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

Publish Year: 1400
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:

JR_IJBMS-24-6_002

تاریخ نمایه سازی: 17 خرداد 1400

Abstract:

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 ۱۹۸۰ and January ۲۰۲۰. We pooled data with random-effects models when appropriate. After screening ۱۶۰۸ citations, ۳۰ studies covering ۸۲۱۵ patients with TB were included. The pooled frequency of RIF-resistance among all patients with TB was ۸.۰% (۹۵% CI ۴.۰–۱۲.۰). Our sub-group analysis showed that ۴.۰% of newly diagnosed cases and ۳۶.۰% of previously-treated TB patients from different settings in Iran were RIF-resistant. Our study showed that the frequency of RIF-resistance among patients with TB was ۸.۰%. 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. 

Authors

Farhad Bahraminia

Applied Microbiology research center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran

Taher Azimi

Department of Pathobiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Moein Zangiabadian

Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Mohammad Javad Nasiri

Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Mehdi Goudarzi

Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Masoud Dadashi

Department of Microbiology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran

Abbas Ali Imani Fooladi

Applied Microbiology research center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran

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