Prevalence of Microsporidia in HIV-infected Patients in Iran: A Meta-Analysis and Systematic Review

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ABDI J.; SHAMS M.; Visani Y.; KARIMIAN M.; Kenarkouhi A.

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Journal: JOURNAL OF ILAM UNIVERSITY OF MEDICAL SCIENCES Year:2020 | Volume:28 | Issue:3 Page(s): 21-28

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Title

Prevalence of Microsporidia in HIV-infected Patients in Iran: A Meta-Analysis and Systematic Review

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Keywords

Immune deficiencyQ1

MicrosporidiosisQ1

Opportunistic infectionsQ1

Abstract

Introduction: Microsporidiosis is an increasing opportunistic infection in patients with HIV/AIDS. There are five species of Microsporidia, including Enterocytozoon bieneusi, Encephalitozoon hellem, Encephalitozoon cuniculi, Septata intestinalis, and Pleistophora species that have been reported in HIV-infected individuals each causes a wide range of symptoms. This meta-analysis and systematic review aimed at determining the prevalence of Microsporidia in HIV-infected patients in Iran. Materials & Methods: Databases of Magiran, Scopus, Web of Sciences, Iran Medex, SID, Pubmed, Google scholar, and Irandoc were searched to investigate the studies on "Prevalence of Microsporidia in patients with HIV/AIDS in Iran". Moreover, the meta-analysis was performed using a random-effect model, and the heterogeneity among the studies was determined using the I2 test. Findings: Based on the data obtained from the studies, out of 8 studies, 1794 patients with HIV/AIDS were investigated in Iran between 2012 and 2016. According to the results, the prevalence of Microsporidia in patients with HIV/AIDS was evaluated using the PCR technique (0. 8-0. 18: %95 CI, 13%). The amount of heterogeneity among the studies (P<0. 001) was obtained at I2=93. 3. The most common Microsporidia were Enterocytozoon bieneusi, D, M, and WL-11 genotypes. However, Encephalitozoon intestinalis, Encephalitozoon cuniculi (genotypes 1 and 2), and Encephalitozoon hellem (genotype 1A) were also isolated. Discussion & Conclusions: The present study showed that the mean prevalence of Microsporidia in patients with HIV/AIDS in Iran (13%) is close to its global mean (15%). The most common Microsporidia in HIV-infected patients is Enterocytozoon bieneusi (genotype D) which is a common genotype between humans and animals; therefore, the patients should avoid contact with animals.

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APA: Copy

ABDI, J., SHAMS, M., Visani, Y., KARIMIAN, M., & Kenarkouhi, A.. (2020). Prevalence of Microsporidia in HIV-infected Patients in Iran: A Meta-Analysis and Systematic Review. JOURNAL OF ILAM UNIVERSITY OF MEDICAL SCIENCES, 28(3 ), 21-28. SID. https://sid.ir/paper/386004/en

Vancouver: Copy

ABDI J., SHAMS M., Visani Y., KARIMIAN M., Kenarkouhi A.. Prevalence of Microsporidia in HIV-infected Patients in Iran: A Meta-Analysis and Systematic Review. JOURNAL OF ILAM UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2020;28(3 ):21-28. Available from: https://sid.ir/paper/386004/en

IEEE: Copy

J. ABDI, M. SHAMS, Y. Visani, M. KARIMIAN, and A. Kenarkouhi, “Prevalence of Microsporidia in HIV-infected Patients in Iran: A Meta-Analysis and Systematic Review,” JOURNAL OF ILAM UNIVERSITY OF MEDICAL SCIENCES, vol. 28, no. 3 , pp. 21–28, 2020, [Online]. Available: https://sid.ir/paper/386004/en

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