Rifampicin-resistant tuberculosis in Iran: A systematic review and meta-analysis

被引:6
作者
Bahraminia, Farhad [1 ]
Azimi, Taher [2 ]
Zangiabadian, Moein [3 ]
Nasiri, Mohammad Javad [4 ]
Goudarzi, Mehdi [4 ]
Dadashi, Masoud [5 ]
Fooladi, Abbas Ali Imani [1 ]
机构
[1] Baqiyatallah Univ Med Sci, Syst Biol & Poisonings Inst, Appl Microbiol Res Ctr, Tehran, Iran
[2] Univ Tehran Med Sci, Sch Publ Hlth, Dept Pathobiol, Tehran, Iran
[3] Shahid Beheshti Univ Med Sci, Sch Med, Student Res Comm, Tehran, Iran
[4] Shahid Beheshti Univ Med Sci, Sch Med, Dept Microbiol, Tehran, Iran
[5] Alborz Univ Med Sci, Sch Med, Dept Microbiol, Karaj, Iran
关键词
Drug resistance; Iran; Rifampicin; Tuberculosis; Xpert MTB; RIF assay;
D O I
10.22038/ijbms.2021.47360.10901
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Rifampicin (RIF)-resistant strain of Mycobacterium tuberculosis is an important barrier to effective tuberculosis (TB) treatment and prevention. The present study aimed to determine the frequency of RIF-resistant TB among patients with confirmed TB. Pubmed/Medline, Embase, Web of Science, and Scopus were searched for relevant articles published between January 1980 and January 2020. We pooled data with random-effects models when appropriate. After screening 1608 citations, 30 studies covering 8215 patients with TB were included. The pooled frequency of RIF-resistance among all patients with TB was 8.0% (95% CI 4.0-12.0). Our sub-group analysis showed that 4.0% of newly diagnosed cases and 36.0% of previously-treated TB patients from different settings in Iran were RIFresistant. Our study showed that the frequency of RIF-resistance among patients with TB was 8.0%. Programmatic implementation of rapid drug susceptibility testing (DST) such as the Xpert MTB/RIF assay as a primary diagnostic test for persons suspected of having a RIF-resistant TB would be helpful for the control of the drug resistance.
引用
收藏
页码:720 / 725
页数:6
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