شیوع کلستریدیوم دیفیسیل مقاوم به مترونیدازول در ایران: یک مطالعه‌ی متاآنالیز

زمینه و هدف: کلستریدیوم دیفیسیل مقاوم به مترونیدازول یکی از هفت مقاومت میکروبی مهم و از اورژانس های مقاومت میکروبی اعلام شده از سوی سازمان جهانی بهداشت است که میزان شیوع مقاومت به آن در حال افزایش است. این مطالعه با هدف تعیین شیوع کلستریدیوم دیفیسیل مقاوم به مترونیدازول، به صورت متاآنالیز در ایران انجام شد.روش بررسی: مطالعه حاضر به صورت متاآنالیز می باشد که جستجوی مقالات در فاصله زمانی آبان ماه تا اسفندماه 1396 توسط پژوهشگران دانشگاه علوم پزشکی کردستان انجام شد. جستجو در پایگاه های فارسی magiran, irandoc, barakat و sid، پایگاه های انگلیسی pubmed، sciencedirect، scopus در طول سال های 2007 تا 2016 انجام شد. با توجه به هتروژنیسیتی بالا (50%

Prevalence of metronidazole-resistant clostridium difficile: a meta-analysis in Iran

Background: Metronidazole resistant clostridium difficile is one of significant pathogens in Iran. It is one of the WHOdeclared microbial resistance emergencies. Prevalence of metronidazole resistant clostridium difficile is rising. The aim of this study was to detect prevalence of metronidazoleresistant clostridium difficile using metaanalysis in Iran.Methods: This study was conducted as a metaanalysis. Articles and derivatives were reviewed by two researchers. Initially, each of the researchers searched the databases separately and used all available Persian and English articles in Kurdistan University of Medical Sciences, Iran, from October 2017 to February 2018. Persian databases (including Magiran, Irandoc, Barakat and SID) and international databases (including PubMed, Sciencedirect, and Scopus) were searched during this period (20072016) with a combination of phrases and keywords. The list of references to these studies has also been evaluated and relevant articles have been included in the study. First, all the articles were extracted and then duplicated articles were deleted using the EndNote software, version X6 (Thomson Reuters trade;, New York, NY, USA) through the search for electronic banks. Such that the high heterogeneity (50% Results: From the search of medical databases at first, 68 articles were selected. In total, 19 remaining studies entered the metaanalysis phase. In this study, the overall prevalence of clostridium difficile is 32.57% (CI95%: 21.8644.30); in 2016 it was 55.25% (CI95%: 50.2260.19) and in 2009 was14.26% (CI95%: 12.3216.37). The heterogeneity was estimated to be 98.7% (CI95%: 98.598.8).Conclusion: Based on the results of this study, the prevalence of metronidazole resistant clostridium difficile in Iran is high and increasing.