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Systematic Review of Prevalence of Histoplasma Antigenuria in Persons with HIV in Latin America and Africa
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Systematic Review of Prevalence of Histoplasma Antigenuria in Persons with HIV in Latin America and Africa
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Journal Article
Systematic Review of Prevalence of Histoplasma Antigenuria in Persons with HIV in Latin America and Africa
2024
Overview
Histoplasmosis is a fungal disease associated with substantial mortality rates among persons with advanced HIV disease. Our systematic review synthesized data on the global prevalence of Histoplasma--caused antigenuria in persons with HIV. We searched PubMed/Medline, Embase, and Scopus databases on January 3, 2023, to identify cross-sectional and cohort studies evaluating Histoplasma antigenuria prevalence among adults with HIV infection. We calculated point estimates and 95% CIs to summarize prevalence. Of 1,294 studies screened, we included 15. We found Histoplasma antigenuria among 581/5,096 (11%; 95% CI 11%-12%) persons with HIV and 483/3,789 persons with advanced HIV disease (13%; 95% CI 12%-14%). Among persons with HIV and symptoms consistent with histoplasmosis, Histoplasma antigenuria prevalence was 14% (95% CI 13%-15%; 502/3,631 participants). We determined that persons with advanced HIV disease, inpatients, and symptomatic persons might benefit from a systematic approach to early detection of histoplasmosis using urine antigen testing.
Publisher
U.S. National Center for Infectious Diseases,Centers for Disease Control and Prevention
Subject
/ AIDS-Related Opportunistic Infections - epidemiology
/ AIDS-Related Opportunistic Infections - microbiology
/ AIDS-Related Opportunistic Infections - urine
/ Analysis
/ Antigens
/ Antigens, Fungal - immunology
/ Antigenuria in Persons with HIV in Latin America and Africa
/ Bias
/ Disease
/ fungi
/ Histoplasmosis - epidemiology
/ HIV
/ HIV Infections - complications
/ HIV Infections - epidemiology
/ HIV/AIDS and other retroviruses
/ Human immunodeficiency virus
/ Humans
/ Latin America - epidemiology
/ Prevalence studies (Epidemiology)
/ sexually transmitted infections
/ Sweating
/ Systematic Review of Prevalence of
/ Urine
