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Prevalence of and risk factors for multidrug-resistant tuberculosis in Iran and its neighboring countries: systematic review and meta-analysis
Jimma, Worku; Ghazisaeedi, Marjan; Shahmoradi, Leila; Abdurahman, Ahmed Abdulahi; Kalhori, Sharareh Rostam Niakan; Nasehi, Mahshid; Yazdi, Sharifi; Safdari, Reza.
  • Jimma, Worku; Tehran University of Medical Sciences. School of Allied Medical Sciences. Department of Health Information Management. Tehran. IR
  • Ghazisaeedi, Marjan; Tehran University of Medical Sciences. School of Allied Medical Sciences. Department of Health Information Management. Tehran. IR
  • Shahmoradi, Leila; Tehran University of Medical Sciences. School of Allied Medical Sciences. Department of Health Information Management. Tehran. IR
  • Abdurahman, Ahmed Abdulahi; Tehran University of Medical Sciences. School of Allied Medical Sciences. Department of Health Information Management. Tehran. IR
  • Kalhori, Sharareh Rostam Niakan; Tehran University of Medical Sciences. School of Allied Medical Sciences. Department of Health Information Management. Tehran. IR
  • Nasehi, Mahshid; Tehran University of Medical Sciences. School of Allied Medical Sciences. Department of Health Information Management. Tehran. IR
  • Yazdi, Sharifi; Tehran University of Medical Sciences. School of Allied Medical Sciences. Department of Health Information Management. Tehran. IR
  • Safdari, Reza; Tehran University of Medical Sciences. School of Allied Medical Sciences. Department of Health Information Management. Tehran. IR
Rev. Soc. Bras. Med. Trop ; 50(3): 287-295, May-June 2017. tab, graf
Article Dans Anglais | LILACS | ID: biblio-896970
ABSTRACT
Abstract Tuberculosis, in particular drug-resistant tuberculosis, is of global concern due to the high mortality and morbidity associated with it annually. The aim of this study was to determine the prevalence of and the risk factors for multidrug-resistant tuberculosis in Iran and its neighboring countries. Four databases (PubMed, BioMed Central, EMBASE, and Web of Science) were searched using key terms. Nineteen eligible articles were identified, of which 12 and seven were used for quantitative and qualitative analysis, respectively. The overall pooled estimate of the prevalence of multidrug-resistant tuberculosis, including both new and previously treated tuberculosis cases, in Iran, Iraq, Turkey and Pakistan was 16% (95% confidence interval [CI] 11-20). The patients with a previous tuberculosis treatment history (odds ratio [OR] = 6.45; 95% CI 5.12-7.79), those aged <45 years (OR = 1.57; 95% CI 1.12-2.03), and those who were males (OR = 1.83; 95% CI 1.19-2.48) had an increased pool risk of developing multidrug-resistant tuberculosis. The forest plot revealed that the pooled odds for the development of multidrug- resistant tuberculosis were 2.01 (95% CI 1.65-2.36). Poor adherence to treatment was one of the predictors of unsuccessful treatment outcomes. Multidrug-resistant tuberculosis is a great concern for public health programs in many countries globally, including those included in this review. The risk factors for the development of multidrug-resistant tuberculosis, specifically a previous tuberculosis treatment history, should be targeted through the implementation of specialized interventions.
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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Tuberculose multirésistante Type d'étude: Etude d'étiologie / Étude de prévalence / Étude pronostique / Recherche qualitative / Facteurs de risque / Revues systématiques évaluées Limites du sujet: Humains Pays comme sujet: Asie langue: Anglais Texte intégral: Rev. Soc. Bras. Med. Trop Thème du journal: Médecine tropicale Année: 2017 Type: Article Pays d'affiliation: Iran Institution/Pays d'affiliation: Tehran University of Medical Sciences/IR

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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Tuberculose multirésistante Type d'étude: Etude d'étiologie / Étude de prévalence / Étude pronostique / Recherche qualitative / Facteurs de risque / Revues systématiques évaluées Limites du sujet: Humains Pays comme sujet: Asie langue: Anglais Texte intégral: Rev. Soc. Bras. Med. Trop Thème du journal: Médecine tropicale Année: 2017 Type: Article Pays d'affiliation: Iran Institution/Pays d'affiliation: Tehran University of Medical Sciences/IR