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首页> 外文期刊>Acta tropica: Journal of Biomedical Sciences >A meta-analysis of contagious caprine pleuropneumonia (CCPP) in Ethiopia
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A meta-analysis of contagious caprine pleuropneumonia (CCPP) in Ethiopia

机译:埃塞俄比亚传染性山羊胸膜肺炎(CCPP)的荟萃分析

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This systematic literature review was initiated due to lack of comprehensive information on the status and distribution of contagious caprine pleuropneumonia (CCPP) in Ethiopia. The objectives of the review were thus to provide a pooled prevalence estimate of CCPP in the country and asses the level of in between study variance among the available reports. Manual and electronic search was conducted between 8th of January and 25th of June 2015. A total of twelve published articles and one MSc thesis was retrieved from 19 initially identified studies. Twenty five animal level datasets were extracted at regional level considering some hypothesized predictors. The retrieved data were summarized in a meta-analytical approach. Accordingly, the pooled prevalence estimate of CCPP was 25.7% (95% CI:20.9,31.0). The inverse variance square (I-2) that explains the variation in effect size attributed to reports true heterogeneity was 95.7%. The sub-group analysis was also computed for assumed predictors including, age, sex, type of study population, production systems and regional states. Among these predictors, study population type revealed statistically significant difference (P < 0.05). Accordingly, the prevalence estimate for samples collected at abattoir was 39.2%, while that of samples collected at field level was 22.4%. In the final model, type of study population fitted the multivariable meta-regression model accounting for 22.87% of the explainable proportion of heterogeneity among the presumed predictors. Evidence on isolation and confirmation of Mycoplasma capricolum subspp. capripneumonie in the country was obtained from five regional states. In conclusion, it is recommended to further investigate facilities related with transportation and collection premises along with potential role of sheep in the epidemiology of CCPP. Finally, the review emphasizes the need for monitoring the ongoing CCPP control intervention and introduces amendments based on the findings. Besides more surveys are needed in some of the regions where no or few valid data was available. (C) 2016 Elsevier B.V. All rights reserved.
机译:由于缺乏有关埃塞俄比亚传染性山羊胸膜肺炎(CCPP)的状况和分布的全面信息,因此启动了系统的文献综述。因此,审查的目的是提供该国CCPP患病率的汇总估计,并评估可用报告之间研究差异之间的水平。在2015年1月8日至6月25日之间进行了手动和电子搜索。从19项最初确定的研究中检索了12篇发表的文章和1篇MSc论文。考虑了一些假设的预测因素,在区域级别提取了二十五个动物级别的数据集。检索到的数据以荟萃分析的方式汇总。因此,CCPP的合并患病率估计为25.7%(95%CI:20.9,31.0)。解释归因于报告真实异质性的效应大小变化的方差平方(I-2)为95.7%。还对假定的预测因素进行了亚组分析,包括年龄,性别,研究人群的类型,生产系统和地区状态。在这些预测因素中,研究人群类型显示出统计学上的显着差异(P <0.05)。因此,在屠宰场采集的样品的流行估计为39.2%,而在田间水平采集的样品的流行估计为22.4%。在最终模型中,研究人群的类型符合多变量元回归模型,占假定的预测因素中异质性的可解释比例的22.87%。分离和确证支原体亚种的证据。该国的capripneumonie是从五个地区州获得的。总之,建议进一步调查与运输和收集场所有关的设施,以及绵羊在CCPP流行病学中的潜在作用。最后,审查强调需要监视正在进行的CCPP控制干预措施,并根据调查结果进行修订。此外,在一些没有或只有很少有效数据的地区,还需要进行更多调查。 (C)2016 Elsevier B.V.保留所有权利。

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