Aeromonas characteristics in Iran, Southwest Asia; a systematic review and meta-analysis on epidemiology, reservoirs and antibiotic resistance profile from aquatic environments to human society during 2000-2023.
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引用次数: 0
Abstract
Background: As recent evidence shows the prevalence and transmission of Aeromonas species in Southwest Asia, and there is no updated information on the characteristics of Aeromonas in Iran, we conducted this review. We systematically searched biomedical databases (PubMed, Web of Sciences, Scopus, SID, ISC, and Google Scholar) to identify relevant studies investigating the prevalence, antibiotic resistance, and main reservoirs of Aeromonas in aquatic animals and human clinical specimens during 2000-2023 in Iran. Cochrane's Q test and I^2 statistical test was used to assess heterogeneity, and publication bias was assessed using funnel plots and random effects tests.
Results: In Iran, among 8347 human clinical samples and 1802 animal and food samples, only 87 (1.04%) and 388 (21.53%) samples were positive for Aeromonas spp. respectively, and the most isolated species was A. hydrophila. The main reservoir for Aeromonas spp. were twenty-four genera of aquatic animals besides minced meat, pigeon stool and chicken meat. In Iran, Aeromonas spp. isolates showed maximum resistance to ampicillin, tetracycline, nalidixic acid and vancomycin. The heterogeneity test for prevalence of Aeromonas species on human samples and animals or food products was significant (88.1256, (5), P-value < 0.0001) and the heterogeneity rate was 97.34% with a confidence interval of 0.2-4.3 and (194.02, (10), P-value < 0.0001) and the heterogeneity rate was 94.85% with a confidence interval of 15,124 - 33,335 respectively.
Conclusions: According to these results, it is essential for exclusive attention to the prevalence and antibiotic resistance of Aeromonas in different provinces of Iran. Furthermore, special planning should be done for prevention, outbreak control and proper treatment of infections in the aquaculture industry and human societies.
背景：由于最近的证据显示气单胞菌在西南亚的流行和传播，并且没有关于伊朗气单胞菌特征的最新信息，我们进行了这一综述。我们系统地检索了生物医学数据库（PubMed、Web of Sciences、Scopus、SID、ISC和谷歌Scholar），以确定2000-2023年期间伊朗水生动物和人类临床标本中气单胞菌的流行、抗生素耐药性和主要宿主的相关研究。采用Cochrane’s Q检验和I^2统计检验评估异质性，采用漏斗图和随机效应检验评估发表偏倚。结果：伊朗8347份人体临床标本和1802份动物及食品标本中，气单胞菌阳性率分别为87份（1.04%）和388份（21.53%），其中检出最多的是嗜水单胞菌。除肉糜、鸽粪和鸡肉外，气单胞菌的主要宿主为24属水生动物。在伊朗，气单胞菌对氨苄西林、四环素、萘啶酸和万古霉素的耐药性最大。人、动物或食品中气单胞菌的患病率异质性检验显著（88.1256,(5)，p值）。结论：根据这些结果，有必要对伊朗不同省份气单胞菌的患病率和耐药性进行单独关注。此外，应对水产养殖业和人类社会的预防、暴发控制和适当治疗感染进行特别规划。
期刊介绍：
BMC Veterinary Research is an open access, peer-reviewed journal that considers articles on all aspects of veterinary science and medicine, including the epidemiology, diagnosis, prevention and treatment of medical conditions of domestic, companion, farm and wild animals, as well as the biomedical processes that underlie their health.
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