暨南大学学报(自然科学与医学版)2024,Vol.45Issue(2) :168-175.DOI:10.11778/j.jdxb.20230170

基于真实世界研究骨髓炎MRSA感染率的Meta分析

A Meta-analysis of MRSA infection rates in osteomyelitis based on real-world studies

王鸿伟 田芳英 赵明 王雪玉 张翰笙 崔欣雨
暨南大学学报(自然科学与医学版)2024,Vol.45Issue(2) :168-175.DOI:10.11778/j.jdxb.20230170

基于真实世界研究骨髓炎MRSA感染率的Meta分析

A Meta-analysis of MRSA infection rates in osteomyelitis based on real-world studies

王鸿伟 1田芳英 2赵明 1王雪玉 3张翰笙 1崔欣雨1
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作者信息

  • 1. 山西医科大学 护理学院,山西 太原 030001
  • 2. 山西医科大学 第二医院 医院感染管理科,山西 太原 030001
  • 3. 浙江大学 医学院 附属第一医院 感染疾病科,浙江 杭州 310000
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摘要

目的:通过Meta分析研究骨髓炎患者中耐甲氧西林金黄色葡萄球菌(MRSA)的感染率.方法:检索PubMed、Web of Science、中国知网、维普、万方和中国生物医学文献数据库(CBM)关于骨髓炎患者MRSA感染率的研究,检索时限为建库至2023 年8 月.由2 位研究人员按照纳入与排除标准对所获文献独立进行筛选、提取,采用纽卡斯尔-渥太华量表评分(NOS)进行文献质量评价.以感染率为结局指标合并数据,采用R(4.3.1)进行Meta分析,并根据骨髓炎类型、患者年龄、研究地区进行亚组分析.结果:共纳入26 篇文献,共包含20 860 名骨髓炎患者.Meta分析结果显示,骨髓炎患者MRSA感染率为0.240(95%CI:0.183~0.297).亚组分析结果显示,椎体骨髓炎(VO)患者、18~60 岁、北美地区骨髓炎患者的MRSA感染率更高.结论:骨髓炎患者中MRSA的感染率较高,需采取有效的预防和控制措施减少 MRSA的传播.

Abstract

Objective:To study the prevalence of methicillin resistant Staphylococcus aureus(MRSA)infection in patients with osteomyelitis by meta-analysis.Methods:PubMed,Web of Science,CNKI,VIP,Wanfang,and CBM were searched for Prevalence of MRSA infection in patients with osteomyelitis from inception to August 2023.The data were independently screened and extracted by 2 investigators according to the inclusion and exclusion criteria and the quality of literature was evaluated using the NOS.Data were combined using prevalence as an outcome indicator,and meta-analysis was conducted using R(4.3.1)software with subgroup analysis based on types of osteomyelitis,age and research region.Results:A total of 26 papers containing 20 860 patients with osteomyelitis were included.Meta-analysis showed that the combined prevalence of MRSA infection in patients with osteomyelitis was 0.240(95%CI:0.183~0.297).Subgroup analyses showed a higher prevalence of MRSA infection in patients with VO,aged 18~60 years,and in patients with osteomyelitis in North America.Conclusion:The prevalence of MRSA infection is high in patients with osteomyelitis,and effective prevention and control measures are needed to reduce the transmission of MRSA.

关键词

耐甲氧西林金黄色葡萄球菌(MRSA)/骨髓炎/Meta分析

Key words

methicillin resistant staphylococcus aureus(MRSA)/osteomyelitis/meta analysis

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基金项目

山西省软科学研究计划(2017041037-2)

出版年

2024
暨南大学学报(自然科学与医学版)
暨南大学

暨南大学学报(自然科学与医学版)

CSTPCD北大核心
影响因子:0.996
ISSN:1000-9965
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