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Publication
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Title of Article |
Global Prevalence of Vancomycin-Resistant Enterococci (VRE) in Food of Animal Origin: A Meta-Analysis |
Date of Acceptance |
8 February 2021 |
Journal |
Title of Journal |
Foodborne Pathogens and Disease |
Standard |
ISI |
Institute of Journal |
Mary Ann Liebert, Inc., publishers |
ISBN/ISSN |
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Volume |
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Issue |
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Month |
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Year of Publication |
2021 |
Page |
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Abstract |
Vancomycin-resistant enterococci (VRE) are a leading cause of nosocomial infections in patients worldwide. VRE contamination in food of animal origin may
create a risk for human health. This study was conducted to estimate the pooled
prevalence of VRE in food of animal origin worldwide, to assess the result heterogeneity and to determine cumulative evidence and the trend of the prevalence over time. Relevant studies were retrieved from PubMed, Scopus, and Web of
Science. A random effects model was used to calculate the pooled prevalence of VRE
in food of animal origin. Subgroup meta-analysis was used to assess the heterogeneity
of the results. A cumulative meta-analysis and meta-regression were conducted to determine cumulative evidence and the trend of the prevalence of VRE in food of
animal origin over time, respectively. Of the 1,352 retrieved studies, 50 articles were
included. The pooled prevalence of VRE in food of animal origin was 11.7% (95%
confidence interval (CI), 8.4%-16.0%). Subgroup meta-analyses showed a significant
difference in the prevalence of VRE for two characteristics. First, for the source of
food, the prevalence of VRE was highest in aquatic food (43.4%, [95% CI, 28.4%-
59.7%]) and lowest in dairy food (4.1%, [95% CI, 1.7%-9.8%]). Second, for
continents, the prevalence of VRE was highest in Africa (18.5%, [95% CI, 12.8%-
26.1%]) and lowest in North America (0.3%, [95% CI, 0.1%-1.1%]). Cumulative
evidence showed two distinct features in two different periods. The pooled prevalence
of VRE rapidly decreased from 79.3% in 1998 to 13.1% in 2003; it has slightly
fluctuated between 10.5% and 20.5% since 2004. The results of the meta-regression
indicated that the prevalence gradually decreased over time. In conclusion, the
estimate of overall VRE prevalence worldwide in food of animal origin was approximately 12%, indicating the burden of VRE contamination in food of animal origin |
Keyword |
vancomycin-resistant enterococci, VRE, food of animal origin, meta-analysis, prevalence |
Author |
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Reviewing Status |
ไม่มีผู้ประเมินอิสระ |
Status |
ได้รับการตอบรับให้ตีพิมพ์ |
Level of Publication |
นานาชาติ |
citation |
false |
Part of thesis |
true |
Attach file |
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