Prevalence of vancomycin-resistant Enterococcus in Iran: a systematic review and meta-analysis
Vancomycin-resistant Enterococcus (VRE) is considered to be a major nosocomial pathogen that results in serious morbidity and mortality worldwide. Limited information is available concerning the prevalence of VRE infections in Iran. We carried out a systematic search by using different electronic da...
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| Veröffentlicht in: | European journal of clinical microbiology & infectious diseases 2016-09, Vol.35 (9), p.1387-1392 |
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| creator | Emaneini, M. Hosseinkhani, F. Jabalameli, F. Nasiri, M. J. Dadashi, M. Pouriran, R. Beigverdi, R. |
| description | Vancomycin-resistant
Enterococcus
(VRE) is considered to be a major nosocomial pathogen that results in serious morbidity and mortality worldwide. Limited information is available concerning the prevalence of VRE infections in Iran. We carried out a systematic search by using different electronic databases including: Medline (via PubMed), Embase, Web of Science, and the Iranian Database. Meta-analysis was performed using comprehensive meta-analysis software. The meta-analyses revealed that the prevalence of VRE infections was 9.4 % (95 % confidence interval [95 % CI] 7.3–12) among culture-positive cases for
Enterococcus
species. The prevalence of VRE in Iran is compared with the results of developed countries. The prevalence of VRE in Germany, the United Kingdom (UK), and Italy was 11.2 %, 8.5–12.5 %, and 9 % respectively. Additionally, the frequency of vancomycin resistance among
E. faecalis
isolates was higher than for
E. faecium
. The results of this study indicate that a comprehensive infection control strategy based on hand hygiene, educating the hospital staff members, providing clinical guidance and principles for the appropriate use of antibiotics, sanitizing the hospitals, contact precautions, and active surveillance systems on the basis of international criteria is urgently needed. |
| doi_str_mv | 10.1007/s10096-016-2702-0 |
| format | Article |
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Enterococcus
(VRE) is considered to be a major nosocomial pathogen that results in serious morbidity and mortality worldwide. Limited information is available concerning the prevalence of VRE infections in Iran. We carried out a systematic search by using different electronic databases including: Medline (via PubMed), Embase, Web of Science, and the Iranian Database. Meta-analysis was performed using comprehensive meta-analysis software. The meta-analyses revealed that the prevalence of VRE infections was 9.4 % (95 % confidence interval [95 % CI] 7.3–12) among culture-positive cases for
Enterococcus
species. The prevalence of VRE in Iran is compared with the results of developed countries. The prevalence of VRE in Germany, the United Kingdom (UK), and Italy was 11.2 %, 8.5–12.5 %, and 9 % respectively. Additionally, the frequency of vancomycin resistance among
E. faecalis
isolates was higher than for
E. faecium
. The results of this study indicate that a comprehensive infection control strategy based on hand hygiene, educating the hospital staff members, providing clinical guidance and principles for the appropriate use of antibiotics, sanitizing the hospitals, contact precautions, and active surveillance systems on the basis of international criteria is urgently needed.</description><identifier>ISSN: 0934-9723</identifier><identifier>EISSN: 1435-4373</identifier><identifier>DOI: 10.1007/s10096-016-2702-0</identifier><identifier>PMID: 27344575</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Antibiotic resistance ; Antibiotics ; Biomedical and Life Sciences ; Biomedicine ; Developed countries ; Enterococcus ; Enterococcus faecalis - isolation & purification ; Enterococcus faecium - isolation & purification ; Gram-Positive Bacterial Infections - epidemiology ; Gram-Positive Bacterial Infections - microbiology ; Humans ; Infection Control ; Internal Medicine ; Iran - epidemiology ; Medical Microbiology ; Nosocomial infection ; Prevalence ; Review ; Vancomycin-Resistant Enterococci - isolation & purification</subject><ispartof>European journal of clinical microbiology & infectious diseases, 2016-09, Vol.35 (9), p.1387-1392</ispartof><rights>Springer-Verlag Berlin Heidelberg 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-6dee6f0995f200df0f273cb00e8fa71f0416cd286307234cedd81b1d6f0c5c563</citedby><cites>FETCH-LOGICAL-c405t-6dee6f0995f200df0f273cb00e8fa71f0416cd286307234cedd81b1d6f0c5c563</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10096-016-2702-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10096-016-2702-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>313,314,777,781,789,27903,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27344575$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Emaneini, M.</creatorcontrib><creatorcontrib>Hosseinkhani, F.</creatorcontrib><creatorcontrib>Jabalameli, F.</creatorcontrib><creatorcontrib>Nasiri, M. J.</creatorcontrib><creatorcontrib>Dadashi, M.</creatorcontrib><creatorcontrib>Pouriran, R.</creatorcontrib><creatorcontrib>Beigverdi, R.</creatorcontrib><title>Prevalence of vancomycin-resistant Enterococcus in Iran: a systematic review and meta-analysis</title><title>European journal of clinical microbiology & infectious diseases</title><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><description>Vancomycin-resistant
Enterococcus
(VRE) is considered to be a major nosocomial pathogen that results in serious morbidity and mortality worldwide. Limited information is available concerning the prevalence of VRE infections in Iran. We carried out a systematic search by using different electronic databases including: Medline (via PubMed), Embase, Web of Science, and the Iranian Database. Meta-analysis was performed using comprehensive meta-analysis software. The meta-analyses revealed that the prevalence of VRE infections was 9.4 % (95 % confidence interval [95 % CI] 7.3–12) among culture-positive cases for
Enterococcus
species. The prevalence of VRE in Iran is compared with the results of developed countries. The prevalence of VRE in Germany, the United Kingdom (UK), and Italy was 11.2 %, 8.5–12.5 %, and 9 % respectively. Additionally, the frequency of vancomycin resistance among
E. faecalis
isolates was higher than for
E. faecium
. The results of this study indicate that a comprehensive infection control strategy based on hand hygiene, educating the hospital staff members, providing clinical guidance and principles for the appropriate use of antibiotics, sanitizing the hospitals, contact precautions, and active surveillance systems on the basis of international criteria is urgently needed.</description><subject>Antibiotic resistance</subject><subject>Antibiotics</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Developed countries</subject><subject>Enterococcus</subject><subject>Enterococcus faecalis - isolation & purification</subject><subject>Enterococcus faecium - isolation & purification</subject><subject>Gram-Positive Bacterial Infections - epidemiology</subject><subject>Gram-Positive Bacterial Infections - microbiology</subject><subject>Humans</subject><subject>Infection Control</subject><subject>Internal Medicine</subject><subject>Iran - epidemiology</subject><subject>Medical Microbiology</subject><subject>Nosocomial infection</subject><subject>Prevalence</subject><subject>Review</subject><subject>Vancomycin-Resistant Enterococci - isolation & purification</subject><issn>0934-9723</issn><issn>1435-4373</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkU1LHTEUhkNR6tX2B7gpATduUk8y-ZjpTsRWQdCF3TbkZk7KyEzGJjNX7r83l7FSCoKbZJHnfXMODyHHHL5yAHOWy9loBlwzYUAw-EBWXFaKycpUe2QFTSVZY0R1QA5zfoCSqY35SA6EqaRURq3Ir7uEG9dj9EjHQDcu-nHY-i6yhLnLk4sTvYwTptGP3s-ZdpFeJxe_UUfzNk84uKnztJR0-ERdbOmAk2Muun5b8p_IfnB9xs8v9xH5-f3y_uKK3dz-uL44v2FegpqYbhF1gKZRQQC0AUKZ0K8BsA7O8ACSa9-KWldQtpEe27bma96WjFde6eqInC69j2n8M2Oe7NBlj33vIo5ztrzmyoDUAO9BuWiUlqKgJ_-hD-OcymoLBUoWtFB8oXwac04Y7GPqBpe2loPdebKLJ1s82Z0nuxviy0vzvB6wfU38FVMAsQC5PMXfmP75-s3WZ049nOI</recordid><startdate>20160901</startdate><enddate>20160901</enddate><creator>Emaneini, M.</creator><creator>Hosseinkhani, F.</creator><creator>Jabalameli, F.</creator><creator>Nasiri, M. J.</creator><creator>Dadashi, M.</creator><creator>Pouriran, R.</creator><creator>Beigverdi, R.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20160901</creationdate><title>Prevalence of vancomycin-resistant Enterococcus in Iran: a systematic review and meta-analysis</title><author>Emaneini, M. ; Hosseinkhani, F. ; Jabalameli, F. ; Nasiri, M. J. ; Dadashi, M. ; Pouriran, R. ; Beigverdi, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-6dee6f0995f200df0f273cb00e8fa71f0416cd286307234cedd81b1d6f0c5c563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Antibiotic resistance</topic><topic>Antibiotics</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Developed countries</topic><topic>Enterococcus</topic><topic>Enterococcus faecalis - isolation & purification</topic><topic>Enterococcus faecium - isolation & purification</topic><topic>Gram-Positive Bacterial Infections - epidemiology</topic><topic>Gram-Positive Bacterial Infections - microbiology</topic><topic>Humans</topic><topic>Infection Control</topic><topic>Internal Medicine</topic><topic>Iran - epidemiology</topic><topic>Medical Microbiology</topic><topic>Nosocomial infection</topic><topic>Prevalence</topic><topic>Review</topic><topic>Vancomycin-Resistant Enterococci - isolation & purification</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Emaneini, M.</creatorcontrib><creatorcontrib>Hosseinkhani, F.</creatorcontrib><creatorcontrib>Jabalameli, F.</creatorcontrib><creatorcontrib>Nasiri, M. 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J.</au><au>Dadashi, M.</au><au>Pouriran, R.</au><au>Beigverdi, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of vancomycin-resistant Enterococcus in Iran: a systematic review and meta-analysis</atitle><jtitle>European journal of clinical microbiology & infectious diseases</jtitle><stitle>Eur J Clin Microbiol Infect Dis</stitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><date>2016-09-01</date><risdate>2016</risdate><volume>35</volume><issue>9</issue><spage>1387</spage><epage>1392</epage><pages>1387-1392</pages><issn>0934-9723</issn><eissn>1435-4373</eissn><abstract>Vancomycin-resistant
Enterococcus
(VRE) is considered to be a major nosocomial pathogen that results in serious morbidity and mortality worldwide. Limited information is available concerning the prevalence of VRE infections in Iran. We carried out a systematic search by using different electronic databases including: Medline (via PubMed), Embase, Web of Science, and the Iranian Database. Meta-analysis was performed using comprehensive meta-analysis software. The meta-analyses revealed that the prevalence of VRE infections was 9.4 % (95 % confidence interval [95 % CI] 7.3–12) among culture-positive cases for
Enterococcus
species. The prevalence of VRE in Iran is compared with the results of developed countries. The prevalence of VRE in Germany, the United Kingdom (UK), and Italy was 11.2 %, 8.5–12.5 %, and 9 % respectively. Additionally, the frequency of vancomycin resistance among
E. faecalis
isolates was higher than for
E. faecium
. The results of this study indicate that a comprehensive infection control strategy based on hand hygiene, educating the hospital staff members, providing clinical guidance and principles for the appropriate use of antibiotics, sanitizing the hospitals, contact precautions, and active surveillance systems on the basis of international criteria is urgently needed.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27344575</pmid><doi>10.1007/s10096-016-2702-0</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0934-9723 |
| ispartof | European journal of clinical microbiology & infectious diseases, 2016-09, Vol.35 (9), p.1387-1392 |
| issn | 0934-9723 1435-4373 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Antibiotic resistance Antibiotics Biomedical and Life Sciences Biomedicine Developed countries Enterococcus Enterococcus faecalis - isolation & purification Enterococcus faecium - isolation & purification Gram-Positive Bacterial Infections - epidemiology Gram-Positive Bacterial Infections - microbiology Humans Infection Control Internal Medicine Iran - epidemiology Medical Microbiology Nosocomial infection Prevalence Review Vancomycin-Resistant Enterococci - isolation & purification |
| title | Prevalence of vancomycin-resistant Enterococcus in Iran: a systematic review and meta-analysis |
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