Evidence map of diagnosis, treatment, prognosis, prevention, and control in visceral leishmaniasis
Objective. To develop an evidence map on visceral leishmaniasis prevention, control, diagnosis, treatment, and prognosis. Methods. Systematic reviews on visceral leishmaniasis were searched using MEDLINE/PubMed and Virtual Health Library. After selection, each included systematic review was assessed...
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| Format: | Article |
| Language: | English |
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Pan American Health Organization
2022-07-01
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| Series: | Revista Panamericana de Salud Pública |
| Subjects: | |
| Online Access: | https://iris.paho.org/handle/10665.2/56155 |
| _version_ | 1828268999828307968 |
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| author | Andressa Barros Ibiapina Francisca Miriane de Araújo Batista Bruno Guedes Alcoforado Aguiar Vagner José Mendonça Dorcas Lamounier Costa Carlos Henrique Nery Costa Carmen Verônica Mendes Abdala |
| author_facet | Andressa Barros Ibiapina Francisca Miriane de Araújo Batista Bruno Guedes Alcoforado Aguiar Vagner José Mendonça Dorcas Lamounier Costa Carlos Henrique Nery Costa Carmen Verônica Mendes Abdala |
| author_sort | Andressa Barros Ibiapina |
| collection | DOAJ |
| description | Objective. To develop an evidence map on visceral leishmaniasis prevention, control, diagnosis, treatment, and prognosis.
Methods. Systematic reviews on visceral leishmaniasis were searched using MEDLINE/PubMed and Virtual Health Library. After selection, each included systematic review was assessed, characterized, and categorized by intervention type and by outcomes, according to the methodology offered by the PAHO/WHO Latin American and Caribbean Center on Health Sciences Information (BIREME). The methodological quality was assessed using the AMSTAR2 tool to determine the confidence level of the evidence obtained.
Results. Among the prevention and control interventions, insecticide spraying, bednets, dog collars, and dog culling were the most assessed, emphasizing that insecticidal dog collars can reduce visceral leishmaniasis incidence in dogs. Regarding diagnosis, polymerase chain reaction (PCR), rK39 immunochromatographic test (rK39 ICT), and direct agglutination test (DAT) presented high sensitivity and specificity. As for treatment, pentavalent antimonials and amphotericin B were the most analyzed drugs and showed therapeutic success; however, serious adverse events can occur due to their use. The prognostic factors identified were anemia, edema, bleeding, jaundice, age, and HIV coinfection.
Conclusions. The evidence map developed shows rK39 ICT and DAT as promising diagnostic alternatives and reinforces the efficacy of liposomal amphotericin B and pentavalent antimonials. Insecticide-impregnated dog collars appear as a promising measure for the control of visceral leishmaniasis, but there is also a need for future studies and reviews with higher methodological quality, especially on prevention and control interventions. |
| first_indexed | 2024-04-13T05:25:13Z |
| format | Article |
| id | doaj.art-e9a07f6e70444b4787ea5697efb67e53 |
| institution | Directory Open Access Journal |
| issn | 1020-4989 1680-5348 |
| language | English |
| last_indexed | 2024-04-13T05:25:13Z |
| publishDate | 2022-07-01 |
| publisher | Pan American Health Organization |
| record_format | Article |
| series | Revista Panamericana de Salud Pública |
| spelling | doaj.art-e9a07f6e70444b4787ea5697efb67e532022-12-22T03:00:36ZengPan American Health OrganizationRevista Panamericana de Salud Pública1020-49891680-53482022-07-01468911010.26633/RPSP.2022.89rpspEvidence map of diagnosis, treatment, prognosis, prevention, and control in visceral leishmaniasisAndressa Barros Ibiapina0Francisca Miriane de Araújo Batista1Bruno Guedes Alcoforado Aguiar2Vagner José Mendonça3Dorcas Lamounier Costa4Carlos Henrique Nery Costa5Carmen Verônica Mendes Abdala6Intelligence Center in Emerging and Neglected Tropical Conditions, Teresina, Piauí, BrazilIntelligence Center in Emerging and Neglected Tropical Conditions, Teresina, Piauí, BrazilIntelligence Center in Emerging and Neglected Tropical Conditions, Teresina, Piauí, BrazilIntelligence Center in Emerging and Neglected Tropical Conditions, Teresina, Piauí, BrazilIntelligence Center in Emerging and Neglected Tropical Conditions, Teresina, Piauí, BrazilIntelligence Center in Emerging and Neglected Tropical Conditions, Teresina, Piauí, BrazilPAHO/WHO Latin American and Caribbean Center on Health Sciences Information (BIREME), São Paulo, BrazilObjective. To develop an evidence map on visceral leishmaniasis prevention, control, diagnosis, treatment, and prognosis. Methods. Systematic reviews on visceral leishmaniasis were searched using MEDLINE/PubMed and Virtual Health Library. After selection, each included systematic review was assessed, characterized, and categorized by intervention type and by outcomes, according to the methodology offered by the PAHO/WHO Latin American and Caribbean Center on Health Sciences Information (BIREME). The methodological quality was assessed using the AMSTAR2 tool to determine the confidence level of the evidence obtained. Results. Among the prevention and control interventions, insecticide spraying, bednets, dog collars, and dog culling were the most assessed, emphasizing that insecticidal dog collars can reduce visceral leishmaniasis incidence in dogs. Regarding diagnosis, polymerase chain reaction (PCR), rK39 immunochromatographic test (rK39 ICT), and direct agglutination test (DAT) presented high sensitivity and specificity. As for treatment, pentavalent antimonials and amphotericin B were the most analyzed drugs and showed therapeutic success; however, serious adverse events can occur due to their use. The prognostic factors identified were anemia, edema, bleeding, jaundice, age, and HIV coinfection. Conclusions. The evidence map developed shows rK39 ICT and DAT as promising diagnostic alternatives and reinforces the efficacy of liposomal amphotericin B and pentavalent antimonials. Insecticide-impregnated dog collars appear as a promising measure for the control of visceral leishmaniasis, but there is also a need for future studies and reviews with higher methodological quality, especially on prevention and control interventions.https://iris.paho.org/handle/10665.2/56155leishmaniasis, visceralneglected diseasesevidence-based medicine |
| spellingShingle | Andressa Barros Ibiapina Francisca Miriane de Araújo Batista Bruno Guedes Alcoforado Aguiar Vagner José Mendonça Dorcas Lamounier Costa Carlos Henrique Nery Costa Carmen Verônica Mendes Abdala Evidence map of diagnosis, treatment, prognosis, prevention, and control in visceral leishmaniasis Revista Panamericana de Salud Pública leishmaniasis, visceral neglected diseases evidence-based medicine |
| title | Evidence map of diagnosis, treatment, prognosis, prevention, and control in visceral leishmaniasis |
| title_full | Evidence map of diagnosis, treatment, prognosis, prevention, and control in visceral leishmaniasis |
| title_fullStr | Evidence map of diagnosis, treatment, prognosis, prevention, and control in visceral leishmaniasis |
| title_full_unstemmed | Evidence map of diagnosis, treatment, prognosis, prevention, and control in visceral leishmaniasis |
| title_short | Evidence map of diagnosis, treatment, prognosis, prevention, and control in visceral leishmaniasis |
| title_sort | evidence map of diagnosis treatment prognosis prevention and control in visceral leishmaniasis |
| topic | leishmaniasis, visceral neglected diseases evidence-based medicine |
| url | https://iris.paho.org/handle/10665.2/56155 |
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