain., Casapia-Morales M; National University of the Peruvian Amazon, Iquitos, Peru., Ramos-Rincón JM; Miguel Hernández University of Elche, Alicante, Spain. Electronic address: jramosrincon@yahoo.es.
المصدر: International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases [Int J Infect Dis] 2024 Jun; Vol. 143, pp. 107018. Date of Electronic Publication: 2024 Mar 22.
نوع المنشور: Systematic Review; Journal Article; Meta-Analysis
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Canada NLM ID: 9610933 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-3511 (Electronic) Linking ISSN: 12019712 NLM ISO Abbreviation: Int J Infect Dis Subsets: MEDLINE
أسماء مطبوعة: Publication: Hamilton, ON : Elsevier
Original Publication: Hamilton, ON : Decker, c1996-
مواضيع طبية MeSH: HTLV-I Infections*/epidemiology , HTLV-II Infections*/epidemiology , Human T-lymphotropic virus 1*/immunology , Pregnancy Complications, Infectious*/epidemiology , Pregnancy Complications, Infectious*/virology , Human T-lymphotropic virus 2*/immunology, Humans ; Pregnancy ; Female ; Prevalence ; Caribbean Region/epidemiology ; South America/epidemiology ; Central America/epidemiology
مستخلص: Background: Human T-lymphotropic viruses (HTLV)-1 infection is endemic in many countries of Central and South America and Caribbean (CSA&C). Neither screening nor surveillance programs exist for HTLV-1/2 infection among pregnant women in this region. Neither in Western nations with large migrant flows from HTLV-1/2 endemic regions.
Methods: Systematic review and meta-analysis of the prevalence of HTLV-1/2 infection among CSA&C pregnant women. We included studies searching EMBASE, PubMed/MEDLINE, Scopus, and Web of Science from inception to February 15, 2023. This systematic review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guidelines.
Results: We identified a total of 620 studies. Only 41 were finally included in the meta-analysis. Most studies (61.0%) were from Brazil and Peru (14.6%). The total number of participants was 343,707. The pooled prevalence of HTLV-1/2 infection among CSA&C pregnant women was 1.30% (95% CI: 0.96-1.69) using anti-HTLV-1/2 antibody screening tests. There was a high heterogeneity (I 2 = 98.6%). Confirmatory tests gave an HTLV-1 infection rate of 1.02% (95% CI: 0.75-1.33).
Conclusions: The prevalence of HTLV-1/2 infection among CSA&C pregnant women is 1.3%, most cases being HTLV-1. This rate is greater than for other microbial agents regularly checked as part of antenatal screening (such as HIV, hepatitis B, or syphilis). Thus, HTLV-1/2 antenatal testing should be mandatory among CSA&C pregnant women everywhere.
Competing Interests: Declarations of competing interest The authors have no competing interest to declare.
(Copyright © 2024. Published by Elsevier Ltd.)
فهرسة مساهمة: Keywords: Antenatal screening; Breastfeeding; HTLV-1; Latin America; Pregnant women; Vertical transmission
تواريخ الأحداث: Date Created: 20240324 Date Completed: 20240505 Latest Revision: 20240508
رمز التحديث: 20240509
DOI: 10.1016/j.ijid.2024.107018
PMID: 38522611
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-3511
DOI:10.1016/j.ijid.2024.107018