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European Journal of Clinical Microbiology & Infectious Diseases

Erschienen in:

25.06.2016 | Review

Prevalence of vancomycin-resistant Enterococcus in Iran: a systematic review and meta-analysis

verfasst von: M. Emaneini, F. Hosseinkhani, F. Jabalameli, M. J. Nasiri, M. Dadashi, R. Pouriran, R. Beigverdi

Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases | Ausgabe 9/2016

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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.

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Titel: Prevalence of vancomycin-resistant Enterococcus in Iran: a systematic review and meta-analysis
verfasst von: M. Emaneini
F. Hosseinkhani
F. Jabalameli
M. J. Nasiri
M. Dadashi
R. Pouriran
R. Beigverdi
Publikationsdatum: 25.06.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases / Ausgabe 9/2016
Print ISSN: 0934-9723
Elektronische ISSN: 1435-4373
DOI: https://doi.org/10.1007/s10096-016-2702-0

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