Association between Rhesus Blood Groups and Malaria Infection: A Systematic Review and Meta-Analysis

In the literature, there was inconsistency in the risk of malaria between individuals with Rhesus blood group positive (Rh+) and negative (Rh−). The systematic review aimed to investigate the risk of malaria among participants with different Rh blood types. All observational studies that reported th...

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Main Authors: Yanisa Rattanapan, Thitinat Duangchan, Kinley Wangdi, Aongart Mahittikorn, Manas Kotepui
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Tropical Medicine and Infectious Disease
Subjects:
Online Access:https://www.mdpi.com/2414-6366/8/4/190
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author Yanisa Rattanapan
Thitinat Duangchan
Kinley Wangdi
Aongart Mahittikorn
Manas Kotepui
author_facet Yanisa Rattanapan
Thitinat Duangchan
Kinley Wangdi
Aongart Mahittikorn
Manas Kotepui
author_sort Yanisa Rattanapan
collection DOAJ
description In the literature, there was inconsistency in the risk of malaria between individuals with Rhesus blood group positive (Rh+) and negative (Rh−). The systematic review aimed to investigate the risk of malaria among participants with different Rh blood types. All observational studies that reported the occurrence of <i>Plasmodium</i> infection and investigation of the Rh blood group were searched in five databases (Scopus, EMBASE, MEDLINE, PubMed, and Ovid). Strengthening the Reporting of Observational Studies in Epidemiology was used to assess the reporting quality in the included studies. A random-effects model was used to calculate the pooled log OR and 95% confidence intervals (CIs). Database searches yielded a total of 879 articles, of which 36 were eligible for inclusion in the systematic review. The majority of the included studies (44.4%) revealed that Rh+ individuals had a lower proportion of malaria than Rh− individuals; however, the remaining studies revealed a higher or no difference in the proportion of malaria between Rh+ and Rh− individuals. Overall, with moderate heterogeneity, the pooled results showed no difference in malaria risk between patients with Rh+ and Rh− (<i>p</i> = 0.85, pooled log OR: 0.02, 95% CI: −0.20–0.25, I<sup>2</sup>: 65.1%, 32 studies). The current study found no link between the Rh blood group and malaria, even though there was a moderate amount of heterogeneity. Further studies using prospective designs and a definitive method for <i>Plasmodium</i> identification are needed to investigate the risk of <i>Plasmodium</i> infection in Rh+ individuals and increase the reliability and quality of these studies.
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spelling doaj.art-52e01f21a74f4f1d96dea58447ab18092023-11-17T21:39:21ZengMDPI AGTropical Medicine and Infectious Disease2414-63662023-03-018419010.3390/tropicalmed8040190Association between Rhesus Blood Groups and Malaria Infection: A Systematic Review and Meta-AnalysisYanisa Rattanapan0Thitinat Duangchan1Kinley Wangdi2Aongart Mahittikorn3Manas Kotepui4Medical Technology, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, ThailandMedical Technology, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, ThailandDepartment of Global Health, National Centre for Epidemiology and Population Health, College of Health and Medicine, Australian National University, Canberra, ACT 2601, AustraliaDepartment of Protozoology, Faculty of Tropical Medicine, Mahidol University, Bangkok 73170, ThailandMedical Technology, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, ThailandIn the literature, there was inconsistency in the risk of malaria between individuals with Rhesus blood group positive (Rh+) and negative (Rh−). The systematic review aimed to investigate the risk of malaria among participants with different Rh blood types. All observational studies that reported the occurrence of <i>Plasmodium</i> infection and investigation of the Rh blood group were searched in five databases (Scopus, EMBASE, MEDLINE, PubMed, and Ovid). Strengthening the Reporting of Observational Studies in Epidemiology was used to assess the reporting quality in the included studies. A random-effects model was used to calculate the pooled log OR and 95% confidence intervals (CIs). Database searches yielded a total of 879 articles, of which 36 were eligible for inclusion in the systematic review. The majority of the included studies (44.4%) revealed that Rh+ individuals had a lower proportion of malaria than Rh− individuals; however, the remaining studies revealed a higher or no difference in the proportion of malaria between Rh+ and Rh− individuals. Overall, with moderate heterogeneity, the pooled results showed no difference in malaria risk between patients with Rh+ and Rh− (<i>p</i> = 0.85, pooled log OR: 0.02, 95% CI: −0.20–0.25, I<sup>2</sup>: 65.1%, 32 studies). The current study found no link between the Rh blood group and malaria, even though there was a moderate amount of heterogeneity. Further studies using prospective designs and a definitive method for <i>Plasmodium</i> identification are needed to investigate the risk of <i>Plasmodium</i> infection in Rh+ individuals and increase the reliability and quality of these studies.https://www.mdpi.com/2414-6366/8/4/190malariaRhesusblood group<i>Plasmodium</i>Rhmeta-analysis
spellingShingle Yanisa Rattanapan
Thitinat Duangchan
Kinley Wangdi
Aongart Mahittikorn
Manas Kotepui
Association between Rhesus Blood Groups and Malaria Infection: A Systematic Review and Meta-Analysis
Tropical Medicine and Infectious Disease
malaria
Rhesus
blood group
<i>Plasmodium</i>
Rh
meta-analysis
title Association between Rhesus Blood Groups and Malaria Infection: A Systematic Review and Meta-Analysis
title_full Association between Rhesus Blood Groups and Malaria Infection: A Systematic Review and Meta-Analysis
title_fullStr Association between Rhesus Blood Groups and Malaria Infection: A Systematic Review and Meta-Analysis
title_full_unstemmed Association between Rhesus Blood Groups and Malaria Infection: A Systematic Review and Meta-Analysis
title_short Association between Rhesus Blood Groups and Malaria Infection: A Systematic Review and Meta-Analysis
title_sort association between rhesus blood groups and malaria infection a systematic review and meta analysis
topic malaria
Rhesus
blood group
<i>Plasmodium</i>
Rh
meta-analysis
url https://www.mdpi.com/2414-6366/8/4/190
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