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Meta-Analysis
. 2016 Nov 29:6:37865.
doi: 10.1038/srep37865.

The incidence and drug resistance of Clostridium difficile infection in Mainland China: a systematic review and meta-analysis

Chenjie Tang  1 , Lunbiao Cui  2 , Yuqiao Xu  1 , Le Xie  1 , Pengfei Sun  1 , Chengcheng Liu  1 , Wenying Xia  1 , Genyan Liu  1
Affiliations
Meta-Analysis

The incidence and drug resistance of Clostridium difficile infection in Mainland China: a systematic review and meta-analysis

Chenjie Tang et al. Sci Rep. .

Abstract

It has been widely reported that the incidence and severity of Clostridium difficile infection (CDI) have increased dramatically in North America and Europe. However, little is known about CDI in Mainland China. In this study, we aimed to investigate the incidence of CDI and the main epidemic and drug-resistant strains of C. difficile in Mainland China through meta-analysis of related studies published after the year 2010. A total of 51 eligible studies were included. The pooled incidence of toxigenic C. difficile among patients with diarrhoea was 14% (95% CI = 12-16%). In Mainland China, ST-37 and ST-3 were the most prevalent strains; fortunately, hypervirulent strains, such as ST-1 (BI/NAP1/027) and ST-11 (RT 078), have only occurred sporadically to date. The rates of C. difficile resistance to ciprofloxacin (98.3%; 95% CI = 96.9-99.7%), clindamycin (81.7%; 95% CI = 76.1-87.3%) and erythromycin (80.2%; 95% CI = 73.5-86.9%) are higher than in other counties; however, none of the C. difficile isolates reported in Mainland China were resistant to metronidazole (n/N = 0/960), vancomycin (n/N = 0/960), tigecycline (n/N = 0/41) or piperacillin/tazobactam(n/N = 0/288).

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Figures

Figure 1
Figure 1. Flow diagram of the procedures used to identify CDI studies in Mainland China.
Figure 2
Figure 2. Meta-analyses of CDI in Mainland China.
Figure 3
Figure 3. The incidence of CDI in Mainland China (Created by an online Chinese website.http://c.dituhui.com/apps/range).
See this image and copyright information in PMC

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