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Multidrug Resistant Pseudomonas aeruginosa in Iran: A Systematic Review and Metaanalysis

Hamid Vaez1, Amin Salehi-Abargouei2,3, Zahra Rashki Ghalehnoo1

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

Journal of Global Infectious Diseases
|December 25, 2018
PubMed
Abstract

Insights

Multidrug-resistant Pseudomonas aeruginosa (MDR P. aeruginosa) is a significant global health concern. This study reveals a high prevalence of MDR P. aeruginosa in Iranian hospitals, with an overall estimated incidence of 58%.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Public Health

Background:

  • Multidrug-resistant Pseudomonas aeruginosa (MDR P. aeruginosa) poses a substantial global health threat.
  • There is a lack of comprehensive data on MDR P. aeruginosa prevalence in Iran.
  • This study addresses the knowledge gap regarding the geographic distribution of MDR P. aeruginosa in Iran.

Purpose of the Study:

  • To determine the prevalence of MDR P. aeruginosa across various regions of Iran.
  • To provide an updated epidemiological overview of MDR P. aeruginosa in the Iranian context.

Main Methods:

  • A systematic literature search was conducted using Persian and English databases.
  • Relevant studies on MDR P. aeruginosa in Iran were identified and selected based on predefined inclusion criteria.

Main Results:

  • The pooled incidence of MDR P. aeruginosa in Iran was estimated at 58% (95% CI: 0.54-0.61).
  • Prevalence varied significantly by region, with Tehran reporting 100% and Zahedan 16%.
  • High resistance rates were observed against ceftazidime and amikacin (both 50%).

Conclusions:

  • The findings indicate a concerningly high prevalence of MDR P. aeruginosa in many Iranian hospitals.
  • These results underscore the urgent need for enhanced infection control strategies and antimicrobial stewardship programs in Iran.
Keywords:
Pseudomonas aeruginosaantibiotic resistancemultidrug-resistant Pseudomonas aeruginosa

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