Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

High-level Gentamicin Resistance among Clinical Isolates of Enterococci in Iran: a Systematic Review and Meta-analysis

Thu Aug 18 12:09:00 2022

(2021) High-level Gentamicin Resistance among Clinical Isolates of Enterococci in Iran: a Systematic Review and Meta-analysis. Folia medica. pp. 15-23. ISSN 1314-2143 (Electronic) 0204-8043 (Linking)

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Official URL: https://www.ncbi.nlm.nih.gov/pubmed/33650391

Abstract

Enterococci have been considered as one of the most common causes of nosocomial infections. The spread of antibiotic resistance has posed a serious challenge to treating the enterococcal infections. High-level aminoglycosides resistance leads to failure in the synergistic combination therapy. This study aimed to estimate the prevalence of high-level gentamicin resistance (HLGR) among clinical isolates of enterococci in Iran.Systematic literature search was conducted in the Web of Science, PubMed, Scopus and Google Scholar electronic databases from ar-ticles which were published from April 2000 to September 2018. Literature search yielded 918 studies. Eligible studies were selected ac-cording to the defined inclusion and exclusion criteria. Statistical heterogeneity was estimated by Q statistic and the I2 index. The Begg's rank correlation test and Egger's weighted regression tests were used to evaluate possible publication bias.Nineteen studies were included in this review. According to the meta-analysis results, the prevalence of HLGR among Enterococcus spp. was 49.4 (95 CI: 42.2-56.6). It was estimated 44.3 (95 CI: 38.1-50.8) and 66.3 (95 CI: 51.4-78.6) for E. faecalis and E. faecium, respectively.Since notable rate of HLGR in enterococci was seen in this analysis, improving the implementation of all aspects of the infection control programmes is required. Accurate and regular monitoring of infection control procedures are necessary for reducing the dissemination of such infections.

Item Type: Article
Creators:
CreatorsEmail
Shahini Shams Abadi, M.UNSPECIFIED
Taji, A.UNSPECIFIED
Salehi, F.UNSPECIFIED
Kazemian, H.UNSPECIFIED
Heidari, H.UNSPECIFIED
Keywords: Enterococcus Iran high-level gentamicin resistance (HLGR) meta-analysis systematic review
Divisions:
Page Range: pp. 15-23
Journal or Publication Title: Folia medica
Journal Index: Pubmed
Volume: 63
Number: 1
Identification Number: https://doi.org/10.3897/folmed.63.e53506
ISSN: 1314-2143 (Electronic) 0204-8043 (Linking)
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/3383

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