Table 3 Prevalence of third-generation cephalosporin resistance in P. aeruginosa and A. baumannii by year, setting, infection type, and region

From: Third-generation Cephalosporin resistance in Sub-Saharan Africa: a systematic review and meta-analysis

  

P. aeruginosa

95% high

p for interaction

A. baumannii

95% high

p for interaction

Prevalence

95% low

Prevalence

95% low

Year

Before 2009

27.61

20.28

38.52

0.016

30.37

21.49

40.03

<0.0001

 

2010–2014

18.96

2.63

43.61

 

59.24

44.4

73.41

 
 

2015–2020

40.06

24.64

56.42

 

36.88

14.41

62.19

 
 

After 2020

45.85

23.52

68.99

 

65.21

49.33

79.71

 

University hospital

No

44.95

26.99

63.51

0.36

33.15

7.82

64.15

0.15

 

Yes

34.32

20.59

49.37

 

57.61

44.47

70.3

 

Rural/urban

Mixed

42.66

19.62

67.23

<0.0001

58.88

20.74

92.2

0.1

 

Rural

39.81

13.13

69.88

 

44.39

3.54

90.08

 
 

Urban

21.11

6.08

41.01

 

62.33

49.97

74.05

 

Setting

Mixed

36.39

23.09

50.71

<0.0001

35.2

17.48

54.87

<0.0001

 

Other

    

40

16.82

68.73

 
 

General surgery

62.59

26.07

92.66

 

80

37.55

96.38

 
 

Neonatal ICU

64.92

53.26

75.8

 

56.33

30.65

80.43

 
 

Adult ICU

10.77

5.32

20.6

 

46.15

23.21

70.86

 
 

Ginecology

100

34.24

100

     
 

Medical wards

100

74.12

100

 

62.5

38.64

81.52

 

Type of infection

UTI

78.28

63.47

90.47

 

46.15

23.21

70.86

0.01

 

Mixed

37.46

23.68

52.26

 

32.86

13.1

56.09

 
 

BSI

26

0.66

64.42

 

39.29

14.06

67.32

 
 

Surgical site infection

41.72

18.77

66.46

 

83.98

67.17

96.26

 
 

Neonatal sepsis

    

77.78

45.26

93.68

 
 

Intra-abdominal

22.59

16.05

29.79

     
 

CNS

    

40

16.82

68.73

 
 

Otitis

22.1

16.79

27.89

     

Geographical Area

West Africa

23.89

2.52

54.56

<0.0001

33.06

8.48

62.68

0.36

 

South Africa

18.8

13.84

24.31

 

60.86

33.98

84.91

 
 

Central Africa

22.92

14.58

32.45

 

25

7.15

59.07

 
 

East Africa

50.94

37.13

64.68

 

48.94

28.62

69.41

 
  1. Estimates are from random-effects meta-analysis with two-sided 95% CIs. p-values for interaction are derived from meta-regression and exact values are reported in the table (e.g., p = 0.016, p = 0.36, p < 0.0001). No multiple-comparison adjustments were applied.
  2. ICU Intensive Care Unit, UTI urinary tract infections, BSI bloodstream infections, CNS Central Nervous System Infections.