- Systematic Review
Poultry production is a major reservoir for antibiotic-resistant bacteria and an important contributor to the spread of zoonotic pathogens, representing a growing One Health concern, particularly in developing countries. This systematic review and meta-analysis aimed to characterize the most common microbiological and antibiotic resistance profiles across the poultry production chain in Africa. Following PRISMA 2020 guidelines, Scopus, PubMed, and Web of Science were searched for studies conducted in Africa and published between January 2015 and April 2026. Eligible studies were original peer-reviewed research articles reporting quantitative microbiological outcomes from the poultry production chain, using observational or experimental designs. Of 390 records initially identified, 46 studies met the eligibility criteria and were included in the quantitative synthesis. The methodological quality of the included studies was independently assessed by two reviewers using the Joanna Briggs Institute checklist for prevalence studies. Egypt accounted for the largest proportion of studies (15/46; 33%). High pooled prevalences were observed in environmental matrices, such as chicken droppings (86%) and chicken litter (69%), and in stool samples from poultry and slaughterhouse workers (69%), indicating substantial environmental bacterial circulation and occupational exposure. Escherichia coli was detected across all matrices, reaching 100% in chicken droppings, followed by Salmonella and Campylobacter spp. High resistance rates were observed for amoxicillin/clavulanic acid, nalidixic acid, and tetracyclines, while mcr-1 and tetC were generally detected at low frequencies. Because heterogeneity was very high (I2 ≈ 70–100%) and most studies came from North Africa, the pooled estimates should be interpreted as indicative trends rather than definitive continental prevalence estimates. These findings highlight the poultry production chain in Africa as an important reservoir and pathway for antimicrobial-resistant bacteria, with relevant implications for human, animal, and environmental health. The review protocol was registered with INPLASY (INPLASY202680083; doi:10.37766/inplasy2026.8.0083).
13 November 2026


![PRISMA diagram of the systematic review. Steps [35] followed by this systematic review according to the PRISMA (“Preferred Reporting Items for Systematic Reviews and Meta-Analyses”) guidelines [29,36].](https://mdpi-res.com/poultry/poultry-05-00079/article_deploy/html/images/poultry-05-00079-g001-550.jpg)





