扩展谱β-乳酸酶产生肠杆菌 (ESBL-PE) 在尼泊尔的流行:系统性审查和元分析
Christina Khadka1, Manita Shyaula1, Gopiram Syangtan2
1Central Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu, Nepal.
The Science of the total environment
|August 12, 2023
概括
2011年至2021年,尼泊尔的扩展谱β-乳糖酶产生性肠杆菌 (ESBL-PE) 的患病率显著增加. 这些ESBL-PE分离物与多药性耐药性 (MDR) 有着强烈的相关性,对公众健康构成重大威胁.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 扩展光谱β-乳糖酶产生肠杆菌 (ESBL-PE) 对有效的抗生素治疗构成越来越大的威胁.
- 了解ESBL-PE的流行和耐药性模式对于公共卫生战略至关重要.
研究的目的:
- 量化估计2011年至2021年间尼泊尔ESBL-PE的流行程度.
- 确定ESBL-PE与多药性耐药性 (MDR) 之间的相关性.
主要方法:
- 基于社区和临床研究的系统审查和元分析.
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 使用纽卡斯尔-太华尺度进行质量评估.
主要成果:
- 在Enterobacteriaceae中ESBL生产者的整体综合流行率为29% (26-32%),具有很高的异质性.
- 患病率从2011年的18.7%增加到2021年的29.5%.
- 在ESBL生产和MDR之间发现了强烈的正相关性 (r=0.98).
结论:
- 在过去的十年里,尼泊尔的ESBL-PE患病率大幅增加.
- ESBL-PE分离体对各种抗生素,包括β-乳糖胺,具有高MDR.
- 有效的感染控制计划对于打击抗生素耐药性增加至关重要.
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