Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Worldwide Prevalence of Colistin Resistance among Enterobacteriaceae: a Systematic Review and Meta-Analysis

Mon May 20 16:24:32 2024

(2023) Worldwide Prevalence of Colistin Resistance among Enterobacteriaceae: a Systematic Review and Meta-Analysis. Clinical Laboratory. pp. 657-669. ISSN 1433-6510

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Background: The aim of the present meta-analysis is to estimate the prevalence of colistin resistance among the Enterobacteriaceae family.Methods: Articles from various databases (Medline, Scopus, Web of Science, and Embase) examining colistin re-sistance among Enterobacteriaceae in human, animal, and environmental specimens were searched from 2016 to 2021 using related keywords. The Cochran's Q-test and I2 were applied to evaluate heterogeneity and a random -effects model was used to assess the pooled prevalence. The meta-regression method was applied to determine he-terogeneity among the studies.Results: Of 5,145 articles, 60 articles with a sample size of 404,856 was included. The pooled estimate for preva-lence of bacterial resistance were 9.13 (95 CI: 6.96 to 11.56; I-squared = 99.4) in total, 8.34 (95 CI: 5.87 to 11.16; I-squared = 99.3) for Klebsiella spp. subgroup and 3.44 (95 CI: 2.46 to 4.57; I-squared = 98.4) for E. coli subgroup. The pooled prevalence for human and animal settings were 9.07 (95 CI: 6.77 to 11.67; I -squared = 99.3) and 9.73 (95 CI: 484 to 16.02; I-squared = 99.4), respectively. The continent (coefficient: 3.51; 95 CI: 0.08 to 6.94, p: 0.045) and bacterial type (coefficient: 0.03; 95 CI: 0.01 to 0.05 p: 0.042) had signi-ficant effects on heterogeneity among studies.Conclusion: The results of this study showed that the prevalence of colistin resistance in Enterobacteriaceae was similar between animals and humans, with the highest colistin resistance found in Klebsiella strains.

Item Type: Article
Keywords: antimicrobial resistance colistin Enterobacteriaceae systematic review meta-analysis food-producing animals escherichia-coli klebsiella-pneumoniae multidrug-resistant carbapenem surveillance emergence frequency poultry strains Medical Laboratory Technology
Page Range: pp. 657-669
Journal or Publication Title: Clinical Laboratory
Journal Index: ISI
Volume: 69
Number: 4
Identification Number:
ISSN: 1433-6510
Depositing User: مهندس مهدی شریفی

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