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dc.rights.licenseopenen_US
dc.contributor.authorBLAIZOT, Romain
dc.contributor.authorPASQUIER, Gregoire
dc.contributor.authorKONE, Abdoulaye Kassoum
hal.structure.identifierBordeaux population health [BPH]
hal.structure.identifierGlobal Health in the Global South [GHiGS]
dc.contributor.authorDUVIGNAUD, Alexandre
dc.contributor.authorDEMAR, Magalie
dc.date.accessioned2024-09-25T09:30:51Z
dc.date.available2024-09-25T09:30:51Z
dc.date.issued2024-07-24
dc.identifier.issn1756-3305en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/201796
dc.description.abstractEnCutaneous leishmaniasis (CL) is understudied in sub-Saharan Africa. The epidemiology of CL is determined by the species involved in its transmission. Our objectives were to systematically review available data on the species of Leishmania, along with vectors and reservoirs involved in the occurrence of human cases of CL in sub-Saharan Africa, and to discuss implications for case management and future research. We systematically searched PubMed, Scopus, Cochrane and African Index Medicus. There was no restriction on language or date of publication. The review was conducted according to PRISMA guidelines and was registered on PROSPERO (CRD42022384157). In total, 188 published studies and 37 reports from the grey literature were included. An upward trend was observed, with 45.7% of studies published after 2010. East Africa (55.1%) represented a much greater number of publications than West Africa (33.3%). In East Africa, the identification of reservoirs for Leishmania tropica remains unclear. This species also represents a therapeutic challenge, as it is often resistant to meglumine antimoniate. In Sudan, the presence of hybrids between Leishmania donovani and strictly cutaneous species could lead to important epidemiological changes. In Ghana, the emergence of CL in the recent past could involve rare species belonging to the Leishmania subgenus Mundinia. The area of transmission of Leishmania major could expand beyond the Sahelian zone, with scattered reports in forested areas. While the L. major-Phlebotomus duboscqi-rodent complex may not be the only cycle in the dry areas of West Africa, the role of dogs as a potential reservoir for Leishmania species with cutaneous tropism in this subregion should be clarified. Meglumine antimoniate was the most frequently reported treatment, but physical methods and systemic agents such as ketoconazole and metronidazole were also used empirically to treat L. major infections. Though the number of studies on the topic has increased recently, there is an important need for intersectional research to further decipher the Leishmania species involved in human cases of CL as well as the corresponding vectors and reservoirs, and environmental factors that impact transmission dynamics. The development of molecular biology in sub-Saharan Africa could help in leveraging diagnostic and research capacities and improving the management of human cases through personalized treatment strategies.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enAfrica South of the Sahara
dc.subject.enHumans
dc.subject.enLeishmaniasis
dc.subject.enCutaneous
dc.subject.enAnimals
dc.subject.enDisease Reservoirs
dc.subject.enLeishmania
dc.subject.enInsect Vectors
dc.subject.enDogs
dc.title.enCutaneous leishmaniasis in sub-Saharan Africa: a systematic review of Leishmania species, vectors and reservoirs
dc.title.alternativeParasit Vectorsen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1186/s13071-024-06381-8en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed39044228en_US
bordeaux.journalParasites & Vectorsen_US
bordeaux.page318en_US
bordeaux.volume17en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue1en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamGHIGS_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDInstitut de Recherche pour le Développementen_US
bordeaux.import.sourcepubmed
hal.identifierhal-04708968
hal.version1
hal.date.transferred2024-09-25T09:30:56Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
workflow.import.sourcepubmed
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Parasites%20&%20Vectors&rft.date=2024-07-24&rft.volume=17&rft.issue=1&rft.spage=318&rft.epage=318&rft.eissn=1756-3305&rft.issn=1756-3305&rft.au=BLAIZOT,%20Romain&PASQUIER,%20Gregoire&KONE,%20Abdoulaye%20Kassoum&DUVIGNAUD,%20Alexandre&DEMAR,%20Magalie&rft.genre=article


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