Burden of intestinal parasites among diabetic patients in Africa: a systematic review and meta-analysis

Abstract Background Intestinal parasite infections remain a serious public health concern around the world, particularly in countries with inadequate sanitation. The study aims to ascertain the total magnitude of intestinal parasites in diabetes patients throughout the African countries. Objective T...

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Main Authors: Marye Nigatie Debash, Getinet Kumie, Assefa Sisay, Solomon Gedfie, Wagaw Abebe, Agenagnew Ashagre, Tadesse Misganaw, Habtu Debash, Melese Abate Reta
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Infectious Diseases
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Online Access:https://doi.org/10.1186/s12879-025-10441-4
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author Marye Nigatie Debash
Getinet Kumie
Assefa Sisay
Solomon Gedfie
Wagaw Abebe
Agenagnew Ashagre
Tadesse Misganaw
Habtu Debash
Melese Abate Reta
author_facet Marye Nigatie Debash
Getinet Kumie
Assefa Sisay
Solomon Gedfie
Wagaw Abebe
Agenagnew Ashagre
Tadesse Misganaw
Habtu Debash
Melese Abate Reta
author_sort Marye Nigatie Debash
collection DOAJ
description Abstract Background Intestinal parasite infections remain a serious public health concern around the world, particularly in countries with inadequate sanitation. The study aims to ascertain the total magnitude of intestinal parasites in diabetes patients throughout the African countries. Objective The aim of this systematic review and meta-analysis was to determine the general burden of intestinal parasites among diabetic patients in Africa. Methods A systematic search was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol for studies reporting intestinal parasite infections in patients with diabetes through January 01/2000 to August13/2024. The collected data were analyzed using STATA software version 17. Seven case-control studies and nine cross-sectional studies were included in this study. Heterogeneity across studies was assessed using Cochran’s Q statistic and I2 statistics. Subgroup analysis was carried out when the I2 value exceeded 50%, indicating substantial heterogeneity. Results In the current systematic review and meta-analysis, the pooled prevalence of intestinal parasites in diabetic patients was 31% (95% CI: 23–38%) with heterogeneity of I2 = 95.94%; P < 0.001. The highest prevalence based on geographical area was in region of the Egypt 39% (95% CI: 26–52%), and based on study design was in case control studies 40% (95% CI: 28-52%). Poor hygiene and sanitation(P < 0.001), as well as diabetes mellitus status (P < 0.001), were statistically significant factors associated with patients who have diabetes. Conclusion Patients with diabetes are a high-risk group for intestinal parasitic infections and should be prioritized for screening. Therefore, it is essential to implement preventative measures for these patients.
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spelling doaj-art-55a2adcb15334fda85b46a8c4bed63322025-01-12T12:09:29ZengBMCBMC Infectious Diseases1471-23342025-01-0125111210.1186/s12879-025-10441-4Burden of intestinal parasites among diabetic patients in Africa: a systematic review and meta-analysisMarye Nigatie Debash0Getinet Kumie1Assefa Sisay2Solomon Gedfie3Wagaw Abebe4Agenagnew Ashagre5Tadesse Misganaw6Habtu Debash7Melese Abate Reta8Department of Medical Laboratory Science, College of Health Sciences, Woldia UniversityDepartment of Medical Laboratory Science, College of Health Sciences, Woldia UniversityDepartment of Medical Laboratory Science, College of Health Sciences, Woldia UniversityDepartment of Medical Laboratory Science, College of Health Sciences, Woldia UniversityDepartment of Medical Laboratory Science, College of Health Sciences, Woldia UniversityDepartment of Medical Laboratory Science, College of Health Sciences, Woldia UniversityDepartment of Medical Laboratory Science, College of Health Sciences, Woldia UniversityDepartment of Medical Laboratory Science, College of Medicine and Health Sciences, Wollo UniversityDepartment of Medical Laboratory Science, College of Health Sciences, Woldia UniversityAbstract Background Intestinal parasite infections remain a serious public health concern around the world, particularly in countries with inadequate sanitation. The study aims to ascertain the total magnitude of intestinal parasites in diabetes patients throughout the African countries. Objective The aim of this systematic review and meta-analysis was to determine the general burden of intestinal parasites among diabetic patients in Africa. Methods A systematic search was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol for studies reporting intestinal parasite infections in patients with diabetes through January 01/2000 to August13/2024. The collected data were analyzed using STATA software version 17. Seven case-control studies and nine cross-sectional studies were included in this study. Heterogeneity across studies was assessed using Cochran’s Q statistic and I2 statistics. Subgroup analysis was carried out when the I2 value exceeded 50%, indicating substantial heterogeneity. Results In the current systematic review and meta-analysis, the pooled prevalence of intestinal parasites in diabetic patients was 31% (95% CI: 23–38%) with heterogeneity of I2 = 95.94%; P < 0.001. The highest prevalence based on geographical area was in region of the Egypt 39% (95% CI: 26–52%), and based on study design was in case control studies 40% (95% CI: 28-52%). Poor hygiene and sanitation(P < 0.001), as well as diabetes mellitus status (P < 0.001), were statistically significant factors associated with patients who have diabetes. Conclusion Patients with diabetes are a high-risk group for intestinal parasitic infections and should be prioritized for screening. Therefore, it is essential to implement preventative measures for these patients.https://doi.org/10.1186/s12879-025-10441-4Diabetes mellitusIntestinal parasitesMeta-analysis
spellingShingle Marye Nigatie Debash
Getinet Kumie
Assefa Sisay
Solomon Gedfie
Wagaw Abebe
Agenagnew Ashagre
Tadesse Misganaw
Habtu Debash
Melese Abate Reta
Burden of intestinal parasites among diabetic patients in Africa: a systematic review and meta-analysis
BMC Infectious Diseases
Diabetes mellitus
Intestinal parasites
Meta-analysis
title Burden of intestinal parasites among diabetic patients in Africa: a systematic review and meta-analysis
title_full Burden of intestinal parasites among diabetic patients in Africa: a systematic review and meta-analysis
title_fullStr Burden of intestinal parasites among diabetic patients in Africa: a systematic review and meta-analysis
title_full_unstemmed Burden of intestinal parasites among diabetic patients in Africa: a systematic review and meta-analysis
title_short Burden of intestinal parasites among diabetic patients in Africa: a systematic review and meta-analysis
title_sort burden of intestinal parasites among diabetic patients in africa a systematic review and meta analysis
topic Diabetes mellitus
Intestinal parasites
Meta-analysis
url https://doi.org/10.1186/s12879-025-10441-4
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