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The presence of microhematuria was evaluated in 17 studies see Table G in S1 Text. In x007 summary estimates, only two morbidities showed no consistent or significant change between pre- and post-treatment surveys. Forest plot showing sensitivity analysis, performed by removing one study at a time, for the effect of treatment on prevalence of ultrasound abnormalities of the urinary bladder.
For studies that evaluated the morbidities more s070 once after the treatment, the first follow-up after the intervention was selected for inclusion in the pooled analysis and calculation of summary estimates. Post-treatment odds of splenomegaly and periportal fibrosis were not significantly reduced for infection with S. Log odds ratio of hematuria, proteinuria, and bladder abnormalities according to post-treatment egg reduction rate.
Chemotherapy-based s007 of schistosomiasis haematobia.
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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. Forest plot showing sensitivity analysis, performed by removing one study at a time, for the effect of treatment on prevalence of hepatomegaly lobe not specified.
Tables A-K indicating the results of subgroup analysis of pre- and post-treatment morbidity prevalence. Memorias do Instituto Oswaldo Cruz. Associations between egg reduction rate and treatment-related reductions in morbidity level To examine the hypothesis that post-treatment intensity of Schistosoma infection remains a correlate of morbidity risk after therapy, we performed meta-regression of the odds of having infection-related morbidities post-treatment as a function of post-treatment ERR achieved in an individual study population.
S12 Fig Sensitivity analysis Forest Plot of the impact of therapy on urinary bladder abnormalities prevalence. Overall, there was a significant reduction in the odds of splenomegaly after treatment intervention OR 0.
In subgroup analysis Table C in S3 Textthere was no statistically significant treatment-related reductions among individuals infected with S. Revisiting the concept of hepatosplenic schistosomiasis and its challenges using traditional and new tools.
The first stage of selection analyzed the titles and abstracts of the publications. The data used in this project were aggregated, anonymized data from previously published studies; as such, this study does not constitute human subjects research according to U.
Increased ratio of tumor necrosis factor-alpha to interleukin production is associated with Schistosoma haematobium -induced urinary-tract morbidity. Publication bias Assessment for potential publication bias was carried out by visual inspection of funnel plots, and statistically by calculating the Egger test [ 32 ]. We use cookies to deliver the best possible web experience and assist with our advertising efforts.
Greater ERR impact was projected for all morbidities related to urogenital schistosomiasis: Meta-analysis summary estimates indicated a significant reduction in upper urinary lesions after chemotherapy for schistosomiasis OR 0.
A greater ERR correlated with greater reduction in odds of most morbidities. In their analysis, malaria was the main co-factor contributing to this effect [ 45 ].
Sensitivity analysis by subgroup showed that studies that used ultrasound for diagnosis, studies with only school age individuals, studies having follow-up less than 12 months after treatment, studies of individuals with S.
S6 Fig Sensitivity analysis Forest Plot of the impact of therapy on periportal fibrosis prevalence. S3 Fig Sensitivity analysis Forest Plot of the impact of therapy on right lobe hepatomegaly prevalence. The following morbidities were associated in common with infection with either S.
If eggs do not succeed in leaving the body in excreta, they remain trapped in nearby tissues, causing persistent chronic inflammation and scarring [ 34 ]. Other reviews of Schistosoma -related ultrasound morbidities have suggested that the regression of splenomegaly, while sometimes observed after anti-schistosomal therapy, is not specific enough to be used as an indicator for the regression of Schistosoma -associated disease.
Schistosomiasis and soil-transmitted helminthiases: However, the exclusion of one study with S. Forest plot showing sensitivity analysis, performed by removing one study at a time, for the effect of treatment on prevalence of periportal fibrosis PDF. However, among population studies that included all age groups, reductions in rates of right-sided hepatomegaly were not statistically significant Table A in S3 Text.
There was significant heterogeneity among the studies in the three types of evaluation Fig 2that was not significantly reduced by subgroup analyses see Table A in S3 Text. In the sensitivity analysis, the estimated splenomegaly reduction effects ranged from OR 0. We excluded animal studies, case studies, reviews, and studies with individuals selected only from clinics or hospitals.
Relationships of Schistosoma haematobiumhookworm and malarial infections and metrifonate treatment to growth of Kenyan school children. Chesapeake owns leading positions in the.
Sensitivity analysis Forest Plot of the impact of therapy on urinary tract abnormality prevalence. Sensitivity analysis by exclusion of a single study at a time from the meta-analysis did not affect the results S14 Fig. However, the exclusion of two studies with S.
S4 Fig Sensitivity analysis Forest Plot of the impact of therapy on hepatomegaly prevalence, lobe unspecified. Given this context, and that one of the main objectives of schistosomiasis control programs has been to achieve reductions in morbidity associated with Schistosoma infection [ 29 ], there is a need to accurately quantify the reduction of morbidity levels as a result of ch, intervention, so that the s07 benefits of more intensive interventions can be identified.
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Reduction in splenomegaly was significantly greater among subjects who were followed after the first year of treatment, in the South Africa region, and among individuals selected for ss007 presence of specific morbidities see Table B in S3 Text. In addition, the meta-analysis also suggests differences between S. Our findings illuminate and help to quantify the magnitude of improvements after treatment of Schistosoma -associated morbidities. As the process of infection progresses from acute injury to a more chronic forms 0s07 fibrotic scarring, it becomes proportionately more difficult to reverse Schistosoma -associated pathology [ 4448 s007.
Subgroup analysis indicated that studies with follow-ups done greater than 24 months after treatment and studies employing ultrasound for the diagnosis of hepatomegaly did not show statistically significant reductions in hepatomegaly see Table A in S3 Text.
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Diarrhea Eight studies evaluated the cessation of episodes of diarrhea after anti-schistosomal chemotherapy see Table E in S1 Text. Study characteristics Seventy-one eligible studies were abstracted from sixty-four papers.
In our quantitative meta-analysis, which focused on morbidity prevalence before and after chemotherapy, only morbidities reported by more than one study from which the necessary data could be extracted were included.
As the time of follow-up increased, the chances of reversal of lesions decreased Table I in S3 Text. Author information Article notes Copyright and License information Disclaimer. Nutritional status improves after treatment of Schistosoma japonicum -infected children and adolescents.