Objective: Klebsiella pneumoniae commonly causes nosocomial infections, and the rise of colistin-resistant strains poses a significant challenge to public health. This research aims to assess the worldwide prevalence of colistin resistance in K. pneumoniae isolates through a systematic review of scientific literature.
Methods: We conducted a systematic literature review of relevant studies available in the PubMed, Scopus, and Web of Science databases up to December 2023. Following this, a meta-analysis was performed using Stata software to determine the overall prevalence of colistin resistance in K. pneumoniae isolates and to conduct subgroup analyses.
Results: This meta-analysis reviewed 682 studies and found a global prevalence of colistin resistance at 13% among all K. pneumoniae isolates. Notably, the data shows an increase in colistin resistance from 6% in 2010 to 18% in 2023.
Conclusion: This study presents evidence of a substantial global prevalence of colistin resistance among clinical isolates of K. pneumoniae. It is recommended to conduct regular surveillance and testing for colistin resistance to effectively monitor and address this public health issue.
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