Examining the Efficacy of Antimicrobial Therapy in Preventing the Development of Postinfectious Glomerulonephritis: A Systematic Review and Meta-Analysis
Postinfectious glomerulonephritis (PIGN) is an immune-mediated acute glomerulonephritis classically seen weeks after infection with <i>Streptococcus pyogenes</i>, although other infectious etiologies have emerged. While it has become increasingly rare in industrialized regions, it contin...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-03-01
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| Series: | Infectious Disease Reports |
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| Online Access: | https://www.mdpi.com/2036-7449/14/2/22 |
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| author | Emily Bateman Sara Mansour Euchariachristy Okafor Kedzie Arrington Bo-Young Hong Jorge Cervantes |
| author_facet | Emily Bateman Sara Mansour Euchariachristy Okafor Kedzie Arrington Bo-Young Hong Jorge Cervantes |
| author_sort | Emily Bateman |
| collection | DOAJ |
| description | Postinfectious glomerulonephritis (PIGN) is an immune-mediated acute glomerulonephritis classically seen weeks after infection with <i>Streptococcus pyogenes</i>, although other infectious etiologies have emerged. While it has become increasingly rare in industrialized regions, it continues to affect children in developing countries. There has been debate as to why incidence rates are declining, including the possibility of improved initial treatment of bacterial infections. The ability of antimicrobial therapy in preventing PIGN as infectious sequelae, however, has not been comprehensively assessed. As varying evidence from published studies exists, the objective of this meta-analysis is to determine if antimicrobial therapy utilized to treat an initial infection has an effect in reducing the development of PIGN in humans. EMBASE, MEDLINE, and CENTRAL were searched using a comprehensive terminology strategy. From an initial search that returned 337 publications, 9 articles were included for analysis. Eight studies showed an incidence of PIGN after antimicrobial use ranging from 0.05% to 10% with a mean standardized difference (MSD) of 0.03 (0.01–0.06). Three studies showed an occurrence of PIGN without antibiotic use ranging from 1% to 13% with an MSD of 0.06 (−0.09–0.21). Our findings suggest that antimicrobial treatment for the initial infection may help diminish the development of PIGN. Although <i>Streptococcus pyogenes</i> infections are generally treated aggressively to prevent rheumatic fever, these findings may help further support the early treatment of bacterial infections to prevent postinfectious sequelae, especially as we consider other infectious etiologies of PIGN antimicrobial resistance. |
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| format | Article |
| id | doaj.art-eae6b35be29f470e9117b1db0fc238fb |
| institution | Directory Open Access Journal |
| issn | 2036-7449 |
| language | English |
| last_indexed | 2024-03-09T13:35:34Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Infectious Disease Reports |
| spelling | doaj.art-eae6b35be29f470e9117b1db0fc238fb2023-11-30T21:13:17ZengMDPI AGInfectious Disease Reports2036-74492022-03-0114217618310.3390/idr14020022Examining the Efficacy of Antimicrobial Therapy in Preventing the Development of Postinfectious Glomerulonephritis: A Systematic Review and Meta-AnalysisEmily Bateman0Sara Mansour1Euchariachristy Okafor2Kedzie Arrington3Bo-Young Hong4Jorge Cervantes5Paul L Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX 79905, USAPaul L Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX 79905, USAPaul L Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX 79905, USAPaul L Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX 79905, USAWoody L Hunt School of Dental Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX 79905, USAPaul L Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX 79905, USAPostinfectious glomerulonephritis (PIGN) is an immune-mediated acute glomerulonephritis classically seen weeks after infection with <i>Streptococcus pyogenes</i>, although other infectious etiologies have emerged. While it has become increasingly rare in industrialized regions, it continues to affect children in developing countries. There has been debate as to why incidence rates are declining, including the possibility of improved initial treatment of bacterial infections. The ability of antimicrobial therapy in preventing PIGN as infectious sequelae, however, has not been comprehensively assessed. As varying evidence from published studies exists, the objective of this meta-analysis is to determine if antimicrobial therapy utilized to treat an initial infection has an effect in reducing the development of PIGN in humans. EMBASE, MEDLINE, and CENTRAL were searched using a comprehensive terminology strategy. From an initial search that returned 337 publications, 9 articles were included for analysis. Eight studies showed an incidence of PIGN after antimicrobial use ranging from 0.05% to 10% with a mean standardized difference (MSD) of 0.03 (0.01–0.06). Three studies showed an occurrence of PIGN without antibiotic use ranging from 1% to 13% with an MSD of 0.06 (−0.09–0.21). Our findings suggest that antimicrobial treatment for the initial infection may help diminish the development of PIGN. Although <i>Streptococcus pyogenes</i> infections are generally treated aggressively to prevent rheumatic fever, these findings may help further support the early treatment of bacterial infections to prevent postinfectious sequelae, especially as we consider other infectious etiologies of PIGN antimicrobial resistance.https://www.mdpi.com/2036-7449/14/2/22postinfectious glomerulonephritis<i>Streptococcus pyogenes</i>antimicrobialantibiotic |
| spellingShingle | Emily Bateman Sara Mansour Euchariachristy Okafor Kedzie Arrington Bo-Young Hong Jorge Cervantes Examining the Efficacy of Antimicrobial Therapy in Preventing the Development of Postinfectious Glomerulonephritis: A Systematic Review and Meta-Analysis Infectious Disease Reports postinfectious glomerulonephritis <i>Streptococcus pyogenes</i> antimicrobial antibiotic |
| title | Examining the Efficacy of Antimicrobial Therapy in Preventing the Development of Postinfectious Glomerulonephritis: A Systematic Review and Meta-Analysis |
| title_full | Examining the Efficacy of Antimicrobial Therapy in Preventing the Development of Postinfectious Glomerulonephritis: A Systematic Review and Meta-Analysis |
| title_fullStr | Examining the Efficacy of Antimicrobial Therapy in Preventing the Development of Postinfectious Glomerulonephritis: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Examining the Efficacy of Antimicrobial Therapy in Preventing the Development of Postinfectious Glomerulonephritis: A Systematic Review and Meta-Analysis |
| title_short | Examining the Efficacy of Antimicrobial Therapy in Preventing the Development of Postinfectious Glomerulonephritis: A Systematic Review and Meta-Analysis |
| title_sort | examining the efficacy of antimicrobial therapy in preventing the development of postinfectious glomerulonephritis a systematic review and meta analysis |
| topic | postinfectious glomerulonephritis <i>Streptococcus pyogenes</i> antimicrobial antibiotic |
| url | https://www.mdpi.com/2036-7449/14/2/22 |
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