The Prevalence of Metallo-Beta-Lactamese-(ML)-Producing Pseudomonas aeruginosa Isolates in Brazil: A Systematic Review and Meta-Analysis

The purpose of the current study is to describe the prevalence of Pseudomonas aeruginosa (PA)-producing M beta L among Brazilian isolates and the frequency of bla(SPM-1) in M beta L-PA-producing isolates. From January 2009 to August 2023, we carried out an investigation on this subject in the internet databases SciELO, PubMed, Science Direct, and LILACS. A total of 20 papers that met the eligibility requirements were chosen by comprehensive meta-analysis software v2.2 for data retrieval and analysis by one meta-analysis using a fixed-effects model for the two investigations. The prevalence of M beta L-producing P. aeruginosa was 35.8% or 0.358 (95% CI = 0.324-0.393). The studies' differences were significantly different from one another (x(2) = 243.15; p < 0.001; I-2 = 92.18%), so they were divided into subgroups based on Brazilian regions. There was indication of asymmetry in the meta-analyses' publishing bias funnel plot; so, a meta-regression was conducted by the study's publication year. According to the findings of Begg's test, no discernible publishing bias was found. bla(SPM-1) prevalence was estimated at 66.9% or 0.669 in M beta L-PA isolates (95% CI = 0.593-0.738). The analysis of this one showed an average heterogeneity (x(2) = 90.93; p < 0.001; I-2 = 80.20%). According to the results of Begg's test and a funnel plot, no discernible publishing bias was found. The research showed that M beta L-P. aeruginosa and SPM-1 isolates were relatively common among individuals in Brazil. P. aeruginosa and other opportunistic bacteria are spreading quickly and causing severe infections, so efforts are needed to pinpoint risk factors, reservoirs, transmission pathways, and the origin of infection.