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논문 기본 정보

자료유형
학술저널
저자정보
Jale Moradi (Tehran University of Medical Sciences) Farhad B. Hashemi (Tehran University of Medical Sciences) Abbas Bahador (Tehran University of Medical Sciences)
저널정보
질병관리본부 Osong Public Health and Research Persptectives Osong Public Health and Research Perspectives 제6권 제2호
발행연도
2015.4
수록면
79 - 86 (8page)

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Objectives: Acinetobacter baumannii is a bacterium responsible for health careassociated infections, and it frequently develops multiple drug resistance (MDR). The prevalence of antibiotic-resistant A. baumannii in Iran has increased, and this may cause significant clinical problems. Therefore, in order to elucidate the development of antibiotic resistance, we performed a systematic review of the literature published on antibiotic-resistant A. baumannii reported in Iran. Methods: Thirty-six publications that met the criteria for inclusion were reviewed from an initial 87 papers. Selected papers published between 2008 and September 2014, were categorized on the basis of the sample collecting year been between 2001 and 2013. Results: Analysis of data revealed that, in general, there was an increase in antimicrobial resistance. During the initial time point of these studies (2001-2007) there was a high rate of resistance to all antibiotics, with the exception of carbapenems, lipopeptides, and aminoglycosides that had a low resistance rate in comparison with the others. Also, the resistance rate was increased in one group of these three antimicrobial groups from 2010 to 2013. In particular, there was an increase in resistance to carbapenems (imipenem and meropenem) from 2010-2011 and 2012-2013, whereas no significant change in the resistance rate of the other two antimicrobial groups (lipopeptides and aminoglycosides) during the study time was observed, although we did observe certain trends in amikacin (aminoglycoside group antibiotic) between 2011-2012 and 2012-2013. Conclusion: These findings indicate that antimicrobial resistance of A. baumannii in Iran has increased, which may very well affect the antimicrobial resistance of this organism worldwide. Based on these results, novel prevention and treatment strategies against A. baumannii infections are warranted. Furthermore, these data may assist in revising treatment guidelines and regional policies in care units to slow the emergence of antimicrobial resistance.
#antibiotic resistance #Acinetobacter baumannii #Iran

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참고문헌 (54)

참고문헌 신청
Chittawatanarat K / 2014 / Microbiology, resistance patterns, and risk factors of mortality in ventilator-associated bacterial pneumonia in a Northern Thai tertiary-care university based general surgical intensive care unit / Infect Drug Resist 7:203~210 google schola Eveillard M / 2013 / Reservoirs of Acinetobacter baumannii outside the hospital and potential involvement in emerging human community-acquired infections / Int J Infect Dis 17(10):802~805 google schola 오윤정 / 2013 / A case of fulminant community-acquired Acinetobacter baumannii pneumonia in Korea / The Korean Journal of Internal Medicine 28(4):486~490 Crossref 김의진 / 2014 / Update on the Epidemiology, Treatment, and Outcomes of Carbapenem-resistant Acinetobacter infections / 전남의대학술지 50(2):37~44 Crossref Tang SS / 2014 / Mechanisms of β-lactam antimicrobial resistance and epidemiology of major communityand healthcare-associated multidrug-resistant bacteria / Adv Drug Deliv Rev 78:3~13 google schola

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