Publication
Risk factors for sporadic giardiasis: a systematic review and meta-analysis: meta-analysis of risk factors associated with sporadic giardiasis
| dc.contributor.author | Thébault, Anne | |
| dc.contributor.author | Favennec, Loic | |
| dc.contributor.author | Kooh, Pauline | |
| dc.contributor.author | Cadavez, Vasco | |
| dc.contributor.author | Gonzales-Barron, Ursula | |
| dc.contributor.author | Villena, Isabelle | |
| dc.date.accessioned | 2018-02-19T10:00:00Z | |
| dc.date.accessioned | 2021-02-27T13:00:41Z | |
| dc.date.available | 2018-01-19T10:00:00Z | |
| dc.date.available | 2021-02-27T13:00:41Z | |
| dc.date.issued | 2020 | |
| dc.description.abstract | Giardia duodenalis is an important source of gastroenteritis worldwide. Endemic cases have been described in developing and industrialized countries. We analyzed risk factors for sporadic giardiasis by a systematic review and a meta-analysis of the literature. From 72 studies, contact with an infected person, lack of personal hygiene, and attending a child daycare center were identified as risk factors in children and adults. Feco-oral transmission was significantly associated with exposure to human sewage/waste water, untreated drinking water and recreational waters. Travel abroad was a risk factor in industrialized countries. No handwashing before eating or preparing food, eating unwashed vegetables, or composite food were significant risk factors. Breastfeeding was a protective factor in developing countries. Interestingly, contact with pets was found as a significant risk factor in children in this meta-analysis. This could be explored in future studies with the comparison of the Giardia assemblage isolated from humans and pets. In the future, it would be interesting to investigate more precisely the type of water, vegetable, and whenever possible the method of preparation/treatment. Environmental and epidemiological investigations of specific risk factors by assemblages and types of Giardia spp. should be further studied. Finally, host factors in relationship with the severity and sequelae of giardiasis deserve future research. | en_EN |
| dc.description.sponsorship | U. Gonzales-Barron and V. Cadavez are grateful to the Foundation for Science and Technology (FCT, Portugal) and FEDER under Programme PT2020 for the financial support to CIMO (UID/AGR/00690/2019). U. Gonzales-Barron acknowledges the national funding by FCT, P.I., through the Institutional Scientific Employment Program contract. All authors would like to thank Anses staff and the members of the Anses Working Group on Source Attribution of Foodborne Diseases: Moez Sanaa, Laurence Watier, Jean Christophe Augustin, Fr´ed´eric Carlin, Julie David, Philippe Fravalo, Laurent Guillier, Nathalie Jourdan-Da Silva, Alexandre Leclercq, Simon Le Hello, Lapo Mughini-Gras and Nicole Pavio. We are grateful to Nikki Sabourin-Gibbs, Rouen University Hospital, for her help in editing the manuscript. | |
| dc.description.version | info:eu-repo/semantics/publishedVersion | en_EN |
| dc.identifier.citation | Thébault, Anne; Favennec, Loic; Kooh, Pauline; Cadavez, Vasco; Gonzales-Barron, Ursula; Villena, Isabelle (2020) - Risk factors for sporadic giardiasis: a systematic review and meta-analysis: meta-analysis of risk factors associated with sporadic giardiasis. Microbial Risk Analysis. ISSN 2352-3522. | en_EN |
| dc.identifier.doi | 10.1016/j.mran.2020.100158 | en_EN |
| dc.identifier.uri | http://hdl.handle.net/10198/23335 | |
| dc.language.iso | eng | |
| dc.peerreviewed | yes | en_EN |
| dc.subject | Case-control studies | en_EN |
| dc.subject | Cohort studies | en_EN |
| dc.subject | Giardia | en_EN |
| dc.subject | Meta-regression | en_EN |
| dc.subject | Research synthesis | en_EN |
| dc.title | Risk factors for sporadic giardiasis: a systematic review and meta-analysis: meta-analysis of risk factors associated with sporadic giardiasis | en_EN |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| person.familyName | Cadavez | |
| person.familyName | Gonzales-Barron | |
| person.givenName | Vasco | |
| person.givenName | Ursula | |
| person.identifier | R-000-HDG | |
| person.identifier.ciencia-id | 441B-01AB-A12E | |
| person.identifier.ciencia-id | 0813-C319-B62A | |
| person.identifier.orcid | 0000-0002-3077-7414 | |
| person.identifier.orcid | 0000-0002-8462-9775 | |
| person.identifier.rid | A-3958-2010 | |
| person.identifier.scopus-author-id | 9039121900 | |
| person.identifier.scopus-author-id | 9435483700 | |
| rcaap.rights | openAccess | en_EN |
| rcaap.type | article | en_EN |
| relation.isAuthorOfPublication | 57b410e9-f6b7-42ff-ab3d-b526278715eb | |
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