1
|
Elhassan ABE, Mohamed S, Ali A, Elbathani M, Abdallah O, Mohamed A, Ibrahim A, Salman M, Elni M, Elhassa M, Elkhidi I, Abuzie A. 388 Detection of Cytomegalovirus Infection in Infants with Biliary Atresia: A Meta-analysis. Br J Surg 2021. [DOI: 10.1093/bjs/znab134.268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Introduction
Biliary atresia (BA) is the most common indication of liver transplantation in children. Several reports attributed BA to both prenatal and perinatal aetiologies, including a viral infection-induced auto-immune response that targets the bile ducts. Cytomegalovirus (CMV) remains the most common virus being linked to BA. This meta-analysis estimates to what extent CMV infection is detected in patients with BA.
Method
This study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The databases of MEDLINE/PubMed, WHO-Virtual Health Library (VHL), ScienceDirect, and Google Scholar were used for the systematic search. Random effects model was used to estimate the pooled prevalence estimate with the corresponding 95% confidence interval (CI) using StatsDirect statistical software.
Results
A total of 13 studies (covering 419 patients) that fulfilled the eligibility criteria were included in the meta-analysis. The pooled overall prevalence of CMV infection in patients with BA was 24.5% (95% CI 11.9 %– 33.9%).
Conclusions
The available data demonstrate that the detection of CMV infection is common in infants with BA. There is still a need for large studies with appropriate controls to examine various aspects of the association between CMV infection and BA.
Collapse
Affiliation(s)
- A B E Elhassan
- University of Khartoum, Khartoum, Sudan
- Oxford University Hospital, Oxford, United Kingdom
| | - S Mohamed
- University of Khartoum, Khartoum, Sudan
| | - A Ali
- University of Khartoum, Khartoum, Sudan
| | | | | | - A Mohamed
- University of Khartoum, Khartoum, Sudan
| | - A Ibrahim
- University of Khartoum, Khartoum, Sudan
| | - M Salman
- University of Khartoum, Khartoum, Sudan
| | - M Elni
- University of Khartoum, Khartoum, Sudan
| | - M Elhassa
- University of Khartoum, Khartoum, Sudan
| | - I Elkhidi
- University of Khartoum, Khartoum, Sudan
| | - A Abuzie
- University of Khartoum, Khartoum, Sudan
| |
Collapse
|