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Artículo

Herpes zoster epidemiology in Latin America: A systematic review and meta-analysis

Bardach, Ariel EstebanIcon ; Palermo, Carolina; Alconada, Tomás; Sandoval, Macarena; Balan, Darío Javier; Guevara, Javier Nieto; Gómez, Jorge; Ciapponi, AgustínIcon
Fecha de publicación: 08/2021
Editorial: Public Library of Science
Revista: Plos One
ISSN: 1932-6203
Idioma: Inglés
Tipo de recurso: Artículo publicado
Clasificación temática:
Otras Ciencias de la Salud

Resumen

The epidemiology and burden of Herpes Zoster (HZ) are largely unknown, and there are no recent reviews summarizing the available evidence from the Latin America and Caribbean (LAC) region. We conducted a systematic review and meta-analysis to characterize the epidemiology and burden of HZ in LAC. Bibliographic databases and grey literature sources were consulted to find studies published (January 2000 ?February 2020) with epidemiological endpoints: cumulative incidence and incidence density (HZ cases per 100,000 person-years), prevalence, case-fatality rates, HZ mortality, hospitalization rates, and rates of each HZ complication. Twenty-six studies were included with most studies coming from Brazil. No studies reported the incidence of HZ in the general population. In population at higher risk, the cumulative incidence ranged from 318?3,423 cases of HZ per 100,000 persons per year of follow-up. The incidence density was 6.4?36.5 cases per 1,000 person-years. Age was identified as a major risk factor towards HZ incidence which increase significantly in people >50 years of age. Hospitalization rates ranged from 3%?35.7%. The in-hospital HZ mortality rate ranged from 0%?36%. Overall, HZ mortality rates were found to be higher in females across all age groups and countries. The incidence of HZ complications (such as post-herpetic neuralgia, ophthalmic herpes zoster, and Ramsay Hunt syndrome) was higher in the immunosuppressed compared to the immunocompetent population. Acyclovir was the most frequently used therapy. Epidemiological data from Ministry of Health databases (Argentina, Brazil, Colombia, Chile y Mexico) and Institute for Health Metrics and Evaluation?s Global Burden of Disease project reported stable rates of hospitalizations and deaths over the last 10 years. High-risk groups for HZ impose a considerable burden in LAC. They could benefit from directed healthcare initiatives, including adult immunization, to prevent HZ occurrence and its complications.
Palabras clave: Herpes zoster , Latin America , Systematic review , Meta-analysis
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info:eu-repo/semantics/openAccess Excepto donde se diga explícitamente, este item se publica bajo la siguiente descripción: Creative Commons Attribution-NonCommercial-ShareAlike 2.5 Unported (CC BY-NC-SA 2.5)
Identificadores
URI: http://hdl.handle.net/11336/211998
URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0255877
DOI: http://dx.doi.org/10.1371/journal.pone.0255877
Colecciones
Articulos(CIESP)
Articulos de CENTRO DE INVESTIGACIONES EN EPIDEMIOLOGIA Y SALUD PUBLICA
Citación
Bardach, Ariel Esteban; Palermo, Carolina; Alconada, Tomás; Sandoval, Macarena; Balan, Darío Javier; et al.; Herpes zoster epidemiology in Latin America: A systematic review and meta-analysis; Public Library of Science; Plos One; 16; 8-2021; 1-19
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