Table 2 Prevalence of third-generation cephalosporin resistance in E. coli, K. pneumoniae, Proteus spp., and Enterobacter spp
E. coli | K. pneumoniae | Proteus spp | 95% high | p for interaction | Enterobacter spp | 95% high | p for interaction | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Prevalence | 95% low | 95% high | p for interaction | Prevalence | 95% low | 95% high | p for interaction | Prevalence | 95% low | Prevalence | 95% low | ||||||
Year | Before 2009 | 22.82 | 1.06 | 59.59 | 0.03 | 29.82 | 16.99 | 44.43 | <0.0001 | 1.79 | 0.32 | 9.45 | <0.0001 | 20.7 | 0.78 | 52.11 | <0.0001 |
2010–2014 | 30.65 | 20.86 | 41.37 | 45.85 | 29.44 | 62.69 | 30.96 | 0 | 83.77 | 81.83 | 70.05 | 91.38 | |||||
2015–2020 | 41.21 | 33.33 | 43.15 | 65.53 | 58.02 | 72.72 | 22.97 | 8.4 | 40.75 | 61.04 | 42.5 | 78.39 | |||||
2020–2024 | 42.02 | 37.05 | 47.06 | 58.82 | 50.35 | 67.05 | 31.24 | 16.75 | 47.56 | 53.09 | 38.11 | 67.83 | |||||
University hospital | No | 37.51 | 30.69 | 44.57 | 0.17 | 57.81 | 49.54 | 65.88 | 0.73 | 23.24 | 9.92 | 39.16 | <0.0001 | 50.33 | 23 | 77.57 | 0.27 |
Yes | 46.18 | 39.67 | 52.75 | 58.66 | 52.22 | 64.98 | 30.32 | 11.04 | 53.27 | 54.4 | 40.1 | 68.41 | |||||
Rural/urban | Mixed | 40.57 | 33.28 | 48.07 | <0.0001 | 64.77 | 53.06 | 75.71 | <0.0001 | 44.67 | 23.78 | 66.42 | <0.0001 | 63.81 | 48.3 | 78.14 | <0.0001 |
Rural | 32.57 | 19.61 | 46.92 | 58.93 | 43.73 | 73.38 | 23.64 | 0.14 | 63.82 | 70.27 | 54.26 | 84.5 | |||||
Urban | 25.59 | 10.59 | 43.96 | 54.11 | 35.29 | 72.42 | 16.72 | 3.94 | 34.2 | 90 | 59.98 | 98.21 | |||||
Setting | Mixed | 44.87 | 38.84 | 50.98 | <0.0001 | 59.08 | 52.61 | 65.4 | 24.02 | 9.48 | 41.51 | <0.0001 | 65.7 | 46.77 | 82.73 | <0.0001 | |
Other | 37.48 | 17.59 | 59.65 | 19.1 | 2.61 | 43.46 | 3.7 | 0.66 | 18.28 | ||||||||
Outpatients | 29.22 | 13.65 | 47.64 | 30.73 | 12.72 | 52 | 0 | 0 | 5.68 | ||||||||
General surgery | 64.47 | 42.3 | 84 | 85.37 | 75.43 | 93.38 | 61.78 | 39.67 | 81.67 | 16.67 | 3.01 | 56.35 | |||||
Neonatal ICU | 33.47 | 18.34 | 50.16 | 77.33 | 68.85 | 84.9 | 57.89 | 37.79 | 76.89 | ||||||||
Adult ICU | 37.59 | 17 | 60.69 | 47.97 | 17.14 | 76.94 | |||||||||||
Ginecology | 54.56 | 11.91 | 93.65 | 52.93 | 14.46 | 89.81 | 100 | 20.65 | 100 | ||||||||
Medical wards | 46.7 | 27.37 | 66.51 | 42.19 | 17.03 | 69.55 | 83.33 | 64.15 | 93.32 | 12.12 | 0 | 43.57 | |||||
Type of infection | UTI | 43.42 | 33.84 | 53.24 | <0.0001 | 46.55 | 35.64 | 57.6 | <0.0001 | 17.1 | 6.26 | 31.12 | <0.0001 | 59.39 | 21.89 | 92.44 | <0.0001 |
Mixed | 43.95 | 34.52 | 53.6 | 54.74 | 42.58 | 66.63 | 29.86 | 9.46 | 54.84 | 60.33 | 26.05 | 90.1 | |||||
BSI | 34.31 | 25.71 | 43.38 | 73.91 | 66.39 | 80.85 | 12.08 | 0 | 59.8 | 47.2 | 29.5 | 65.18 | |||||
Surgical site infection | 69.57 | 56.74 | 81.14 | 74.02 | 53.18 | 90.71 | 68.42 | 45.09 | 88.47 | 80.21 | 69.31 | 89.34 | |||||
Neonatal sepsis | 28.27 | 7.5 | 54.15 | 74.48 | 60.97 | 86.08 | 72.39 | 53.6 | 88.18 | ||||||||
Intra-abdominal | 14.06 | 4.12 | 28.39 | 43.75 | 29.93 | 58.05 | |||||||||||
CNS | 24.85 | 12.77 | 39.1 | 56.08 | 36.03 | 75.28 | 7.41 | 2.06 | 23.37 | ||||||||
CVC | 32.73 | 21.81 | 45.9 | 59.18 | 45.25 | 71.18 | 57.14 | 25.05 | 84.18 | ||||||||
Otitis | 32.29 | 4.62 | 69.14 | 21.64 | 0.78 | 56.49 | 14.29 | 4.98 | 34.64 | ||||||||
Geographical Area | West Africa | 49.85 | 41.27 | 58.44 | <0.0001 | 57.62 | 48.41 | 66.59 | <0.0001 | 21.12 | 5.35 | 41.79 | 0.25 | 51.62 | 33.51 | 69.55 | <0.0001 |
South Africa | 23.39 | 16.92 | 30.47 | 59.72 | 45.6 | 73.11 | 15.62 | 0 | 49.92 | 15.74 | 9.3 | 23.34 | |||||
Central Africa | 27.06 | 13.12 | 43.59 | 37.13 | 21.48 | 54.19 | 18.41 | 10.39 | 27.92 | 95.61 | 72.93 | 100 | |||||
East Africa | 44.26 | 37.61 | 51.02 | 59.71 | 52.53 | 66.71 | 32.21 | 18.69 | 47.08 | 53.79 | 34.47 | 72.65 | |||||