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Table 2 Susceptibility (of bacteria from blood cultures taken from neonates less than 48 h old) to antimicrobials used for empiric treatment of neonatal BSI

From: Neonatal bloodstream infections in a Ghanaian Tertiary Hospital: Are the current antibiotic recommendations adequate?

Organisms

Susceptibility

 

Ampicillin + Gentamicin (A)

Ampicillin + Cefotaxime (B)

Cloxacillin + Gentamicin (C)

Regimen coverage

 

Number of isolates

Number Tested (%)

Number susceptible (%)

Number Tested (%)

Number susceptible (%)

Number Tested (%)

Number susceptible (%)

Gram negatives

109

101 (92.6)

38 (37.6)a

68 (62.4)

32 (47.1)a

75 (68.8)

52 (69.3)b

C > B = A; p = 0.001

Enterobacteriacea

79

74 (93.7)

24 (32.4)

55 (69.6)

27 (49.1)

53 (67.1)

37 (69.8)

 

Acinetobacter species

16

16 (100)

10 (62.5)

13 (81.2)

5 (38.4)

13 (81.2)

8 (61.5)

 

Pseudomonas species

11

11 (100)

4 (36.4)

-

-

9 (81.8)

7 (77.7)

 

 Others

3

       

Gram positives

610

511 (83.8)

159 (31.1)b

356 (58.4)

56 (15.7)a

211 (34.6)

153 (72.5)b

C > A > B; p = 0.001

Enterococcus species

43

37 (86.1)

8 (21.6)

37 (86.1)

7 (18.9)

-

-

 

Staphylococcus aureus

76

67 (88.2)

34 (50.7)

59 (77.6)

5 (8.5)

69 (90.7)

46 (66.7)

 

 CoNS

431

376 (87.2)

107 (28.5)

226 (52.4)

26 (11.5)

111 (25.7)

93 (83.7)

C > A > B; p = 0.001

Streptococcus species

59

31 (52.5)

10 (32.3)

34 (57.6)

18 (30.5)

31 (52.5)

14 (45.2)

 

 Others

1

       

Total

719

612 (85.1)

a197 (32.2)b

424 (58.9)

a 88 (20.7) a

286 (40.0)

a205 (71.7)c

C > A > B; p = 0.001

Total excluding CoNS

288

236 (81.9)

a90 (38.1)a

198 (68.8)

b 62 (31.3)a

175 (60.7)

a112 (64.0)b

C > B = A; p = 0.001

Polymicrobial infections

20

19 (95.0)

4 (21)a

18 (90.0)

2 (11.1)a

20 (100.0)

5 (25.0)a

C = B = A; p = 0.540

 2 organisms

17

16 (94.1)

1 (6.3)

15 (88.2)

1 (6.7)

17 (100)

4 (23.5)

 

 3 organisms

3

3 (100)

3 (100)

3 (100)

1 (33.3)

3 (100)

1 (33.3)

 
  1. Based on in-vitro susceptibility. Data on isolates with insufficient numbers (n ≤ 5) not shown. For polymicrobial infections, all isolates were susceptible to at least one of the treatment antibiotics
  2. A, Ampicillin plus Gentamicin; B, Ampicillin plus cefotaxime; C, Cloxacillin plus gentamicin; CoNS, Coagulase negative Staphylococcus species. Other Gram-negatives included Neisseria species (n = 1), Stenophromonas species (n = 1) and Moraxella species (n = 1). Other Gram-positives included Micrococcus species
  3. Differing superscripts across row denotes differences in the proportion of susceptible isolates to antimicrobial regimen. Differences in proportions computed by Chi square with Marascuilo’s Post Hoc Multiple proportion comparisons at p-value <0.05. Differing subscripts within a column denotes differences in the proportion of susceptible isolates to antimicrobial regimen