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The ERR was measured as reductions in population mean intensity of infection from before to after treatment. In addition, the numbers of subjects evaluated at baseline and at each follow-up were required, along with reporting of morbidity prevalence or mean laboratory values before and after treatment intervention.

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Schistosoma haematobium infection and morbidity before and after large-scale administration of praziquantel in Burkina Faso. Those studies that included these egg-negative infections may have shown a greater impact on morbidities because of there being a proportionately greater impact of w007 on resident worm burden with possible complete parasitological cure in light infection.

However, the more advanced chronic forms of disease were less responsive to single rounds of treatment, even with adequate ERRs, and our stratified analysis suggests that multiple rounds of treatment are necessary to improve or hopefully prevent these outcomes.

IC Chips We use cookies cho deliver s07 best possible web experience and assist with our advertising efforts. In their analysis, malaria was the main co-factor contributing to this effect [ 45 ]. Please review our privacy policy.

To do this, we catalogued treatment impact on eleven key morbidities linked to infection by any of the three major Schistosoma parasites of humans, S. Impact of a national helminth control programme on infection and morbidity in Ugandan schoolchildren. Schistosomiasis is the disease caused by infection with Schistosoma parasitic flukes.

S1 Text Tables A-K indicating the main characteristics of included studies evaluating the impact of chemotherapy on different Schistosoma infection-related morbidities. Main portal vein Four studies assessed the prevalence of portal vein dilation before and after chemotherapy for schistosomiasis see Table D in S1 Text.

Among all the studies in this category, significant heterogeneity was observed Fig 2but this was reduced in the stratification by subgroups Table D in S3 Text. In addition, many older studies did not detail their criteria for selection of the population. S1 Fig Forest plots of post-treatment odds ratios of Schistosoma -associated morbidities included in this paper. S2 Text A table describing study design and quality features for included studies. Our findings illuminate and help to quantify the magnitude of improvements after treatment of Schistosoma -associated morbidities.


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It was only when we pooled three studies with follow-up greater than 12 months after intervention that the mean post-treatment hemoglobin level was found to be significantly a007 compared with pretreatment. Individual plots indicate, by morbidity, the results for each individual study included for analysis, and the summary OR and confidence interval estimated across all included studies.

With respect to hemoglobin levels, it was only possible to identify statistically significant changes when the follow-up was performed at an interval greater than twelve months after treatment. Infection can also cause anemia, diarrhea, abdominal pain, and decreased s00 fitness. Post-treatment odds ratios or standardized mean differences were calculated for each outcome, and these were correlated to treatment-related egg count reduction ratios Cyk by meta-regression.

Parameters associated with Schistosoma haematobium infection before and after chemotherapy in school children from two villages in the coast province of Kenya. Hepatosplenic morbidity in two neighbouring communities in Cho with high levels of Schistosoma mansoni infection but very chkk durations of residence.

Significant heterogeneity was observed among the chj 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.

Forest plot showing sensitivity analysis, performed by removing one study at a time, for the effect of treatment on prevalence of right hepatic lobe hepatomegaly.

Technical Report Series Odds ratios for morbidities related to schistosomiasis after treatment. Five-year impact s07 repeated praziquantel treatment on subclinical morbidity due to Cuk japonicum in China.

However, evidence also suggests that post-treatment reduction in intensity may not reverse morbidity because some morbidities occur at all levels of infection, and some reflect permanent tissue damage.

Schistosomiasis control is a constant challenge for endemic regions and their public health services, mainly due to difficulties in preventing early infection and frequent reinfection. The data abstracted from selected publications were curated in the Microsoft Access study database.

The data analyzed in this study may have been influenced by confounders such as uneven sex distributions, the presence of co-infections, and variation in local reinfection rates that could not be controlled for in the meta-analysis. In endemic regions, it is believed that age is an important proxy of cumulative exposure to the parasite and the related tissue damage that it causes.


For meta-regression of the impact of reduction in infection intensity after treatment, the egg reduction rate ERRfor eggs detected on standard stool or urine diagnostic testing was calculated by the formula:.

Methods Ethics statement 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. Significant heterogeneity was observed among the studies included Fig 2 which could be reduced by subgroup stratification according s0007 region, age, and follow-up time Table E in S3 Text.

Chances of post-treatment morbidity reductions were higher for morbidities related to urogenital schistosomiasis than for morbidities caused by intestinal schistosomiasis.

We found no chj of publication bias using unweighted, non-randomized values in the Egger test. Forest plots of post-treatment odds ratios of Schistosoma -associated morbidities included in this paper. Sensitivity s0007 by exclusion of one study at a time from the meta-analysis did not affect the results S13 Fig.

Reversal of urinary bladder lesions was evaluated in 15 studies see Table I in S1 Text. Significant heterogeneity was observed among the studies and the subgroup analysis did not change heterogeneity significantly see Table K in S3 Text.

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Panel A, Forest plot and meta-analysis for the difference in mean hemoglobin levels, pre-intervention vs. These findings were consonant with two earlier reviews that have highlighted the persistence of abnormalities caused by S.

Sensitivity analysis Forest Plot of the impact of therapy on diarrhea prevalence. S4 Fig Sensitivity analysis Forest Plot of the impact of therapy on hepatomegaly prevalence, lobe unspecified. Results Study selection Using the selected search terms, initial screening of the databases yielded study reports after removing duplicates.

Overall, for each of the three types of outcome, the population surveyed experienced a significant reduction in the odds of hepatomegaly after treatment, compared to pre-treatment levels.

Chemotherapy-based control of schistosomiasis haematobia. The meta-regression analysis suggested that there is a significantly greater reduction in the prevalence of some morbidities if greater s07 reduction effects can be achieved.

The pathobiology of Schistosoma haematobium infection in humans. In addition, the meta-analysis also suggests differences between S.