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Mycobacterium Simiae Pulmonary Disease in Iran: Systematic Review and Meta-Analysis Publisher



Nasiri MJ1 ; Heidary M3 ; Azimi T4 ; Goudarzi H1 ; Tabarsi P2 ; Sarokhalil DD3 ; Feizabadi MM5
Authors
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Authors Affiliations
  1. 1. Department of Microbiology, School of Medicine, Tehran, Iran
  2. 2. Clinical TB and Epidemiology Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. Department of Microbiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Medical Microbiology, School of Public Health, Tehran, Iran
  5. 5. Department of Medical Microbiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Source: New Microbes and New Infections Published:2018


Abstract

Mycobacterium simiae is one of the most common nontuberculous mycobacteria (NTM) microorganisms causing lung disease in many countries in the world. A reliable estimate of the extent of M. simiae pulmonary disease has not been well investigated in Iran. We systematically searched multiple databases to identify relative studies. Studies were excluded if they did not use the American Thoracic Society (ATS) and Infectious Diseases Society of America (IDSA) diagnostic criteria for NTM diseases. Data were extracted independently and in duplicate. We assessed pooled estimate by using a random model effect, and sources of heterogeneity were assessed by using Cochran's Q and the I2 statistic. The potential for publication bias was explored by using Begg's and Egger's tests. All analyses were conducted with Stata 14.0 (StataCorp, College Station, TX, USA). Of 172 articles identified, seven met the inclusion criteria. Of 355 patients who were culture positive for NTM, 82 had M. simiae pulmonary disease according to the ATS/IDSA diagnostic criteria. The pooled frequency of M. simiae pulmonary disease among patients with NTM was 25.0% (95% confidence interval, 16.8–33.2). No evidence of publication bias was observed among the included studies (p >0.05 for Begg's and Egger's tests). Clinical isolates of M. simiae are increasingly being recognized as a cause of pulmonary disease in Iran and need further attention by health authorities. © 2018 The Author(s)
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