Is Penicillin-Nonsusceptible Streptococcus pneumoniae a Significant Challenge to Healthcare System? A Systematic Review and Meta-Analysis

Table 2

S. pneumoniae antibiotic resistance profiles in different provinces of Iran.

Province	Antibiotic resistance (%)
	PNSP	ERY	AZM	TET	LVX	RIF	CLI	VAN	SXT	CHL	CRO	AMX	CIP	IPM	LZD	CTX	MDR
Ardabil	95.3	74.4	72.1	41.9	1.1	1.1	27.9	1.1	81.4	16.3	ND	ND	ND	ND	ND	ND	74.4
Chaharmahal and Bakhtiari	69.2	58.8	ND	ND	ND	ND	ND	ND	ND	ND	5.9	ND	11.8	ND	ND	ND	ND
East Azerbaijan	37.8	16.2	ND	ND	ND	2.7	ND	1.3	32.4	5.4	10.8	ND	8.1	ND	ND	8.1	ND
Fars	48.6	27.4	25.5	17	24.2	ND	18.5	1.9	66.2	7.3	17.1	40	20.1	ND	ND	18.6	60
Golestan	55.6	7.9	ND	36.5	ND	ND	20.6	ND	ND	ND	ND	ND	ND	ND	ND	ND	ND
Hamadan	94.5	25.5	18.2	ND	ND	ND	ND	2.5	29.1	34.8	7.1	54.3	11.6	99.1	ND	7.1	21.8
Isfahan	16.2	11.4	60	25.4	0.2	0.2	1.7	0.2	96.9	ND	60	60	3.1	ND	0	60	ND
Kermanshah	ND	ND	63.9	ND	ND	41	ND	ND	37.3	ND	3.6	56.6	ND	ND	ND	ND	41
Khuzestan	ND	ND	ND	50	ND	ND	ND	ND	7.1	ND	50	ND	ND	ND	ND	ND	ND
Qazvin	ND	ND	ND	ND	ND	ND	ND	ND	66.7	66.7	ND	ND	ND	ND	ND	ND	ND
Tehran	40.2	47.3	68.1	45.7	1.1	0.4	50.1	2.2	69.5	24.1	9.8	12.8	5.9	0.5	0	5.4	47
Sistan and Balouchastan	79.3	55.4	ND	38.1	0.9	ND	ND	0.7	81.3	12.1	2.6	16.7	1.5	0.7	ND	2	31.2
West Azerbaijan	33.3	ND	ND	ND	ND	ND	2	0.2	2	ND	ND	ND	2	ND	ND	ND	ND
Yazd	50	62.5	ND	30.6	ND	ND	ND	ND	62.5	ND	ND	ND	ND	ND	ND	ND	ND
Zanjan	57.8	ND	ND	ND	ND	ND	ND	0.9	ND	ND	ND	ND	ND	ND	ND	ND	ND