Repository of Research and Investigative Information

Repository of Research and Investigative Information

Kurdistan University of Medical Sciences

Epidemiology of multidrug resistant uropathogenic Escherichia coli in Iran: A systematic review and meta-analysis

(2017) Epidemiology of multidrug resistant uropathogenic Escherichia coli in Iran: A systematic review and meta-analysis. Japanese Journal of Infectious Diseases.

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Abstract

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. © 2017, National Institute of Health. All rights reserved.

Item Type: Article
Keywords: Article; bacterial strain; disk diffusion; Escherichia coli infection; human; Iran; meta analysis; multidrug resistance; nonhuman; prevalence; scientific literature; systematic review; urinary tract infection; uropathogenic Escherichia coli; drug effects; Escherichia coli Infections; isolation and purification; microbiology; topography; Urinary Tract Infections; uropathogenic Escherichia coli, Drug Resistance, Multiple, Bacterial; Escherichia coli Infections; Humans; Iran; Prevalence; Topography, Medical; Urinary Tract Infections; Uropathogenic Escherichia coli
Page Range: pp. 19-25
Journal or Publication Title: Japanese Journal of Infectious Diseases
Volume: 70
Number: 1
Publisher: National Institute of Health
Identification Number: 10.7883/yoken.JJID.2015.652
ISSN: 13446304
Depositing User: مهندس مهدی شریفی
URI: http://eprints.muk.ac.ir/id/eprint/367

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