The Global Prevalence of Daptomycin, Tigecycline, and Linezolid-Resistant and Strains From Human Clinical Samples: A Systematic Review and Meta-Analysis
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The predominant species of the () and () cause great variety of infections. Therefore, the expansion of antimicrobial resistance in the is one of the most important global concerns. This study was conducted to investigate the prevalence of resistance to linezolid, tigecycline, and daptomycin among enterococcal strains isolated from human clinical specimens worldwide. Several databases including Web of Science, EMBASE, and Medline ( PubMed), were carefully searched and reviewed for original research articles available in databases and published between 2000 and 2020. A total of 114 studies worldwide that address and resistance to linezolid, tigecycline, and daptomycin were analyzed by STATA software. The overall prevalence of antibiotic-resistant and was reported to be 0.9 and 0.6%, respectively. and were more resistant to the linezolid (2.2%) and daptomycin (9%), respectively. The prevalence of tigecyline-resistant (1%) strains was higher than strains (0.3%). Accordingly, the prevalence of linezolid-resistant was higher in Asia (2.8%), while linezolid-resistant was higher in the America (3.4%). Regarding tigecycline-resistance, a higher prevalence of (0.4%) and (3.9%) was reported in Europe. In conclusion, this meta-analysis shows that there is an emerging resistance in strains. Despite the rising resistance of enterococci to antibiotics, our results demonstrate that tigecycline, daptomycin, and linezolid can still be used for the treatment of enterococcal infections worldwide.
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