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Metallo-beta-Lactamase-producing Pseudomonas aeruginosa in Iran: a systematic review and meta-analysis

Hamid Vaez1, Farzad Khademi2, Amin Salehi-Abargouei3

  • 1Department of Microbiology, School of Medicine, Zabol University of Medical Sciences, Zabol, Iran.

Le Infezioni in Medicina
|September 25, 2018
PubMed

Insights

Metallo-beta-lactamase (MBL)-producing Pseudomonas aeruginosa is a global health threat. This study found a 32.4% prevalence in Iran, with Isfahan showing the highest rates, highlighting the urgent need for infection control.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Public Health

Background:

  • Metallo-beta-lactamase (MBL)-producing Pseudomonas aeruginosa poses a significant global health risk.
  • There is a scarcity of data regarding the prevalence of MBL-producing P. aeruginosa within Iran.

Purpose of the Study:

  • To determine the prevalence of MBL-producing Pseudomonas aeruginosa across various regions of Iran.
  • To identify the most common MBL genes in the Iranian population.

Main Methods:

  • A systematic literature search was conducted across major international and Iranian electronic databases.
  • Inclusion and exclusion criteria were applied to select relevant studies.
  • Data on MBL-producing P. aeruginosa prevalence and MBL gene types were extracted and analyzed.

Main Results:

  • The overall prevalence of MBL-producing P. aeruginosa in Iran was found to be 32.4%.
  • Isfahan province exhibited the highest prevalence at 60%.
  • The most frequently detected MBL genes were blaVIM (19%) and blaIMP (11%).

Conclusions:

  • The prevalence of MBL-producing P. aeruginosa in Iranian hospitals is alarmingly high.
  • Effective infection control programs are urgently required to mitigate the spread of these resistant bacteria.

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