Status of human toxocariasis, a neglected parasitic zoonosis in Iran: a systematic review from past to current

Although human toxocariasis can lead to serious complications including neurological, ocular and visceral complications, there is a lack of comprehensive epidemiological information about the seroprevalence of Toxocara species in humans. In the present study, we analysed and reviewed the overall seroprevalence of human toxocariasis in Iran. The data collection was systematically undertaken on published articles using the PubMed, Google Scholar, ScienceDirect and Scopus databases. A total of 27 studies from the past two decades reporting seroprevalence of human toxocariasis met our eligibility criteria. The pooled proportion of Toxocara infection was estimated as 6.58% (95% confidence interval = 3.98–9.77). A wide variation between different studies was observed (Q statistic = 799.37, df = 26, P < 0.0001, and I2 = 96.7%). The seroprevalence rate of toxocariasis in the Iranian population is relatively high; contamination of the environment by eggs from the host as well as from household dogs and cats should be blamed.

[1]  A. Rostami,et al.  Seroepidemiology, modifiable risk factors and clinical symptoms of Toxocara spp. infection in northern Iran , 2018, Transactions of the Royal Society of Tropical Medicine and Hygiene.

[2]  M. A. Ghatee,et al.  Genotyping and phylogenetic analysis of unusually located hydatid cysts isolated from humans in north-east Iran. , 2019, Journal of helminthology.

[3]  Z. Sohrabi,et al.  Risk factors and prevalence of toxocariasis in pregnant women and diabetic patients compared to healthy adults in Ilam province, western Iran , 2018, EXCLI journal.

[4]  M. Fararouei,et al.  Seroprevalence and risk factors for Toxocara infection among children in a rural community in Fars province, southern Iran , 2018, Parasite immunology.

[5]  H. Majidiani,et al.  Prevalence of Toxocara spp. eggs in soil of public areas in Iran: A systematic review and meta-analysis , 2018, Alexandria Journal of Medicine.

[6]  N. Esmaeil,et al.  Seroprevalence of ToxocaraCanis in Asthmatic Children and its Relation to the Severity of Diseases - a Case-Control Study , 2018, Medical archives.

[7]  J. Abdi,et al.  Seroprevalence of Toxocara in Children from Urban and Rural Areas of Ilam Province, West Iran , 2018, Osong public health and research perspectives.

[8]  M. Rahdar,et al.  Screening of cystic echinococcosis and toxocariasis in rural inhabitants of Khuzestan Province, southwest Iran. , 2018, Tropical biomedicine.

[9]  A. Daryani,et al.  Zoonotic intestinal parasites of carnivores: A systematic review in Iran , 2018, Veterinary world.

[10]  J. Roelfsema,et al.  Environmental contamination with Toxocara spp. eggs in public parks and playground sandpits of Greater Lisbon, Portugal. , 2018, Journal of infection and public health.

[11]  Peter J. Hotez,et al.  Human toxocariasis. , 2018, The Lancet. Infectious diseases.

[12]  M. Zibaei,et al.  Trend of toxocariasis in Iran: a review on human and animal dimensions. , 2017, Iranian journal of veterinary research.

[13]  H. Mahmoudvand,et al.  Seroprevalence and Risk Factors of Toxocara canis Infection in Children (2–15 Years Old) Referred to Health Centers of Lorestan Province, Iran , 2017, Journal of Pediatric Infectious Diseases.

[14]  M. Afshari,et al.  Epidemiological Study of Toxocar canis in Children under 14-Years-Old and Dogs in Zabol and Chabahar Districts, Southeast of Iran , 2017, Iranian journal of parasitology.

[15]  M. Mahmoudi,et al.  Seroepidemiological Study of Toxocariasis in the Owners of Domestic Cats and Dogs in Mashhad, Northeastern Iran , 2016, Iranian journal of parasitology.

[16]  Z. Eslamirad,et al.  Detection of Specific Antibody Reactivity to Toxocara Larval Excretory-secretory Antigens in Asthmatic Patients (5-15 Years) , 2016, The open microbiology journal.

[17]  A. Safaiyan,et al.  Latent and Asymptomatic Toxocara Infection among Young Population in Northwest Iran: The Necessity of Informing People as a Potential Health Risk , 2016, Scientifica.

[18]  M. Yakhchali,et al.  A survey study on gastrointestinal parasites of stray cats in Azarshahr, (East Azerbaijan province, Iran) , 2016, Journal of Parasitic Diseases.

[19]  S. Mostafaei,et al.  Seroepidemiology of Toxocariasis in Children (5–15 yr Old) Referred to the Pediatric Clinic of Imam Hossein Hospital, Isfahan, Iran , 2015, Iranian journal of parasitology.

[20]  S. Khademvatan,et al.  Frequency of Toxoplasma and Toxocara Sp. Antibodies in Epileptic Patients, in South Western Iran , 2015, Iranian journal of child neurology.

[21]  M. Mahmoudi,et al.  Serological study of toxocariasis in patients with hypereosinophilia , 2015 .

[22]  A. Daryani,et al.  Domestic dog as a human health hazard in north of Iran , 2016, Journal of Parasitic Diseases.

[23]  R. Shafiei,et al.  A Comparative Seroprevalence Study of Toxocariasis in Hypereosinophilic and Apparently Healthy Individuals , 2014 .

[24]  E. Yousefi,et al.  Investigation of Anti-Toxocara and Anti-Toxoplasma Antibodies in Patients with Schizophrenia Disorder , 2014, Schizophrenia research and treatment.

[25]  Y. Garedaghi Seroepidemiology of Human Toxocariasis in Children in East- Azerbaijan Province, Iran - , 2014 .

[26]  F. Firoozeh,et al.  Investigation of Anti-Toxocara Antibodies in Epileptic Patients and Comparison of Two Methods: ELISA and Western Blotting , 2013, Epilepsy research and treatment.

[27]  J. Fillaux,et al.  Laboratory diagnosis of human toxocariasis. , 2013, Veterinary parasitology.

[28]  J. Hildebrand,et al.  Toxocara canis, Toxocara cati and Toxascaris leonina in wild and domestic carnivores , 2012, Helminthologia.

[29]  Z. Heidari,et al.  Seroprevalence of Human Hydatidosis Using ELISA Method in Qom Province, Central Iran , 2012, Iranian journal of parasitology.

[30]  M. Rokni,et al.  Evaluation of Fast-ELISA versus standard-ELISA to diagnose human fasciolosis. , 2011, Archives of Iranian medicine.

[31]  R. Hajihossein,et al.  Seroprevalence of toxocariasis in hypereosinophilic individuals in Ahwaz, south-western Iran , 2011, Journal of Helminthology.

[32]  S. Alavi,et al.  DETERMINATION OF SEROPREVALENCE RATE OF TOXOCARA CANIS IN 6-15 YEARS AGED RURAL AND URBAN SCHOOL CHILDREN IN AHVAZ, IRAN , 2011 .

[33]  S. Kaya,et al.  Seroepidemiological Investigation of Toxocariasis in the Isparta Region of Turkey , 2010, Iranian journal of parasitology.

[34]  A. Daryani,et al.  Seroprevalence of toxocariasis in schoolchildren in Northern Iran. , 2010, Pakistan journal of biological sciences : PJBS.

[35]  C. Gutiérrez,et al.  Human toxocariasis: a seroepidemiological survey in the Amazonian city of Yurimaguas, Peru. , 2010, Revista do Instituto de Medicina Tropical de Sao Paulo.

[36]  C. Gutiérrez,et al.  Seroprevalence of human toxocariasis in Andean communities from the Northeast of Lima, Peru. , 2010, Revista do Instituto de Medicina Tropical de Sao Paulo.

[37]  W. Roldán,et al.  Frequency of human toxocariasis in a rural population from Cajamarca, Peru determined by DOT-ELISA test. , 2009, Revista do Instituto de Medicina Tropical de Sao Paulo.

[38]  H. Badali,et al.  Seroepidemiological study for toxocariasis among children in Zanjan-northwest of Iran. , 2008, Pakistan journal of biological sciences : PJBS.

[39]  C. Holland,et al.  Contamination of dog hair with eggs of Toxocara canis. , 2008, Veterinary parasitology.

[40]  H. Taherkhani,et al.  Seroprevalence of toxocariasis in children aged 1-9 years in western Islamic Republic of Iran, 2003. , 2007, Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit.

[41]  S. Vaziri,et al.  An Investigation on the Toxocariasis Seroprevalence in Children (2-12 Years Old) from Mahidasht Area of Kermanshah Province (2003-2004 , 2006 .

[42]  M. Gamboa Effects of temperature and humidity on the development of eggs of Toxocara canis under laboratory conditions , 2005, Journal of Helminthology.

[43]  C. Riera,et al.  A serological survey of toxocariasis in patients and healthy donors in Barcelona (Spain) , 1989, European Journal of Epidemiology.

[44]  P. P. Chieffi,et al.  Prevalence of Toxocara infection in schoolchildren from the Butantã region, São Paulo, Brazil. , 2003, Memorias do Instituto Oswaldo Cruz.

[45]  A. Oryan,et al.  Prevalence and intensity of infestation with Toxocara cati in stray cats in Shiraz, Iran. , 2001 .

[46]  J. Alonso,et al.  Contamination of soils with eggs of Toxocara in a subtropical city in Argentina , 2001, Journal of Helminthology.

[47]  M. Avizhgan,et al.  A SURVEY ABOUT TOXOCARIASIS IN CHAHARMAHAL-VA BAKHTIARI PROVINCE IN FIRST 6 MONTH OF 2000 , 2001 .

[48]  D. Mehrabani,et al.  Seroprevalence of toxocara infection in school children in Shiraz, southern Iran. , 2000, Journal of tropical pediatrics.

[49]  M. Rokni,et al.  REPORT OF 10 CASES OF VISCERAL LARVA MIGRANS IN IRAN , 2000 .

[50]  L. Glickman,et al.  Epidemiology and pathogenesis of zoonotic toxocariasis. , 1981, Epidemiologic reviews.