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Miguel-Vicedo M, Cabello P, Ortega-Navas MC, González-Barrio D, Fuentes I. Prevalence of Human Toxoplasmosis in Spain Throughout the Three Last Decades (1993-2023): A Systematic Review and Meta-analysis. J Epidemiol Glob Health 2024; 14:621-637. [PMID: 38864976 PMCID: PMC11444046 DOI: 10.1007/s44197-024-00258-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2024] [Accepted: 05/31/2024] [Indexed: 06/13/2024] Open
Abstract
Humans are infected by Toxoplasma gondii worldwide and its consequences may seriously affect an immune deprived population such as HIV and transplanted patients or pregnant women and foetuses. A deep knowledge of toxoplasmosis seroprevalence in Spain is needed in order to better shape health policies and educational programs. We present the results of the first systematic review and meta-analysis on the human prevalence for this disease in Spain. Databases (PubMed, Web of Science, SCOPUS and Teseo) were searched for relevant studies that were published between January 1993 and December 2023 and all population-based cross-sectional and longitudinal studies reporting the human seroprevalence in Spain were revised. Within the population analysed, our targeted groups were immunocompetent population, pregnant women and immunocompromised patients. Among 572 studies and 35 doctoral theses retrieved, 15 studies and three doctoral theses were included in the meta-analysis. A random effects model was used for the meta-analyses due to the high heterogeneity found between studies (I2: 99.97), since it is a statistically conservative model, in addition to allowing better external validity. The global pooled seroprevalence was 32.3% (95% CI 28.7-36.2%). Most of the studies carried out were in pregnant women and the meta-analysis reported that the pooled seroprevalence of toxoplasmosis in pregnant women in Spain was 24.4% (24,737/85,703, 95% CI 21.2-28.0%), based on the random effects model. It is recommended to continue monitoring the seroprevalence status of T. gondii in order to obtain essential guidelines for the prevention and control of the infection in the population.
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Affiliation(s)
- Mariola Miguel-Vicedo
- Toxoplasmosis and Protozoosis Unit, Parasitology Reference and Research Laboratory, Spanish National Centre for Microbiology, Health Institute Carlos III, Majadahonda, Madrid, Spain
- Department of Educational Theory and Social Pedagogy, National University of Distance Education (UNED) Madrid, Madrid, Spain
- Ph.D. Program in Biomedical Science and Public Health. IMIENS, National University of Distance Education (UNED) Madrid, Madrid, Spain
| | - Paula Cabello
- International University of Valencia-VIU, 46002, Valencia, Spain
| | - M Carmen Ortega-Navas
- Department of Educational Theory and Social Pedagogy, National University of Distance Education (UNED) Madrid, Madrid, Spain
| | - David González-Barrio
- Toxoplasmosis and Protozoosis Unit, Parasitology Reference and Research Laboratory, Spanish National Centre for Microbiology, Health Institute Carlos III, Majadahonda, Madrid, Spain.
| | - Isabel Fuentes
- Toxoplasmosis and Protozoosis Unit, Parasitology Reference and Research Laboratory, Spanish National Centre for Microbiology, Health Institute Carlos III, Majadahonda, Madrid, Spain.
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Ma R, Li C, Gao A, Jiang N, Feng X, Li J, Hu W. Evidence-practice gap analysis in the role of tick in brucellosis transmission: a scoping review. Infect Dis Poverty 2024; 13:3. [PMID: 38191468 PMCID: PMC10773131 DOI: 10.1186/s40249-023-01170-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Accepted: 12/20/2023] [Indexed: 01/10/2024] Open
Abstract
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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Affiliation(s)
- Rui Ma
- School of Life Sciences, Inner Mongolia University, Hohhot, 010070, China
| | - Chunfu Li
- School of Life Sciences, Inner Mongolia University, Hohhot, 010070, China
| | - Ai Gao
- School of Life Sciences, Inner Mongolia University, Hohhot, 010070, China
| | - Na Jiang
- School of Life Sciences, Inner Mongolia University, Hohhot, 010070, China
| | - Xinyu Feng
- School of Life Sciences, Inner Mongolia University, Hohhot, 010070, China.
- School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 20025, China.
- One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai, 20025, China.
| | - Jian Li
- School of Life Sciences, Inner Mongolia University, Hohhot, 010070, China.
- Basic Medical College, Guangxi University of Chinese Medical, Nanning, 530005, Guangxi, China.
| | - Wei Hu
- School of Life Sciences, Inner Mongolia University, Hohhot, 010070, China.
- Basic Medical College, Guangxi University of Chinese Medical, Nanning, 530005, Guangxi, China.
- Department of Infectious Diseases, Huashan Hospital, State Key Laboratory of Genetic Engineering, Ministry of Education Key Laboratory for Biodiversity Science and Ecological Engineering, Ministry of Education Key Laboratory of Contemporary Anthropology, School of Life Sciences, Fudan University, Shanghai, 200438, China.
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Calero-Bernal R, Gennari SM, Cano S, Salas-Fajardo MY, Ríos A, Álvarez-García G, Ortega-Mora LM. Anti- Toxoplasma gondii Antibodies in European Residents: A Systematic Review and Meta-Analysis of Studies Published between 2000 and 2020. Pathogens 2023; 12:1430. [PMID: 38133313 PMCID: PMC10745778 DOI: 10.3390/pathogens12121430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Revised: 11/24/2023] [Accepted: 12/07/2023] [Indexed: 12/23/2023] Open
Abstract
Toxoplasmosis has a major impact on animal and public health. Information regarding the seroprevalence of human Toxoplasma gondii infections from a European perspective has not yet been compiled to date. Thus, the present review summarized available resident data from the period 2000-2020. The overall seroprevalence of anti-T. gondii IgG was 32.1%, with great variability between countries (n = 30). The subgroup analysis identified different pooled prevalence data depending on the geographic area (p < 0.0001), target population (p = 0.0147), and serological diagnosis assays used (p = 0.0059). A high heterogeneity (I2 = 100%, p < 0.001; Q = 3.5e+05, d.f. = 135, p < 0.001) and degree of publication bias (Egger's test = 6.14, p < 0.001) were observed among the 134 studies considered. The occurrence of anti-T. gondii IgM, which was reported in 64.7% of studies, reached a pooled seroprevalence of 0.6%. In addition, among the eight main risk factors identified, "contact with soil", "consumption of undercooked beef", and "intake of unwashed vegetables" were the most significantly associated with infections. The fact that one-third of the European population has been exposed to T. gondii justifies extra efforts to harmonize surveillance systems and develop additional risk-factor analyses based on detailed source attribution assessment.
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Affiliation(s)
- Rafael Calero-Bernal
- SALUVET, Animal Health Department, Complutense University of Madrid, 28040 Madrid, Spain; (M.Y.S.-F.); (A.R.); (G.Á.-G.); (L.M.O.-M.)
| | - Solange María Gennari
- PhD Program in One Health, Faculty of Veterinary Medicine, University of Santo Amaro, São Paulo 04829-300, SP, Brazil;
- Faculty of Veterinary Medicine, University of São Paulo, São Paulo 05508-270, SP, Brazil
| | - Santiago Cano
- Computing Services, Research Support Center, Complutense University of Madrid, 28040 Madrid, Spain;
| | - Martha Ynés Salas-Fajardo
- SALUVET, Animal Health Department, Complutense University of Madrid, 28040 Madrid, Spain; (M.Y.S.-F.); (A.R.); (G.Á.-G.); (L.M.O.-M.)
| | - Arantxa Ríos
- SALUVET, Animal Health Department, Complutense University of Madrid, 28040 Madrid, Spain; (M.Y.S.-F.); (A.R.); (G.Á.-G.); (L.M.O.-M.)
| | - Gema Álvarez-García
- SALUVET, Animal Health Department, Complutense University of Madrid, 28040 Madrid, Spain; (M.Y.S.-F.); (A.R.); (G.Á.-G.); (L.M.O.-M.)
| | - Luis Miguel Ortega-Mora
- SALUVET, Animal Health Department, Complutense University of Madrid, 28040 Madrid, Spain; (M.Y.S.-F.); (A.R.); (G.Á.-G.); (L.M.O.-M.)
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Gálvez R, Montoya A, Cruz I, Fernández C, Martín O, Checa R, Chicharro C, Migueláñez S, Marino V, Miró G. Latest trends in Leishmania infantum infection in dogs in Spain, Part I: mapped seroprevalence and sand fly distributions. Parasit Vectors 2020; 13:204. [PMID: 32317026 PMCID: PMC7171843 DOI: 10.1186/s13071-020-04081-7] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2020] [Accepted: 04/11/2020] [Indexed: 12/03/2022] Open
Abstract
Background This report describes L. infantum infection seroprevalence in dogs in Spain through data obtained from peer-reviewed literature and a cross-sectional serological survey assessing epidemiological and habitat variables as risk factors for infection. The study also provides preliminary sand fly species distribution data and indicates factors affecting their distribution and density. Methods Three different studies were conducted in Spain: (i) a peer-reviewed literature seroprevalence survey (1985–2019); (ii) a cross-sectional serological survey (2011–2016); and (iii) a preliminary entomological survey (2013–2014). In the cross-sectional serological survey, 1739 dogs from 74 different locations including 25 Spanish provinces were tested for L. infantum by indirect immunofluorescence antibody test (IFAT) (antibody titre ≥ 1:100). Seroprevalence of L. infantum infection was analysed by province and bioclimatic zone. Statistics were used to analyse relationships between several dog- and environment-related variables and L. infantum seroprevalence. In parallel, during 2013–2014, sand flies were collected across the Iberian Peninsula and the Balearic Islands using CDC light traps to examine relationships between habitat-related factors and sand fly species densities (number of sand flies per trap per hour). Results The literature review revealed that the provinces showing the highest seroprevalence were Balearic Islands (57.1%), Ourense (35.6%), Málaga (34.6%) and Cáceres (34.2%), and those showing the lowest seroprevalence were Vizcaya (0%), Cantabria (2.0%) and Álava (3.3%). In our survey, anti-Leishmania IgG antibodies were detected in 176 of the 1739 dogs rendering a seroprevalence of 10.12%. Percentage seroprevalence distributions significantly varied among bioclimatic belts. Seropositivity for L. infantum was related to size (large breed dogs versus small) and were significantly higher in younger dogs (≤ 1 years-old). In the entomological survey, 676 sand flies of five species were captured: 562 (83.13%) Phlebotomus perniciosus; 64 (9.47%) Sergentomyia minuta; 38 (5.62%) P. ariasi: 6 (0.89%) P. sergenti; and 6 (0.89%) P. papatasi. Phlebotomus perniciosus showed a greater density in the thermo-Mediterranean than in the meso-Mediterranean zone. Densities of S. minuta and P. ariasi were significantly higher in rural habitats. Conclusions This updated seroprevalence map of L. infantum infection in dogs in Spain defines non-endemic, hypoendemic, endemic and hyperendemic areas, and confirms P. perniciosus as the most abundant sand fly vector in Spain.![]()
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Affiliation(s)
- Rosa Gálvez
- Grupo de Investigación Epicontrol-Carnívoros, Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Madrid, Spain
| | - Ana Montoya
- Grupo de Investigación Epicontrol-Carnívoros, Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Madrid, Spain
| | - Israel Cruz
- National School of Public Health, Instituto de Salud Carlos III, Madrid, Spain
| | - Carlos Fernández
- Grupo de Investigación Epicontrol-Carnívoros, Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Madrid, Spain
| | - Oihane Martín
- Microbiology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - Rocío Checa
- Grupo de Investigación Epicontrol-Carnívoros, Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Madrid, Spain
| | - Carmen Chicharro
- Parasitology Unit, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Spain
| | - Silvia Migueláñez
- Parasitology Unit, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Spain
| | - Valentina Marino
- Grupo de Investigación Epicontrol-Carnívoros, Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Madrid, Spain
| | - Guadalupe Miró
- Grupo de Investigación Epicontrol-Carnívoros, Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Madrid, Spain.
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Căpraru ID, Lupu MA, Horhat F, Olariu TR. Toxoplasmosis Seroprevalence in Romanian Children. Vector Borne Zoonotic Dis 2019; 19:867-869. [PMID: 31216238 DOI: 10.1089/vbz.2018.2435] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The seroprevalence of Toxoplasma gondii in Romanian children is currently unknown. A serological survey was undertaken to determine T. gondii infection among children from Western Romania. Serum samples of 441 children (aged 1-18 years) were screened for T. gondii immunoglobulin G and immunoglobulin M antibodies. The overall T. gondii seroprevalence was 16.6% and tended to increase with age. Seroprevalence was 18.4% in children from rural regions and 14.7% in those from urban regions. T. gondii antibodies were demonstrated in 19.5% of females and 13.3% of males. This report provided the first seroepidemiological data and evaluated the demographic risk factors regarding T. gondii infection in children from Western Romania. Our results may serve as a basis for a future prevention program for toxoplasmosis.
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Affiliation(s)
- Ionuț Dragoș Căpraru
- Discipline of Parasitology, Victor Babes University of Medicine and Pharmacy, Timișoara, Romania.,Public Health Authority Timiș County, Timișoara, Romania
| | - Maria Alina Lupu
- Discipline of Parasitology, Victor Babes University of Medicine and Pharmacy, Timișoara, Romania.,Clinical Laboratory, Institute of Cardiovascular Diseases, Timișoara, Romania
| | - Florin Horhat
- Discipline of Parasitology, Victor Babes University of Medicine and Pharmacy, Timișoara, Romania.,Clinical Laboratory, Louis Ţurcanu Emergency Hospital for Children, Timișoara, Romania
| | - Tudor Rareș Olariu
- Discipline of Parasitology, Victor Babes University of Medicine and Pharmacy, Timișoara, Romania.,Clinical Laboratory, Municipal Clinical Emergency Hospital, Timișoara, Romania
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Calero-Bernal R, Delgado de Las Cuevas G. Survey of Zoonoses in Extremadura, Spain. Jpn J Infect Dis 2016; 69:352. [PMID: 27534717 DOI: 10.7883/yoken.jjid.2015.647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Egea MAA, Herraez O, Tenias JM, Garduño E, Huertas M, Carranza R, Ramos JM. Reply to the Letter to the Editor from R. Calero-Bernal et al. Jpn J Infect Dis 2016; 69:352-4. [PMID: 27534716 DOI: 10.7883/yoken.jjid.2016.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Helminthosis and eosinophilia in Spain (1990-2015). Enferm Infecc Microbiol Clin 2016; 36:120-136. [PMID: 26827134 DOI: 10.1016/j.eimc.2015.11.019] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2015] [Revised: 11/29/2015] [Accepted: 11/30/2015] [Indexed: 12/16/2022]
Abstract
The finding of blood eosinophilia in a patient is a relatively frequent reason to refer him/her to a Clinical Department of Infectious Diseases. The doctor usually intends to rule out a parasitic disease in the autochthonous population, travelers or immigrants. It is uncommon for an eosinophilia to be produced by protozoa infection, whereas helminth parasites are more frequently associated with an increase of eosinophil counts in the infected patient. Eosinophilia can be the only abnormal finding, or it could be part of more complex clinical manifestations suffered by the patient. Furthermore, many, but not all, helminth infections are associated with eosinophilia, and the eosinophil level (low, high) differs according to parasite stages, helminth species, and worm co-infections. The purpose of the present article is to carry out a systematic review of cases and case series on helminth infections and eosinophilia reported in Spain from 1990 to 2015, making a distinction between autochthonous and imported (immigrants and travelers) cases, and studying their relationship with immunodepression situations.
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