Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Prevalence of vancomycin resistance among isolates of enterococci in Iran: a systematic review and meta-analysis

Fri Apr 12 18:51:47 2024

(2018) Prevalence of vancomycin resistance among isolates of enterococci in Iran: a systematic review and meta-analysis. Adolescent Health Medicine and Therapeutics. pp. 177-188. ISSN 1179-318X

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Introduction: Enterococcus is responsible for 10 of hospital-acquired infections. The purpose of this review was to evaluate the prevalence of vancomycin-resistant Enterococcus (VRE) isolates in Iran using a meta-analysis method. Materials and methods: Iranian databases, including Magiran and IranDoc, and international databases, including PubMed and MedLib, were examined carefully, and a total of 20 articles published between 2000 and 2011 were extracted. The data were subjected to meta-analysis and random-effects models. In addition, heterogeneous studies were assessed using the I-2 index. Finally, the data were analyzed using R and STATA software. Results: The results showed that the strain of Enterococcus faecalis had been more common than Enterococcus faecium in clinical infection (69 vs 28). However, resistance to vancomycin was higher among strains of E. faecium compared with strains of E. faecalis (33 vs 3). The complete resistance, intermediate resistance, and sensitivity to vancomycin among Enterococcus isolates were 14 (95 CI: 11, 18), 14 (95 CI: 5, 23), and 74 (95 CI: 65, 83), respectively. The resistance patterns, depending on the sample type, did not show a significant difference. In addition, the resistance of isolated strains to vancomycin in outpatients was significantly higher than that in inpatients (16 vs 1). Moreover, 80-86 of resistant strains were genotype van A and 14-20 of resistant strains were genotype van B. Conclusion: The findings of the present review show that there is a high frequency of resistant Enterococcus in Iran. Therefore, consideration of the prevalence and frequency of subjected resistant strains can be helpful for decision makers to implement proper health policies in this direction.

Item Type: Article
Moghimbeigi, A.UNSPECIFIED
Moghimbeygi, M.UNSPECIFIED
Sadeghifard, N.UNSPECIFIED
Keywords: clinical infections gram-positive bacteria enterococci antibiotic resistance glycopeptide antibiotics chronic-hemodialysis patients urinary-tract-infections hospitalized-patients intestinal colonization faecium epidemiology acquisition pathogens virulence faecalis Pediatrics
Page Range: pp. 177-188
Journal or Publication Title: Adolescent Health Medicine and Therapeutics
Journal Index: ISI
Volume: 9
Identification Number:
ISSN: 1179-318X
Depositing User: مهندس مهدی شریفی

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