A Systematic Review and Meta-Analysis of the Prevalence of Triplex Infections (Combined Human Immunodeficiency Virus, Hepatitis B Virus, and Hepatitis C Virus) among Pregnant Women in Nigeria
Objective. We systematically identified the prevalence of triplex infections (combined human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV)) in pregnancy. Methods. To gather information on the frequency of triplex infections, we searched the databases of PubMed, C...
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2023-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2023/3551297 |
| _version_ | 1827008600535465984 |
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| author | George Uchenna Eleje Olabisi Morebise Loto Hadiza Abdullahi Usman Chinyere Ukamaka Onubogu Preye Owen Fiebai Godwin Otuodichinma Akaba Ayyuba Rabiu Ikechukwu Innocent Mbachu Moriam Taiwo Chibuzor Rebecca Chinyelu Chukwuanukwu Ngozi Nneka Joe-Ikechebelu Emeka Philip Igbodike Richard Obinwanne Egeonu Ijeoma Chioma Oppah Uchenna Chukwunonso Ogwaluonye Chike Henry Nwankwo Stephen Okoroafor Kalu Chisom God’swill Chigbo Chukwuanugo Nkemakonam Ogbuagu Shirley Nneka Chukwurah Chinwe Elizabeth Uzochukwu Aishat Ahmed Chiamaka Henrietta Jibuaku Samuel Oluwagbenga Inuyomi Bukola Abimbola Adesoji Ubong Inyang Anyang Ekene Agatha Emeka Odion Emmanuel Igue Ogbonna Dennis Okoro Prince Ogbonnia Aja Chiamaka Perpetua Chidozie Hadiza Sani Ibrahim Fatima Ele Aliyu Harrison Chiro Ugwuoroko Aisha Ismaila Numan Solace Amechi Omoruyi Osita Samuel Umeononihu Chukwuemeka Chukwubuikem Okoro Ifeanyi Kingsley Nwaeju Arinze Anthony Onwuegbuna Lydia Ijeoma Eleje David Chibuike Ikwuka Eric Okechukwu Umeh Sussan Ifeyinwa Nweje Ifeoma Clara Ajuba Angela Ogechukwu Ugwu Uzoamaka Rufina Ebubedike Divinefavour Echezona Malachy Chigozie Geoffrey Okafor Nnaedozie Paul Obiegbu Emmanuel Onyebuchi Ugwu Ibrahim Adamu Yakasai Oliver Chukwujekwu Ezechi Joseph Ifeanyichukwu Ikechebelu |
| author_facet | George Uchenna Eleje Olabisi Morebise Loto Hadiza Abdullahi Usman Chinyere Ukamaka Onubogu Preye Owen Fiebai Godwin Otuodichinma Akaba Ayyuba Rabiu Ikechukwu Innocent Mbachu Moriam Taiwo Chibuzor Rebecca Chinyelu Chukwuanukwu Ngozi Nneka Joe-Ikechebelu Emeka Philip Igbodike Richard Obinwanne Egeonu Ijeoma Chioma Oppah Uchenna Chukwunonso Ogwaluonye Chike Henry Nwankwo Stephen Okoroafor Kalu Chisom God’swill Chigbo Chukwuanugo Nkemakonam Ogbuagu Shirley Nneka Chukwurah Chinwe Elizabeth Uzochukwu Aishat Ahmed Chiamaka Henrietta Jibuaku Samuel Oluwagbenga Inuyomi Bukola Abimbola Adesoji Ubong Inyang Anyang Ekene Agatha Emeka Odion Emmanuel Igue Ogbonna Dennis Okoro Prince Ogbonnia Aja Chiamaka Perpetua Chidozie Hadiza Sani Ibrahim Fatima Ele Aliyu Harrison Chiro Ugwuoroko Aisha Ismaila Numan Solace Amechi Omoruyi Osita Samuel Umeononihu Chukwuemeka Chukwubuikem Okoro Ifeanyi Kingsley Nwaeju Arinze Anthony Onwuegbuna Lydia Ijeoma Eleje David Chibuike Ikwuka Eric Okechukwu Umeh Sussan Ifeyinwa Nweje Ifeoma Clara Ajuba Angela Ogechukwu Ugwu Uzoamaka Rufina Ebubedike Divinefavour Echezona Malachy Chigozie Geoffrey Okafor Nnaedozie Paul Obiegbu Emmanuel Onyebuchi Ugwu Ibrahim Adamu Yakasai Oliver Chukwujekwu Ezechi Joseph Ifeanyichukwu Ikechebelu |
| author_sort | George Uchenna Eleje |
| collection | DOAJ |
| description | Objective. We systematically identified the prevalence of triplex infections (combined human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV)) in pregnancy. Methods. To gather information on the frequency of triplex infections, we searched the databases of PubMed, CINAHL, and Google Scholar. Without regard to language, we utilized search terms that covered HIV, HBV, HCV, and pregnancy. Pregnant women with triplex infections of HIV, HBV, and HCV were included in studies that also examined the prevalence of triplex infections. Review Manager 5.4.1 was employed to conduct the meta-analysis. Critical appraisal and bias tool risk data were provided as percentages with 95% confidence intervals (95% CIs), and I2 was used as the statistical measure of heterogeneity. The checklist was created by Hoy and colleagues. The study protocol was registered on PROSPERO, under the registration number CRD42020202583. Results. Eight studies involving 5314 women were included. We identified one ongoing study. Pooled prevalence of triplex infections was 0.03% (95% CI: 0.02–0.04%) according to meta-analysis. Subgroup analysis demonstrated a significantly high prevalence of 0.08% (95% CI: 0.06–0.10%; 3863 women) in HIV-positive population than 0.00% (95% CI:−0.00-0.00; 1451 women; P<0.001) in general obstetric population. Moreover, there was a significant difference in the pooled prevalence between studies published between 2001 and 2010 and between 2011 and 2021 (0.14% (95% CI: 0.12 to 0.16 versus 0.03% (95% CI: 0.02 to 0.04%; P<0.001))) and participants recruited in the period between 2001 and 2011 and between 2012 and 2021 (0.13% (95% CI: 0.05 to 0.21; p=0.002 versus 0.00% (95% CI: −0.00 to 0.00%; p=1.00))), respectively. Conclusion. The combined prevalence of prenatal triplex infections was 0.03%, with rates notably higher among the group of pregnant women who were HIV-positive and during the recruitment period that took place before 2012. This prevalence still necessitates screening for these infections as necessary. |
| first_indexed | 2024-03-12T22:04:14Z |
| format | Article |
| id | doaj.art-7d86b08c0c9d40feadc3f730a40721c7 |
| institution | Directory Open Access Journal |
| issn | 1687-9597 |
| language | English |
| last_indexed | 2025-02-18T12:35:22Z |
| publishDate | 2023-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj.art-7d86b08c0c9d40feadc3f730a40721c72024-11-02T04:14:07ZengHindawi LimitedObstetrics and Gynecology International1687-95972023-01-01202310.1155/2023/3551297A Systematic Review and Meta-Analysis of the Prevalence of Triplex Infections (Combined Human Immunodeficiency Virus, Hepatitis B Virus, and Hepatitis C Virus) among Pregnant Women in NigeriaGeorge Uchenna Eleje0Olabisi Morebise Loto1Hadiza Abdullahi Usman2Chinyere Ukamaka Onubogu3Preye Owen Fiebai4Godwin Otuodichinma Akaba5Ayyuba Rabiu6Ikechukwu Innocent Mbachu7Moriam Taiwo Chibuzor8Rebecca Chinyelu Chukwuanukwu9Ngozi Nneka Joe-Ikechebelu10Emeka Philip Igbodike11Richard Obinwanne Egeonu12Ijeoma Chioma Oppah13Uchenna Chukwunonso Ogwaluonye14Chike Henry Nwankwo15Stephen Okoroafor Kalu16Chisom God’swill Chigbo17Chukwuanugo Nkemakonam Ogbuagu18Shirley Nneka Chukwurah19Chinwe Elizabeth Uzochukwu20Aishat Ahmed21Chiamaka Henrietta Jibuaku22Samuel Oluwagbenga Inuyomi23Bukola Abimbola Adesoji24Ubong Inyang Anyang25Ekene Agatha Emeka26Odion Emmanuel Igue27Ogbonna Dennis Okoro28Prince Ogbonnia Aja29Chiamaka Perpetua Chidozie30Hadiza Sani Ibrahim31Fatima Ele Aliyu32Harrison Chiro Ugwuoroko33Aisha Ismaila Numan34Solace Amechi Omoruyi35Osita Samuel Umeononihu36Chukwuemeka Chukwubuikem Okoro37Ifeanyi Kingsley Nwaeju38Arinze Anthony Onwuegbuna39Lydia Ijeoma Eleje40David Chibuike Ikwuka41Eric Okechukwu Umeh42Sussan Ifeyinwa Nweje43Ifeoma Clara Ajuba44Angela Ogechukwu Ugwu45Uzoamaka Rufina Ebubedike46Divinefavour Echezona Malachy47Chigozie Geoffrey Okafor48Nnaedozie Paul Obiegbu49Emmanuel Onyebuchi Ugwu50Ibrahim Adamu Yakasai51Oliver Chukwujekwu Ezechi52Joseph Ifeanyichukwu Ikechebelu53Department of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of PaediatricsDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyCochrane NigeriaImmunology UnitDepartment of Community Medicine and Primary Health CareDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Pharmaceutical SciencesDepartment of StatisticsHIV Care LaboratorySchool of Public HealthDepartment of Medical Microbiology and ParasitologyGastroenterology UnitDepartment of Mass CommunicationDepartment of Obstetrics and GynecologyDepartment of Pharmaceutical SciencesDepartment of Physics and Engineering PhysicsDepartment of NursingDepartment of Obstetrics and GynecologyDepartment of Family MedicineDepartment of Physiological SciencesDepartment of Parasitology & EntomologyImmunology UnitImmunology UnitDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of OphthalmologyMeasurement Evaluation and Research UnitDepartment of Human PhysiologyDepartment of RadiologyDepartment of NursingDepartment of HematologyDepartment of Hematology & ImmunologyDepartment of RadiologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyNigerian Institute of Medical ResearchDepartment of Obstetrics and GynecologyObjective. We systematically identified the prevalence of triplex infections (combined human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV)) in pregnancy. Methods. To gather information on the frequency of triplex infections, we searched the databases of PubMed, CINAHL, and Google Scholar. Without regard to language, we utilized search terms that covered HIV, HBV, HCV, and pregnancy. Pregnant women with triplex infections of HIV, HBV, and HCV were included in studies that also examined the prevalence of triplex infections. Review Manager 5.4.1 was employed to conduct the meta-analysis. Critical appraisal and bias tool risk data were provided as percentages with 95% confidence intervals (95% CIs), and I2 was used as the statistical measure of heterogeneity. The checklist was created by Hoy and colleagues. The study protocol was registered on PROSPERO, under the registration number CRD42020202583. Results. Eight studies involving 5314 women were included. We identified one ongoing study. Pooled prevalence of triplex infections was 0.03% (95% CI: 0.02–0.04%) according to meta-analysis. Subgroup analysis demonstrated a significantly high prevalence of 0.08% (95% CI: 0.06–0.10%; 3863 women) in HIV-positive population than 0.00% (95% CI:−0.00-0.00; 1451 women; P<0.001) in general obstetric population. Moreover, there was a significant difference in the pooled prevalence between studies published between 2001 and 2010 and between 2011 and 2021 (0.14% (95% CI: 0.12 to 0.16 versus 0.03% (95% CI: 0.02 to 0.04%; P<0.001))) and participants recruited in the period between 2001 and 2011 and between 2012 and 2021 (0.13% (95% CI: 0.05 to 0.21; p=0.002 versus 0.00% (95% CI: −0.00 to 0.00%; p=1.00))), respectively. Conclusion. The combined prevalence of prenatal triplex infections was 0.03%, with rates notably higher among the group of pregnant women who were HIV-positive and during the recruitment period that took place before 2012. This prevalence still necessitates screening for these infections as necessary.http://dx.doi.org/10.1155/2023/3551297 |
| spellingShingle | George Uchenna Eleje Olabisi Morebise Loto Hadiza Abdullahi Usman Chinyere Ukamaka Onubogu Preye Owen Fiebai Godwin Otuodichinma Akaba Ayyuba Rabiu Ikechukwu Innocent Mbachu Moriam Taiwo Chibuzor Rebecca Chinyelu Chukwuanukwu Ngozi Nneka Joe-Ikechebelu Emeka Philip Igbodike Richard Obinwanne Egeonu Ijeoma Chioma Oppah Uchenna Chukwunonso Ogwaluonye Chike Henry Nwankwo Stephen Okoroafor Kalu Chisom God’swill Chigbo Chukwuanugo Nkemakonam Ogbuagu Shirley Nneka Chukwurah Chinwe Elizabeth Uzochukwu Aishat Ahmed Chiamaka Henrietta Jibuaku Samuel Oluwagbenga Inuyomi Bukola Abimbola Adesoji Ubong Inyang Anyang Ekene Agatha Emeka Odion Emmanuel Igue Ogbonna Dennis Okoro Prince Ogbonnia Aja Chiamaka Perpetua Chidozie Hadiza Sani Ibrahim Fatima Ele Aliyu Harrison Chiro Ugwuoroko Aisha Ismaila Numan Solace Amechi Omoruyi Osita Samuel Umeononihu Chukwuemeka Chukwubuikem Okoro Ifeanyi Kingsley Nwaeju Arinze Anthony Onwuegbuna Lydia Ijeoma Eleje David Chibuike Ikwuka Eric Okechukwu Umeh Sussan Ifeyinwa Nweje Ifeoma Clara Ajuba Angela Ogechukwu Ugwu Uzoamaka Rufina Ebubedike Divinefavour Echezona Malachy Chigozie Geoffrey Okafor Nnaedozie Paul Obiegbu Emmanuel Onyebuchi Ugwu Ibrahim Adamu Yakasai Oliver Chukwujekwu Ezechi Joseph Ifeanyichukwu Ikechebelu A Systematic Review and Meta-Analysis of the Prevalence of Triplex Infections (Combined Human Immunodeficiency Virus, Hepatitis B Virus, and Hepatitis C Virus) among Pregnant Women in Nigeria Obstetrics and Gynecology International |
| title | A Systematic Review and Meta-Analysis of the Prevalence of Triplex Infections (Combined Human Immunodeficiency Virus, Hepatitis B Virus, and Hepatitis C Virus) among Pregnant Women in Nigeria |
| title_full | A Systematic Review and Meta-Analysis of the Prevalence of Triplex Infections (Combined Human Immunodeficiency Virus, Hepatitis B Virus, and Hepatitis C Virus) among Pregnant Women in Nigeria |
| title_fullStr | A Systematic Review and Meta-Analysis of the Prevalence of Triplex Infections (Combined Human Immunodeficiency Virus, Hepatitis B Virus, and Hepatitis C Virus) among Pregnant Women in Nigeria |
| title_full_unstemmed | A Systematic Review and Meta-Analysis of the Prevalence of Triplex Infections (Combined Human Immunodeficiency Virus, Hepatitis B Virus, and Hepatitis C Virus) among Pregnant Women in Nigeria |
| title_short | A Systematic Review and Meta-Analysis of the Prevalence of Triplex Infections (Combined Human Immunodeficiency Virus, Hepatitis B Virus, and Hepatitis C Virus) among Pregnant Women in Nigeria |
| title_sort | systematic review and meta analysis of the prevalence of triplex infections combined human immunodeficiency virus hepatitis b virus and hepatitis c virus among pregnant women in nigeria |
| url | http://dx.doi.org/10.1155/2023/3551297 |
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