Evidence map›Paper›PMID 29316950›Full record

SynthesisParasites & vectors2018

Prevalence of Cryptosporidium, microsporidia and Isospora infection in HIV-infected people: a global systematic review and meta-analysis.

Ze-Dong Wang, Quan Liu, Huan-Huan Liu, Shuang Li, Li Zhang, Yong-Kun Zhao, Xing-Quan Zhu

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Parasites & vectors, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 13 pooled it
13.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 13 syntheses or guidelines pooled it, 169 citations in OpenAlex.

  1. Pooled it
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  4. Global prevalence ofParasitology · 2023
    Pooled it
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  6. Prevalence and risk factors ofFrontiers in veterinary science · 2023
    Pooled it
  7. The global prevalence ofParasitology · 2022
    Pooled it
  8. Prevalence of human cryptosporidiosis in the Americas: systematic review and meta-analysis.Revista do Instituto de Medicina Tropical de Sao Paulo · 2022
    Pooled it
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  11. Pathogens and global health · 2020
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  18. The miRNomics of antiretroviral therapy-induced obesity.Functional & integrative genomics · 2025
    Review
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  20. Article

17 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Ze-Dong WangState Key Laboratory of Veterinary Etiological Biology, Key Laboratory of Veterinary Parasitology of Gansu Province, Lanzhou Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Lanzhou, Gansu Province, 730046, People's Republic of China.
Quan LiuMilitary Veterinary Institute, Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Academy of Military Medical Sciences, Changchun, Jilin Province, 130122, People's Republic of China. liuquan1973@hotmail.com.
Huan-Huan LiuCollege of Animal Science and Technology, Jilin Agricultural University, Changchun, Jilin Province, 130188, People's Republic of China.
Shuang LiCollege of Animal Science and Technology, Jilin Agricultural University, Changchun, Jilin Province, 130188, People's Republic of China.
Li ZhangCollege of Animal Science and Technology, Jilin Agricultural University, Changchun, Jilin Province, 130188, People's Republic of China.
Yong-Kun ZhaoMilitary Veterinary Institute, Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Academy of Military Medical Sciences, Changchun, Jilin Province, 130122, People's Republic of China.
Xing-Quan ZhuState Key Laboratory of Veterinary Etiological Biology, Key Laboratory of Veterinary Parasitology of Gansu Province, Lanzhou Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Lanzhou, Gansu Province, 730046, People's Republic of China. xingquanzhu1@hotmail.com.
Jilin Agricultural University · CNAcademy of Military Medical Sciences · CNChinese Academy of Agricultural Sciences · CN

Funding

National Natural Science Foundation of China 31672542the Agricultural Science and Technology Innovation Program CAAS-ASTIP-2014-LVRI-03the Fundamental Research Funds of Chinese Academy of Agricultural Sciences Y2016JC05, 1610312017004the National Key Research and Development Program of China 2017YFD0501300
6 · The paper itself

Abstract

backgroundDiarrhea caused by opportunistic intestinal protozoa is a common problem in HIV infection. We aimed to establish the prevalence of Cryptosporidium, misrosporidia, and Isospora in HIV-infected people using a systematic review and meta-analysis, which is central to developing public policy and clinical services.

methodsWe searched PubMed, ScienceDirect, Google Scholar, Embase, Chinese Web of Knowledge, Wanfang, and Chongqing VIP databases for studies reporting Cryptosporidium, microsporidia, or Isospora infection in HIV-infected people. We extracted the numbers of people with HIV and protozoa infection, and estimated the pooled prevalence of parasite infection by a random effects model.

resultsOur research identified 131 studies that reported Cryptosporidium, microsporidia, and Isospora infection in HIV-infected people. We estimated the pooled prevalence to be 14.0% (3283/43,218; 95% CI: 13.0-15.0%) for Cryptosporidium, 11.8% (1090/18,006; 95% CI: 10.1-13.4%) for microsporidia, and 2.5% (788/105,922; 95% CI: 2.1-2.9%) for Isospora. A low prevalence of microsporidia and Isospora infection was found in high-income countries, and a high prevalence of Cryptosporidium and Isospora infection was found in sub-Saharan Africa. We also detected a high prevalence of Cryptosporidium, microsporidia, and Isospora infection in patients with diarrhea. Sensitivity analysis showed that three studies significantly affect the prevalence of Isospora, which was adjusted to 5.0% (469/8570; 95% CI: 4.1-5.9%) by excluding these studies.

conclusionsOur findings suggest that HIV-infected people have a high prevalence of Cryptosporidium, microsporidia, and Isospora infection in low-income countries and patients with diarrhea, especially in sub-Saharan Africa, reinforcing the importance of routine surveillance for opportunistic intestinal protozoa in HIV-infected people.

Indexed as

CryptosporidiosisDiarrheaGlobal HealthHIV InfectionsHumansIsosporiasisMicrosporidiosisPrevalenceCryptosporidiumHIVIsosporaMeta-analysisMicrosporidia

Identifiers

PMID29316950
PMCPMC5759777
OpenAlexW2783891790

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.