In this section
@article{Alividza:2018:10.1186/s40249-018-0459-7,
author = {Alividza, V and Mariano, V and Ahmad, R and Charani, E and Rawson, T and Holmes, A and Castro, Sanchez EM},
doi = {10.1186/s40249-018-0459-7},
journal = {Infectious Diseases of Poverty},
title = {Investigating the impact of poverty on colonization and infection with drug-resistant organisms in humans: a systematic review},
url = {http://dx.doi.org/10.1186/s40249-018-0459-7},
volume = {7},
year = {2018}
}
TY - JOUR
AB - BackgroundPoverty increases the risk of contracting infectious diseases and therefore exposure to antibiotics. Yet there is lacking evidence on the relationship between income and non-income dimensions of poverty and antimicrobial resistance. Investigating such relationship would strengthen antimicrobial stewardship interventions.MethodsA systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, Ovid, MEDLINE, EMBASE, Scopus, CINAHL, PsychINFO, EBSCO, HMIC, and Web of Science databases were searched in October 2016. Prospective and retrospective studies reporting on income or non-income dimensions of poverty and their influence on colonisation or infection with antimicrobial-resistant organisms were retrieved. Study quality was assessed with the Integrated quality criteria for review of multiple study designs (ICROMS) tool.ResultsNineteen articles were reviewed. Crowding and homelessness were associated with antimicrobial resistance in community and hospital patients. In high-income countries, low income was associated with Streptococcus pneumoniae and Acinetobacter baumannii resistance and a seven-fold higher infection rate. In low-income countries the findings on this relation were contradictory. Lack of education was linked to resistant S. pneumoniae and Escherichia coli. Two papers explored the relation between water and sanitation and antimicrobial resistance in low-income settings.ConclusionsDespite methodological limitations, the results suggest that addressing social determinants of poverty worldwide remains a crucial yet neglected step towards preventing antimicrobial resistance.
AU - Alividza,V
AU - Mariano,V
AU - Ahmad,R
AU - Charani,E
AU - Rawson,T
AU - Holmes,A
AU - Castro,Sanchez EM
DO - 10.1186/s40249-018-0459-7
PY - 2018///
SN - 2049-9957
TI - Investigating the impact of poverty on colonization and infection with drug-resistant organisms in humans: a systematic review
T2 - Infectious Diseases of Poverty
UR - http://dx.doi.org/10.1186/s40249-018-0459-7
UR - http://hdl.handle.net/10044/1/62173
VL - 7
ER -
