Prevalence of strongyloidiasis in Latin America: a systematic review of the literature.

Abstract:

:Strongyloides stercoralis is rarely recognized as a major public health issue, probably because its burden is largely underestimated. We reviewed the literature (both PubMed and 'grey' literature) about the prevalence of strongyloidiasis in Latin America, an area of presumable high endemicity. There were finally 88 papers involved in the analysis, covering the period between 1981 and 2011. Studies were heterogeneous in several aspects, such as the populations screened and the diagnostic methods used. Most of the studies relied on direct coproparasitological examination, which has low sensitivity for the detection of S. stercoralis larvae. The following countries presented areas of high prevalence (>20%): Argentina, Ecuador, Venezuela, Peru and Brazil. Globally, for most of the included countries it was not possible to define reliable data because of paucity and/or inadequacy of studies. S. stercoralis requires specific diagnostic methods for its detection; therefore, surveys should be specifically designed in order to avoid underestimation of the infection.

journal_name

Epidemiol Infect

authors

Buonfrate D,Mena MA,Angheben A,Requena-Mendez A,Muñoz J,Gobbi F,Albonico M,Gotuzzo E,Bisoffi Z,COHEMI Project Study Group.

doi

10.1017/S0950268814001563

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

452-60

issue

3

eissn

0950-2688

issn

1469-4409

pii

S0950268814001563

journal_volume

143

pub_type

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