التفاصيل البيبلوغرافية
| العنوان: |
Risk Factors for Contracting Invasive Meningococcal Disease and Related Mortality: A Systematic Literature Review and Meta-analysis. |
| المؤلفون: |
Dubey, Himanshu1 (AUTHOR) Himanshu.Dubey@sanofi.com, Oster, Philipp1 (AUTHOR), Fazeli, Mir Sohail2 (AUTHOR), Guedes, Sandra1 (AUTHOR), Serafini, Paul2 (AUTHOR), Leung, Lisa2 (AUTHOR), Amiche, Amine3 (AUTHOR) |
| المصدر: |
International Journal of Infectious Diseases. Jun2022, Vol. 119, p1-9. 9p. |
| مصطلحات موضوعية: |
*MENINGOCOCCAL infections, *AGE groups, *PASSIVE smoking, *DATA extraction, *MORTALITY |
| مستخلص: |
• This is the first meta-analysis of risk factors for IMD across all age groups. • HIV+ status, passive smoke exposure, and crowded living spaces increase risk of IMD. • Increased risk for IMD-related mortality was related to age and serogroup. • There is a lack of research reporting on interactions between risk factors. To describe risk factors (RFs) and quantify their effects in invasive meningococcal disease (IMD) and associated mortality across all age groups based on the available published literature. A systematic literature review (SLR) was conducted via MEDLINE® and Embase. Study selection, data extraction, and quality assessment were performed by two independent reviewers. Associations between RFs and outcomes were quantified via a meta-analysis (MA). Seventy-four studies (date range 1950 – 2018) were included in the SLR. Statistically significant RFs for contracting IMD identified from the SLR (within-study) included previous IMD infection and young age (0 – 4 years). MA indicated that significant RFs for contracting IMD (11 studies) were: HIV-positive status, passive smoke exposure, and crowded living space. In the MA for IMD-related mortality risk (11 studies), age 25 – 45 years (vs. 0 – 5 years) and serogroup C (vs. serogroup B) were significantly associated with increased risk. Previous findings of higher risk for IMD contraction with smoke exposure and crowded living conditions in children/adolescents have been extended by this SLR/MA to all age groups. We provide strong evidence for higher risk of IMD in HIV-positive individuals, and confirm previous findings of higher IMD-related mortality risk in adults aged 25 – 45. [ABSTRACT FROM AUTHOR] |
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