Prevalence of linezolid resistance in Streptococcus pneumoniae isolates: a systematic review and meta-analysis

Future Microbiol. 2024 Mar:19:449-459. doi: 10.2217/fmb-2023-0170. Epub 2024 Mar 18.

Abstract

Aim: This study aimed to understand the current level of linezolid (LNZ) resistance in Streptococcus pneumoniae isolates reported over the past 10 years. Material & methods: An electronic search was conducted for the following keywords: ((Streptococcus pneumoniae [title/abstract]) OR (Pneumococcus [title/abstract]) OR (Pneumococci [title/abstract]) AND (linezolid [title/abstract]) OR (Zyvox [title/abstract])) OR (Zyvoxid [title/abstract])). Result: Out of all the studies, 80 had a cross-sectional design, while 11 followed a cohort approach. The prevalence of LNZ resistance among S. pneumoniae isolates ranged from 0% to 4.86%. Discussion: Urgent, high-powered, randomized, controlled trials with participants from endemic regions are needed to gain a comprehensive understanding of the impact on and significance of LNZ treatment to patients.

Keywords: Streptococcus pneumoniae; community-acquired pneumonia; linezolid; resistant; treatment.

Publication types

  • Meta-Analysis
  • Systematic Review
  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents* / pharmacology
  • Cross-Sectional Studies
  • Drug Resistance, Bacterial
  • Humans
  • Linezolid / pharmacology
  • Microbial Sensitivity Tests
  • Prevalence
  • Streptococcus pneumoniae* / genetics

Substances

  • Linezolid
  • Anti-Bacterial Agents