Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Rise of antibiotic resistance in clinical enterococcal isolates during 2001–2016 in Iran: a review

Mon Jun 17 01:19:41 2024

(2018) Rise of antibiotic resistance in clinical enterococcal isolates during 2001–2016 in Iran: a review. New microbes and new infections. pp. 92-99. ISSN 20522975 (ISSN)

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Introduction: The clinical significance of enterococci is mostly related to its antibiotic resistance which contributes to colonization and infection, in particular amongst the hospitalized patients. The present review has examined the literature to provide a comprehensive data on enterococci antibiotic resistance during the last 20 years in Iran. Methods: Search engines such as Google Scholar and PubMed were used to identify all Persian and English-language articles investigating enterococci in Iran from 1996 to 2017. The search terms were “enterococci”, “enterococcal”, “enterococcus”, “Iran”, “bacterial resistance”, “antibiotic resistance” and “resistance”. Results: Decrease in the resistance trend against ampicillin, gentamycin and ciprofloxacin was observed over a period of 15 years (2001 to 2016) in Iran. During a 10 years period from 2001 to 2015, the rate of resistance among Enterococcus faecalis species was less than Enterococcus faecium. The resistancerate, however, was considerably increased for both species during this period. The mean resistance rates for vancomycin, gentamicin, ciprofloxacin, erythromycin, nitrofurantoin, chloramphenicol, trimethoprim-sulfametoxazol, imipenem and teicoplanin were higher among complicated cases (patients with underlying debilitating disorders) compared to general cases (hospitalized or outpatients with no specific underlying disorder). Conclusions: E. faecalis and E. faecium showed a rise in the mean resistance against all the antibiotics during a 10-year period from 2010 to 2015. With the exception of penicillin and ampicillin, resistance to all antibiotics was higher amongst complicated cases compared to general patients. © 2018 The Authors

Item Type: Article
Pourshafie, M. R.UNSPECIFIED
Keywords: Antimicrobial resistance clinical isolates enterococci Iran resistance trend review amikacin amoxicillin amoxicillin plus clavulanic acid ampicillin cefazolin cefotetan ceftriaxone chloramphenicol ciprofloxacin clindamycin cotrimoxazole erythromycin fusidic acid gentamicin imipenem kanamycin linezolid meropenem nafcillin nalidixic acid nitrofurantoin norfloxacin ofloxacin penicillin derivative piperacillin plus tazobactam teicoplanin tetracycline tobramycin unindexed drug vancomycin antibiotic resistance antibiotic sensitivity bacterial colonization bacterium isolate bibliographic database bloodstream infection broth dilution cardiovascular disease cholelithiasis clinical assessment comparative study diabetic foot diarrhea disk diffusion enterococcal infection Enterococcus faecalis Enterococcus faecium hematopoietic stem cell transplantation hemodialysis hospital patient human infection complication kidney failure liver failure lymphatic leukemia outpatient prevalence priority journal urinary tract infection
Page Range: pp. 92-99
Journal or Publication Title: New microbes and new infections
Journal Index: Scopus
Volume: 26
Identification Number:
ISSN: 20522975 (ISSN)
Depositing User: مهندس مهدی شریفی

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