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Table 2 Pooled S. pneumoniae detection rates overall and in subgroups by study characteristics

From: Alterations in the prevalence and serotypes of Streptococcus pneumoniae in elderly patients with community-acquired pneumonia: a meta-analysis and systematic review

Population

Data (n)

Total (n)

Positive (n)

Proportion (95% CI)(%)

I² (%)

P for interaction

Continent

65

91,189

13,703

14.8 (12.3, 17.8)

98.3

0.060

 Asia

36

25,635

3,333

12.5 (9.6, 16.1)

95.4

 

 Europe

21

25,508

5,505

20.0 (14.7, 26.7)

98.8

 

 North America

78

40,046

4,865

13.7 (10.6, 17.5)

88.0

 

Country

65

91,189

13,703

14.8 (12.3, 17.8)

98.3

< 0.001

 America

4

12,656

1,570

16.1 (8.7, 27.9)

90.1

 

 Canada

4

27,390

3,295

12.3 (11.1, 13.6)

88.8

 

 China

2

1,009

70

7.2 (5.2, 9.9)

40.8

 

 England

7

7,879

1,872

26.2 (13.0, 45.7)

99.4

 

 Iceland

2

665

106

15.8 (11.9, 20.8)

59.4

 

 Israel

2

996

65

5.9 (2.1, 15.6)

93.1

 

 Japan

13

8,648

1,380

18.0 (10.5, 28.9)

96.0

 

 Korea

9

12,217

1,441

11.6 (9.5, 14.0)

91.1

 

 Malaysia

1

89

7

7.9 (3.8, 15.6)

-

 

 Netherlands

1

505

124

24.6 (21.0, 28.5)

-

 

 Norway

2

529

45

8.5 (6.4, 11.2)

0

 

 Pakistan

2

698

103

10.8 (3.4, 29.5)

93.2

 

 Poland

1

51

2

3.9 (1.0, 14.4)

-

 

 Portugal

1

1,635

192

11.7 (10.3, 13.4)

-

 

 Singapore

3

300

54

15.3 (5.1, 38.0)

90.2

 

 Spain

6

13,762

3,099

25.4 (19.1, 33.0)

97.9

 

 Thailand

1

490

15

3.1 (1.9, 5.0)

-

 

 Turkey

3

1,218

198

10.5 (3.4, 28.0)

93.2

 

 Greece

1

482

65

13.5 (10.7, 16.8)

-

 

Developmental stage

65

91,189

13,703

14.8 (12.3, 17.8)

98.3

0.010

 Developing country

9

3,504

393

8.5 (5.3, 13.4)

94.2

 

 Developed country

56

87,685

13,310

16.1 (13.3, 19.4)

98.5

 

Study design

65

91,189

13,703

14.8 (12.3, 17.8)

98.3

0.051

 Cohort study

39

46,250

7,898

16.9 (13.2, 21.5)

98.6

 

 Cross-sectional study

22

15,235

2,258

12.1(8.9, 16.3)

94.1

 

 Surveillance

4

29,704

3,547

11.8 (10.0, 13.8)

92.6

 

Clinical setting

65

91,189

13,703

14.8 (12.3, 17.8)

98.3

0.099

 Outpatient or emergency

6

7,449

790

8.9 (5.4, 14.6)

97.7

 

 Inpatient

53

82,769

12,694

15.8 (13.0, 19.2)

98.5

 

 ICU

6

971

219

12.9 (5.5, 27.3)

93.2

 

Laboratory diagnosis

65

91,189

13,703

14.8 (12.3, 17.8)

98.3

0.031

 Culture

18

11,986

1,317

9.2 (5.8, 14.2)

97.1

 

 UAT

8

8,171

1,232

12.8 (9.6, 17.0)

95.4

 

 Culture and UAT

10

37,495

5,904

17.0 (13.2, 21.6)

99.0

 

 PCR

3

1,581

232

21.1 (5.2, 56.4)

98.2

 

 Mixed

26

31,956

5,018

19.2 (14.8, 24.5)

98.8

 
  1. mixed: combination of multiple detection methods