PMID- 31359566 OWN - NLM STAT- MEDLINE DCOM- 20200213 LR - 20200213 IS - 1865-1682 (Electronic) IS - 1865-1674 (Linking) VI - 66 IP - 6 DP - 2019 Nov TI - Strongyloides stercoralis infection in human immunodeficiency virus-infected patients and related risk factors: A systematic review and meta-analysis. PG - 2233-2243 LID - 10.1111/tbed.13310 [doi] AB - Strongyloidiasis is caused by nematode infections of the genus Strongyloides, mainly Strongyloides stercoralis, and affects tens of millions of people around the world. S. stercoralis hyperinfection and disseminated strongyloidiasis are unusual but potentially fatal conditions mostly due to Gram-negative bacteremia and sepsis, primarily affecting immunocompromised patients. Infections with immunosuppressive viruses such as human immunodeficiency virus (HIV) and Human T-cell leucemia virus type 1 (HTLV-1) have been reported as risk factors for strongyloidiasis. Hyperinfection syndrome has been described in HIV-positive patients following the use of corticosteroids or during immune reconstitution inflammatory syndrome (IRIS). In this research, we conducted a global systematic review and meta-analysis to assess the seroprevalence and odds ratios (ORs) of S. stercoralis infections in HIV-infected patients. A total of 3,649 records were screened, 164 studies were selected and evaluated in more detail, and 94 studies were included in the meta-analysis. The overall pooled prevalence of S. stercoralis infection in HIV positive patients was 5.1% (CI95%: 4%-6.3%), and a meta-analysis on six studies showed that with a pooled OR of 1.79 (CI95%: 1.18%-2.69%) HIV-positive men are at a higher risk of S. stercoralis infections (p < .0052) compared to HIV positive women. CI - (c) 2019 Blackwell Verlag GmbH. FAU - Ahmadpour, Ehsan AU - Ahmadpour E AUID- ORCID: 0000-0003-1202-6147 AD - Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. AD - Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Ghanizadegan, Mohammad Ali AU - Ghanizadegan MA AD - Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Razavi, Atefeh AU - Razavi A AD - Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Kangari, Mahsa AU - Kangari M AD - Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Seyfi, Rouhollah AU - Seyfi R AD - Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Shahdust, Maryam AU - Shahdust M AD - Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Yazdanian, Ali AU - Yazdanian A AD - Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Safarpour, Hanie AU - Safarpour H AD - Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Bannazadeh Baghi, Hossein AU - Bannazadeh Baghi H AD - Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. AD - Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Zarean, Mehdi AU - Zarean M AD - Department of Parasitology and Mycology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Hosseini, Seyed Abdollah AU - Hosseini SA AD - Toxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran. FAU - Norouzi, Roghayeh AU - Norouzi R AD - Department of Pathobiology, Faculty of Veterinary Medicine, University of Tabriz, Tabriz, Iran. FAU - Ebrahimi, Mina AU - Ebrahimi M AD - Drug Applied Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Bangoura, Berit AU - Bangoura B AD - Department of Veterinary Sciences, College of Agriculture and Natural Resources, University of Wyoming, Laramie, WY, USA. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20190811 PL - Germany TA - Transbound Emerg Dis JT - Transboundary and emerging diseases JID - 101319538 SB - IM MH - Animals MH - HIV Infections/*complications MH - Humans MH - *Immunocompromised Host MH - Prevalence MH - Risk Factors MH - Sex Factors MH - Strongyloides stercoralis MH - Strongyloidiasis/*complications OTO - NOTNLM OT - human immunodeficiency virus OT - prevalence OT - strongyloidiasis OT - systematic review EDAT- 2019/07/31 06:00 MHDA- 2020/02/14 06:00 CRDT- 2019/07/31 06:00 PHST- 2019/05/16 00:00 [received] PHST- 2019/07/23 00:00 [revised] PHST- 2019/07/24 00:00 [accepted] PHST- 2019/07/31 06:00 [pubmed] PHST- 2020/02/14 06:00 [medline] PHST- 2019/07/31 06:00 [entrez] AID - 10.1111/tbed.13310 [doi] PST - ppublish SO - Transbound Emerg Dis. 2019 Nov;66(6):2233-2243. doi: 10.1111/tbed.13310. Epub 2019 Aug 11.