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Table 3 Antibiotic resistance of bacteria isolated from invasive neonatal infections in developing countries (2000-May 2014)

From: Burden of bacterial resistance among neonatal infections in low income countries: how convincing is the epidemiological evidence?

Study, year

Location, setting

Pathogen

Resistant% (95% CI)

   

Penicillin/ampicillin

Gentamicin

3rd generation cephalosporins

% ESBL*

Mugalu et al. [15]

Uganda, urban

17 E. coli†,‡

100§

29 (7–51)

6 (0–17)

--

2002

 

7 Group B Streptococcus†

14 (0–40)

57 (20–94)

--

NA

Gray et al. [29]

Malawi, urban

57 Group B Streptococcus†

0§

--

0§

NA

2004-2005

      

Shitaye et al. [19]

Ethiopia, urban

30 S. aureus

67% (50–84) resistance to meticillin

NA

2006-2007

     

Talbert et al. [24]

Kenya, rural

48 Acinetobacter spp.†, ||

56 (42–70)

27 (14–39)

35 (22–48)

--

2001-2009

 

49 K. pneumoniae†

96 (91–100)

49 (35–63)

43 (29–57)

--

  

39 S. pyogenes†

0§

--

--

--

  

41 E. coli†

78 (65–91)

10 (1–19)

17 (5–29)

--

  

55 S. aureus†

0% resistance to meticillin§

NA

Mhada et al.

Tanzania, urban

22 Klebsiella spp. ||

100§

77 (57–90)

18 (7–39)

--

2009-2010

 

41 E. coli

93 (69–99)

43 (21-67

14 (4–40)

--

Kruse et al. [30]

Vietnam, urban

78 Klebsiella spp. †,||

100§

85 (75–91)

86 (76–92), 71 (60–79) ¶

--

2009-2010

 

58 Acinetobacter spp. †,||

85 (73–92)

50 (38–62)

82 (71–80), 71 (58–81) ¶

--

  

21 E. coli†

86 (65–95)

57 (37–76)

58 (37–76), 42 (24–63) ¶

--

  

16 Enterobacter spp. †,||

93 (72–99)

62 (39–82)

62 (39–82), 50 (28–72) ¶

--

  

6 Pseudomonas spp. †,||

100§

48 (19–81)

83 (44–97) ,33 (10–70) ¶

--

  

11 S. Aureus†

55% (28–79) resistance to meticillin

 

Jain et al. [26]

India, urban

86 Klebsiella spp. ||

100§

89 (82–96)

63 (53–73), 49 (38–60) ¶

87 (80–94)

2001-2002

 

80 Enterobacter spp. ||

100§

93 (87–99)

64 (53–75), 54 (43–65) ¶

73 (63–83)

  

49 E. coli

96 (91–100)

90 (72–98)

65 (52–78), 41 (27–55) ¶

65 (52–78)

Zakariya et al. [25]

India, urban

33 K. pneumoniae†

--

100§

97(85–99), 97(85–99) ¶

32 (20–50)

2004-2006

      

Mir et al. [28]

Pakistan, urban

52 Pseudomonas spp. †,||

--

0§

--

--

2004-2007

 

12 Klebsiella spp†,||

--

8 (0–23)

8 (0–23)

--

  

9 E. coli†

--

0§

11 (0–31)

--

  

304 S. aureus†

4% (2–6) resistance to meticillin

 

Gyawali et al. [12]

Nepal, urban

82 Enterobacteriacea ?

94 (87–97)

70 (59–78)

83 (73–90), 79 (69–87), 87 (78–92) ¶

--

2009-2010

 

21 Pseudomonas spp. ||

--

37 (21–59)

47 (28–68), 71 (50–86), 67 (45–82) ¶

--

  

30 Acinetobacer spp. ||

--

56 (39–73)

53 (36–70), 65 (46–78), 73 (56–86) ¶

--

Shresta et al. [20]

Nepal, urban

8 K. pneumoniae

38 (14–69)

0§

--

--

2011-2012

      

Macharashvili et al. [14]

Georgia, urban

45 Klebsiella spp. †,‡, ||

98 (94–100)

11 (2–20)

16 (5–27), 18 (7–29) ¶

--

2003-2004

 

11 E. coli†,‡

55 (26–84)

18 (0–41)

9 (0–26), 9 (0–26) ¶

--

  

15 S. aureus

40% (15–65) resistance to meticillin

 
  1. *Extended-spectrum beta-lactamase.
  2. †Results were presented for sensitivity, resistance calculated as 100 minus% sensitive.
  3. ‡Penicillin results based on amoxicillin.
  4. §Calculation of a CI was impossible.
  5. ||Pathogens marked spp. means no further characterization was presented.
  6. ¶Multiple 3GCs were tested.