Methicillin-Resistant Staphylococcus Aureus (Mrsa) in Iran: A Systematic Review and Meta-Analysis Publisher Pubmed



Dadashi M¹ ; Nasiri MJ¹ ; Fallah F² ; Owlia P³ ; Hajikhani B¹ ; Emaneini M⁴ ; Mirpour M⁵ Show Affiliations
Source: Journal of Global Antimicrobial Resistance Published:2018

Abstract

Introduction Methicillin-resistant Staphylococcus aureus (MRSA) is among the most prevalent pathogens causing healthcare-associated infections. Accurate and updated data describing the epidemiology of MRSA are crucial for the development of national policies to control MRSA infection in each country. This study aimed to estimate the prevalence of MRSA in different parts of Iran. Methods Several databases, including MEDLINE, Embase, Web of Science and Scientific Information Database (http://www.sid.ir), were searched from 1 January 2000 to 31 March 2016 to identify studies addressing the frequency or prevalence of MRSA in Iran. Comprehensive Meta-Analysis software v.2.2 was used to analyse the data. Results Of the 725 records identified from the databases, 31 studies fulfilled the eligibility criteria. The analyses showed that the frequency of MRSA infections was 43.0% (95% confidence interval 36.3–50.0%) among confirmed S. aureus isolates. Further stratified analyses indicated that the prevalence of MRSA was higher in studies performed after the year 2000. Conclusions Since a high rate of MRSA infections was seen in this analysis, regular surveillance of hospital-associated infections, monitoring of antibiotic sensitivity patterns, and formulation of definite antibiotic policy may facilitate more accurate action for the prevention and control of MRSA. © 2017 International Society for Chemotherapy of Infection and Cancer