Seasonality of antimicrobial resistance rates in respiratory bacteria: A systematic review and meta-analysis

Antimicrobial resistance (AMR) rates may display seasonal variation. However, it is not clear whether this seasonality is influenced by the seasonal variation of infectious diseases, geographical region or differences in antibiotic prescription patterns. Therefore, we assessed the seasonality of AMR...

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Vydané v:	PloS one Ročník 14; číslo 8; s. e0221133
Hlavní autori:	Martinez, Evelyn Pamela, Cepeda, Magda, Jovanoska, Marija, Bramer, Wichor M., Schoufour, Josje, Glisic, Marija, Verbon, Annelies, Franco, Oscar H.
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	United States Public Library of Science 15.08.2019 Public Library of Science (PLoS)
Predmet:	Ambulatory care Anti-Bacterial Agents - therapeutic use Antibiotics Antiinfectives and antibacterials Antimicrobial agents Antimicrobial resistance Bacteria Biology and Life Sciences Campylobacter Communicable diseases Drug resistance Drug Resistance, Bacterial - drug effects Drug Resistance, Bacterial - genetics Earth Sciences Epidemiology Haemophilus Infections - genetics Haemophilus Infections - metabolism Haemophilus Infections - pathology Haemophilus influenzae - genetics Haemophilus influenzae - metabolism Health care Hemophilus infections Humans Infectious diseases Medical libraries Medicine and Health Sciences Meta-analysis Microbial drug resistance Mortality Pediatrics Penicillin Physical Sciences Pneumonia Pneumonia, Pneumococcal - drug therapy Pneumonia, Pneumococcal - genetics Pneumonia, Pneumococcal - metabolism Preventive medicine Public health Quality Research and Analysis Methods Respiration Respiratory System - microbiology Respiratory tract infections Risk factors Salmonella Scientific papers Search engines Seasonal variations Seasonal variations (Diseases) Seasons Statistics Streptococcus infections Streptococcus pneumoniae Streptococcus pneumoniae - genetics Streptococcus pneumoniae - metabolism Studies Summer Systematic review Trends Winter Ecuador United States > US Netherlands
ISSN:	1932-6203, 1932-6203
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Shrnutí:	Antimicrobial resistance (AMR) rates may display seasonal variation. However, it is not clear whether this seasonality is influenced by the seasonal variation of infectious diseases, geographical region or differences in antibiotic prescription patterns. Therefore, we assessed the seasonality of AMR rates in respiratory bacteria. Seven electronic databases (Embase.com, Medline Ovid, Cochrane CENTRAL, Web of Science, Core Collection, Biosis Ovid, and Google Scholar), were searched for relevant studies from inception to Jun 25th, 2019. Studies describing resistance rates of Streptococcus pneumoniae and Haemophilus influenzae were included in this review. By using random-effects meta-analysis, pooled odd ratios of seasonal AMR rates were calculated using winter as the reference group. Pooled odd ratios were obtained by antibiotic class and geographical region. We included 13 studies, of which 7 were meta-analyzed. Few studies were done in H. influenzae, thus this was not quantitively analyzed. AMR rates of S. pneumoniae to penicillins were lower in other seasons than in winter with pooled OR = 0.71; 95% CI = 0.65-0.77; I2 = 0.0%, and to all antibiotics with pooled OR = 0.68; 95% CI = 0.60-0.76; I2 = 14.4%. Irrespective of geographical region, the seasonality of AMR rates in S. pneumoniae remained the same. The seasonality of AMR rates could result from the seasonality of infectious diseases and its accompanied antibiotic use.
Bibliografia:	ObjectType-Article-2 SourceType-Scholarly Journals-1 content type line 14 ObjectType-Feature-3 ObjectType-Evidence Based Healthcare-1 ObjectType-Article-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3 Competing Interests: The authors have declared that no competing interests exist.
ISSN:	1932-6203 1932-6203
DOI:	10.1371/journal.pone.0221133