Epidemiology of Multidrug Resistant Uropathogenic Escherichia coli in Iran : a Systematic Review and Meta-Analysis

DOI Web Site Web Site PubMed 参考文献33件
  • Hadifar Shima
    Department of Microbiology, Pasteur Institute of Tehran
  • Moghoofei Mohsen
    Department of Virology, Faculty of Medicine, Iran University of Medical Sciences
  • Nematollahi Shahrzad
    Department of Epidemiology and Biostatistics, Faculty of Public Health, Tehran University of Medical Sciences
  • Ramazanzadeh Rashid
    Cellular & Molecular Research Center, Kurdistan University of Medical Sciences Department of Microbiology, Faculty of Medicine, Kurdistan University of Medical Sciences
  • Sedighi Mansour
    Department of Microbiology, Faculty of Medicine, Iran University of Medical Sciences
  • Salehi-Abargouei Amin
    Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences Department of Nutrition, Faculty of Health, Shahid Sadoughi University of Medical Sciences
  • Miri Ali
    Department of Nutrition, Faculty of Health, Zabol University of Medical Sciences

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タイトル別名
  • Epidemiology of Multidrug Resistant Uropathogenic <i>Escherichia coli</i> in Iran: a Systematic Review and Meta-Analysis

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Urinary tract infection (UTI) is one of the most common infections in humans. It is primarily caused by uropathogenic Escherichia coli (UPEC), which has a high multidrug resistance (MDR). In consideration of the prevalence of MDR-UPEC strains, the aims of the present study were to systematically review the published data about the prevalence rate of MDR-UPEC from different parts of Iran and to establish the overall relative frequency (RF) of these strains in Iran. We searched several databases including PubMed, ISI Web of Science, Scopus, Google Scholar, IranMedex, and Iranian Scientific Information Database by using the following keywords: “Escherichia coli”, “multidrug resistant”, “MDR”, “urinary tract infections”, “UTI”, “uropathogenic”. and “Iran”. Articles or abstracts that reported the prevalence of MDR-UPEC were included in this review. We found 15 articles suitable for inclusion in this study. A pooled estimation of 10,247 UPEC strains showed that 49.4% (95% confidence interval = 48.0–50.7%) of the stranis were MDR positive. The RF of MDR-UPEC in different studies varied from 10.5% to 79.2% in the Kashan and Hamedan provinces, respectively. According to the results of the present study, the RF of MDR-UPEC in Iran is high. Thus, measures should be taken to keep the emergence and transmission of these strains to a minimum.

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