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A Global Systematic Review and Meta-Analysis on Correlation Between Biofilm Producers and Non-Biofilm Producers With Antibiotic Resistance in Uropathogenic Escherichia Coli Publisher Pubmed



Garousi M1 ; Monazami Tabar S1 ; Mirzai H2 ; Asgari P3 ; Sabeghi P4 ; Salehi A5 ; Khaledi A6, 7 ; Ghenaat Pisheh Sanani M8 ; Mirzahosseini HK9
Authors
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Authors Affiliations
  1. 1. Department of Internal Medicine, Faculty of Medical Sciences, Hamedan University of Medical Sciences, Hamedan, Iran
  2. 2. Department of Biomedical Engineering, Faculty of New Sciences and Technology, University of Tehran, Tehran, Iran
  3. 3. Medical School, Islamic Azad University, Tehran Branch, Tehran, Iran
  4. 4. School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
  5. 5. Biology Department, Islamic Azad University, Sanandaj Branch, Sanandaj, Iran
  6. 6. Infectious Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran
  7. 7. Department of Microbiology and Immunology, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran
  8. 8. Medical School, Islamic Azad University, Zahedan Branch, Zahedan, Iran
  9. 9. Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran

Source: Microbial Pathogenesis Published:2022


Abstract

Escherichia coli accounts for nearly 80% of community-acquired and 50% of hospital-acquired urinary tract infections (UTI). This study aimed to evaluate the correlation between biofilm producers and Non-biofilm producers with antibiotic resistance in Uropathogenic Escherichia coli (UPEC) isolated from patients with UTI globally. The search was conducted between 1st 2000 to 30th October 2021 in various databases (PubMed, Scopus, Web of sciences, and Google Scholar) with suitable MeSH terms, and text words. Then, after applying the appropriate inclusion and exclusion criteria on the studies for their selection, the data were analyzed by CMA software. Thirty-seven studies met the eligibility criteria to include. The pooled prevalence of ESBL and MDR isolates were reported 37.9%, and 65.8%, respectively. Biofilm formation varied between 13.3% and 99% all over the world. A total of 74.4% of all isolates were biofilm producers, out of which 28.6%, 35.2%, and 38.6% showed strong, moderate, and weak biofilm. The highest and lowest resistance was against Amoxicillin and Meropenem with the prevalence of 80.8%, and 13%, respectively. Fourteen out of 17(82.35%) studies reported a positive correlation between biofilm and antibiotic resistance. Findings showed high numbers of isolates were able to form biofilm, which is one of the factors of antibiotic resistance, and this has been confirmed by the positive significant correlation between biofilm formation and antibiotic resistance that has been reported by studies included. Therefore, due to the importance of biofilm in the etiology of UTI caused by UPEC, it should be prevented; consequently, bacterial resistance can be reduced and controlled. © 2022
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