Prevalence of streptococcus pneumoniae in elderly with pneumonia: A meta-analysis and systematic review in Asia
DOI:
https://doi.org/10.69863/dim.2024.e278Keywords:
Pneumonia, Elderly, Streptococcus pneumoniae, Prevalence, AsiaAbstract
BACKGROUND: There is currently insufficient study focusing on comprehensive studies that thoroughly assess the prevalence of Streptococcus pneumoniae specifically among elderly patients with pneumonia in Asia.
OBJECTIVE: To analyze the prevalence of Streptococcus pneumoniae as a causative factor of pneumonia among elderly populations in Asian countries.
METHODS: This meta-analysis was designed to systematically collect data from PubMed, Scopus, and Embase within the timeframe of January to February 2024. The study focused on gathering prevalence data of Streptococcus pneumoniae among elderly patients diagnosed with pneumonia in Asian countries. Statistical analysis employed a single-arm meta-analysis methodology to consolidate and evaluate the cumulative prevalence of Streptococcus pneumoniae in this specific population group.
RESULTS: The total sample included in our study comprised 15 articles. Through our analysis, we found that the cumulative prevalence of Streptococcus pneumoniae among elderly patients diagnosed with pneumonia in Asia was 9% (Event rate: 0.09; 95% CI: 0.06, 0.12; Egger's test: p = 0.7047; p Heterogeneity < 0.0001; p < 0.0001).
CONCLUSION: Streptococcus pneumoniae remains a plausible causative agent of pneumonia in elderly Asian populations.
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Long ME, Mallampalli RK, Horowitz JC. Pathogenesis of pneumonia and acute lung injury. Clin Sci (Lond) 2022;136(10):747-769.doi: 10.1042/CS20210879. PMID: 35621124
Davis D, Thadhani J, Choudhary V, et al. Advancements in the management of severe community-acquired pneumonia: A comprehensive narrative review. Cureus 2023;15(10):e46893.doi: 10.7759/cureus.46893. PMID: 37954793
Cilloniz C, Rodriguez-Hurtado D, Torres A. Characteristics and management of community-acquired pneumonia in the era of global aging. Med Sci (Basel) 2018;6(2):35.doi: 10.3390/medsci6020035. PMID: 29710871
Lokida D, Farida H, Triasih R, et al. Epidemiology of community-acquired pneumonia among hospitalised children in Indonesia: a multicentre, prospective study. BMJ Open 2022;12(6):e057957.doi: 10.1136/bmjopen-2021-057957. PMID: 35728910
Li W, Ding C, Yin S. Severe pneumonia in the elderly: a multivariate analysis of risk factors. Int J Clin Exp Med 2015;8(8):12463-12475.doi. PMID: 26550157
Osman M, Manosuthi W, Kaewkungwal J, et al. Etiology, clinical course, and outcomes of pneumonia in the elderly: A retrospective and prospective cohort study in thailand. Am J Trop Med Hyg 2021;104(6):2009-2016.doi: 10.4269/ajtmh.20-1393. PMID: 33939631
Cilloniz C, Martin-Loeches I, Garcia-Vidal C, et al. Microbial etiology of pneumonia: Epidemiology, diagnosis and resistance patterns. Int J Mol Sci 2016;17(12):2120.doi: 10.3390/ijms17122120. PMID: 27999274
Helou M, Mahdi A, Daoud Z, et al. Epidemiology of community-acquired respiratory tract infections in patients admitted at the emergency departments. Trop Med Infect Dis 2022;7(9):233.doi: 10.3390/tropicalmed7090233. PMID: 36136644
Ghia CJ, Dhar R, Koul PA, et al. Streptococcus pneumoniae as a cause of community-acquired pneumonia in indian adolescents and adults: A systematic review and meta-analysis. Clin Med Insights Circ Respir Pulm Med 2019;13(1):1179548419862790.doi: 10.1177/1179548419862790. PMID: 31391784
Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev 2021;10(1):89.doi: 10.1186/s13643-021-01626-4. PMID: 33781348
Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol 2010;25(9):603-605.doi: 10.1007/s10654-010-9491-z. PMID: 20652370
Fajar J. Approaches for identifying and managing publication bias in meta-analysis. Deka In Medicine 2024;1(1):e865.doi: 10.69863/dim.v1i1.1. PMID:
Ruppar T. Meta-analysis: How to quantify and explain heterogeneity? Eur J Cardiovasc Nurs 2020;19(7):646-652.doi: 10.1177/1474515120944014. PMID: 32757621
Singh J, Abrams KR, Bujkiewicz S. Incorporating single-arm studies in meta-analysis of randomised controlled trials: a simulation study. BMC Med Res Methodol 2021;21(1):114.doi: 10.1186/s12874-021-01301-1. PMID: 34082702
Xie MZ, Dong M, Du J, et al. Epidemiological features of Streptococcus pneumoniae in patients with acute respiratory tract infection in Beijing, China during 2009-2020. J Infect Public Health 2023;16(5):719-726.doi: 10.1016/j.jiph.2023.03.010. PMID: 36940499
Memish ZA, Zumla A, Alhakeem RF, et al. Hajj: infectious disease surveillance and control. Lancet 2014;383(9934):2073-2082.doi: 10.1016/S0140-6736(14)60381-0. PMID: 24857703
Morimoto K, Suzuki M, Ishifuji T, et al. The burden and etiology of community-onset pneumonia in the aging Japanese population: a multicenter prospective study. PLoS One 2015;10(3):e0122247.doi: 10.1371/journal.pone.0122247. PMID: 25822890
Nakashima K, Suzuki K, Aoshima M, et al. Effectiveness of the 23-valent pneumococcal polysaccharide vaccine against community-acquired pneumonia in older individuals after the introduction of childhood 13-valent pneumococcal conjugate vaccine: A multicenter hospital-based case-control study in Japan. Vaccine 2022;40(46):6589-6598.doi: 10.1016/j.vaccine.2022.09.055. PMID: 36184405
Suzuki H, Noguchi T, Ogawa K, et al. Fusion of parvovirus B19 receptor-binding domain and pneumococcal surface protein A induces protective immunity against parvovirus B19 and Streptococcus pneumoniae. Vaccine 2021;39(36):5146-5152.doi: 10.1016/j.vaccine.2021.07.046. PMID: 34340860
Takedani Y, Nakamura T, Fukiwake N, et al. Clinical characteristics and factors related to antibiotic-associated diarrhea in elderly patients with pneumonia: a retrospective cohort study. BMC Geriatr 2021;21(1):317.doi: 10.1186/s12877-021-02267-x. PMID: 34001039
Lee MS, Oh JY, Kang CI, et al. Guideline for Antibiotic Use in Adults with Community-acquired Pneumonia. Infect Chemother 2021;50(2):160-198.doi: 10.3947/ic.2018.50.2.160. PMID: 29968985
Jung HS, Kang BJ, Ra SW, et al. Corrigendum: Elucidation of bacterial pneumonia-causing pathogens in patients with respiratory viral infection. Tuberc Respir Dis (Seoul) 2018;81(4):349.doi: 10.4046/trd.2017.0044.r. PMID: 30238717
Song M, Teng Z, Li M, et al. Epigallocatechin gallate inhibits Streptococcus pneumoniae virulence by simultaneously targeting pneumolysin and sortase A. J Cell Mol Med 2017;21(10):2586-2598.doi: 10.1111/jcmm.13179. PMID: 28402019
Liang Y, Zhu C, Tian C, et al. Early prediction of ventilator-associated pneumonia in critical care patients: a machine learning model. BMC Pulm Med 2012;22(1):250.doi: 10.1186/s12890-022-02031-w. PMID: 35752818
Farahat FM, Bukhari OK, Basfar IA, et al. Clinical characteristics and outcomes of community-acquired pneumonia in western Saudi Arabia: A four-year retrospective analysis of medical records. J Infect Public Health 2021;14(7):960-966.doi: 10.1016/j.jiph.2021.05.008. PMID: 34130120
Yamazaki T, Kenri T. Epidemiology of mycoplasma pneumoniae infections in japan and therapeutic strategies for macrolide-resistant m. Pneumoniae. Front Microbiol 2016;7(1):693.doi: 10.3389/fmicb.2016.00693. PMID: 27242718
Choi JH, Jeong KB, Park YH, et al. Comparison of risk of pneumonia caused by fluticasone propionate versus budesonide in chronic obstructive pulmonary disease: A nationwide retrospective cohort study. Int J Chron Obstruct Pulmon Dis 2021;16(1):3229-3237.doi: 10.2147/COPD.S332151. PMID: 34858023
Ko E, Jeong S, Jwa MY, et al. Immune responses to irradiated pneumococcal whole cell vaccine. Vaccines (Basel) 2021;9(4):405.doi: 10.3390/vaccines9040405. PMID: 33921842
Song JH, Huh K, Chung DR. Community-Acquired Pneumonia in the Asia-Pacific Region. Semin Respir Crit Care Med 2016;37(6):839-854.doi: 10.1055/s-0036-1592075. PMID: 27960208
Bailey KL. Aging diminishes mucociliary clearance of the lung. Adv Geriatr Med Res 2022;4(2):e220005.doi: 10.20900/agmr20220005. PMID: 36066919
Sharma L, Losier A, Tolbert T, et al. Atypical Pneumonia: Updates on Legionella, Chlamydophila, and Mycoplasma Pneumonia. Clin Chest Med 2017;38(1):45-58.doi: 10.1016/j.ccm.2016.11.011. PMID: 28159161
Wu B, Peng M, Tong Y, et al. Distribution of bacteria and risk factors in patients with multidrug-resistant pneumonia in a single center rehabilitation ward. Medicine (Baltimore) 2023;102(36):e35023.doi: 10.1097/MD.0000000000035023. PMID: 37682183
Rozenbaum MH, Pechlivanoglou P, van der Werf TS, et al. The role of Streptococcus pneumoniae in community-acquired pneumonia among adults in Europe: a meta-analysis. Eur J Clin Microbiol Infect Dis 2013;32(3):305-316.doi: 10.1007/s10096-012-1778-4. PMID: 23242464
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Copyright (c) 2024 Sri Soenarti, Yannita Rama Kusuma Aji Wijaya, Adhya Aji Pratama, Aditya Satriya Nugraha, Agnes Permata Seto, Alfan Fathoni, Ayu Sekarani, Gede Nanda Utama, Madya Kusuma Juhandana, Putri Ardiyanti, Vidi Prasetyo Utomo, Zahra Safira, Zuhrotus Sholichah, Dimas Satryo Bagus Santoso
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