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伊朗氟喹诺酮耐药血清型的流行情况:一项荟萃分析。

Prevalence of fluoroquinolone-resistant serotypes in Iran: a meta-analysis.

机构信息

Department of Microbiology, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.

Department of Microbiology, School of Medicine, Zabol University of Medical Sciences, Zabol, Iran.

出版信息

Pathog Glob Health. 2020 Feb;114(1):16-29. doi: 10.1080/20477724.2020.1719701. Epub 2020 Feb 4.

Abstract

The present study was conducted to investigate the antimicrobial susceptibility profiles of serotypes, especially fluoroquinolone-resistant strains, recovered from clinical samples in Iran. A full electronic search using related keywords was conducted in Persian and English languages in ISI Web of Knowledge, PubMed, Scopus, Google Scholar and the Scientific Information Database (SID) search engines to find papers published between 1983 and 1 July 2019. According to the inclusion and exclusion criteria, 46 eligible articles were selected for the final analysis out of the initial 13,186 studies retrieved. The pooled prevalence of quinolone-resistant serotypes in clinical specimens in Iran was 2.9% to ciprofloxacin and 48.1% to nalidixic acid. Additional data on antibiotic resistance was as follows: 54.3% to tetracycline, 50.6% to ceftizoxime, 50.2% to streptomycin, 37.9% to ampicillin, 36.5% to kanamycin, 33.5% to trimethoprim-sulfamethoxazole, 27.2% to chloramphenicol, 19.1% to cephalothin, 8.8% to ceftriaxone, 7.6% to cefotaxime, 7.4% to aztreonam, 7.2% to gentamicin, 7% to cefepime, 6.8% to ceftazidime, 5.8% to cefixime, 2.7% to imipenem and 2.2% to meropenem. Findings of the present study showed a rising trend of resistance to the drugs of choice for the treatment of infections, i.e. ampicillin, chloramphenicol and trimethoprim-sulfamethoxazole in Iran. However, ciprofloxacin, third-generation cephalosporins and carbapenems are still effective antibiotics especially against multi-drug resistant strains in Iran.

摘要

本研究旨在调查在伊朗从临床样本中分离的血清型,特别是氟喹诺酮耐药株的抗菌药敏谱。使用相关关键词在 ISI Web of Knowledge、PubMed、Scopus、Google Scholar 和 Scientific Information Database (SID) 搜索引擎中以波斯语和英语进行了全面的电子检索,以查找 1983 年至 2019 年 7 月 1 日期间发表的论文。根据纳入和排除标准,从最初检索到的 13186 篇研究中筛选出 46 篇符合条件的文章进行最终分析。在伊朗,临床标本中对环丙沙星和萘啶酸耐药的 血清型的总流行率分别为 2.9%和 48.1%。关于抗生素耐药性的其他数据如下:54.3%对四环素耐药,50.6%对头孢唑肟耐药,50.2%对链霉素耐药,37.9%对氨苄西林耐药,36.5%对卡那霉素耐药,33.5%对复方磺胺甲噁唑耐药,27.2%对氯霉素耐药,19.1%对头孢噻吩耐药,8.8%对头孢曲松耐药,7.6%对头孢噻肟耐药,7.4%对氨曲南耐药,7.2%对庆大霉素耐药,7%对头孢吡肟耐药,6.8%对头孢他啶耐药,5.8%对头孢克肟耐药,2.7%对亚胺培南耐药,2.2%对美罗培南耐药。本研究结果表明,伊朗对治疗 感染的首选药物(即氨苄西林、氯霉素和复方磺胺甲噁唑)的耐药率呈上升趋势。然而,环丙沙星、第三代头孢菌素和碳青霉烯类抗生素在伊朗仍然是有效的抗生素,特别是针对多药耐药菌株。

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