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首页> 外文期刊>Systematic Reviews >Does suboptimal household flooring increase the risk of diarrhoea and intestinal parasite infection in low and middle income endemic settings? A systematic review and meta-analysis protocol
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Does suboptimal household flooring increase the risk of diarrhoea and intestinal parasite infection in low and middle income endemic settings? A systematic review and meta-analysis protocol

机译：次优家用地板是否会增加腹泻和肠道寄生虫在低收入和中等收入流动环境中的风险？系统审查和元分析协议

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摘要

Water, sanitation, and hygiene interventions often fail to show long-term impact on diarrhoeal and/or intestinal parasite risk in many low- and middle-income countries. Less attention has been paid to wider contextual factors that may contribute to high levels of contamination in the domestic environment such as household flooring. The purpose of this study will be to assess the association between diarrhoeal and/or intestinal parasite infection status and unimproved/unfinished flooring in low- and middle-income countries. We will conduct a comprehensive search of published studies (randomized controlled trials, non-randomized controlled trials, and observational studies) that examined the association between unimproved/unfinished household flooring and diarrhoeal and/or intestinal parasite infection status from January 1, 1980, onwards with no language restriction. The primary outcome will include diarrhoeal and/or intestinal parasite infection status. Databases to be searched include EMBASE, MEDLINE, Web of Science, and Google Scholar. The secondary outcome will be the association between specific pathogens (laboratory confirmed) and unimproved/unfinished household flooring. Independent screening for eligible studies using defined criteria and data extraction will be completed in duplicate and independently. Any discrepancies between the two reviewers will be resolved by consensus and/or arbitration by a third researcher. If data permits, random effects models will be used where appropriate. Subgroup and additional analyses will be conducted to explore the potential sources of heterogeneity (e.g. age group, geographical region) and potential risk of bias of included studies. This review will provide a comprehensive examination of a possible association between suboptimal household flooring and increased risk of enteric pathogen infection, highlight gaps for future research in high risk areas, and inform intervention design for future planned studies in Kenya and/or elsewhere in the region.
机译：水，卫生和卫生干预措施往往未能对许多低收入和中等收入国家的腹泻和/或肠道寄生虫风险显示长期影响。对更广泛的上下文因素进行了不太关注，这些因素可能导致家庭面料等家庭环境中的高水平污染。本研究的目的是评估腹泻和/或肠道寄生虫感染状况和低收入国家未经改善/未完成地板之间的关联。我们将全面搜索公布的研究（随机对照试验，非随机对照试验和观察研究），该研究审查了1980年1月1日起，在1980年1月1日起患有未提升/未完成的家用地板和腹泻和/或肠道寄生虫感染状况之间的关联没有语言限制。主要结果包括腹泻和/或肠道寄生虫感染状况。要搜索的数据库包括Embase，Medline，Science Web和Google Scholar。二次结果将是特定病原体（实验室确认）和未改进/未完成的家庭地板之间的关联。使用定义标准和数据提取的合格研究的独立筛选将以重复的和独立完成。两个审稿人之间的任何差异将由第三名研究员的共识和/或仲裁解决。如果数据允许，则在适当的情况下使用随机效果模型。将进行亚组和额外的分析，以探索异质性的潜在来源（例如，年龄组，地理区域）以及包括研究偏见的潜在风险。该审查将全面审查次优家用地板和肠道病原体感染风险增加的可能性，突出了未来风险领域的未来研究的差距，并为未来计划在肯尼亚和/或该地区其他地方提供干预设计。

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