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Table 3 Susceptibility (of bacteria from blood cultures taken from neonates between 2 to 28 days) to antimicrobials used for empiric treatment of neonatal septicaemia

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

Organisms

Number of isolates

Susceptibility

Ampicillin + Gentamicin (A)

Ampicillin + Cefotaxime (B)

Cloxacillin + Gentamicin (C)

Regimen coverage

 

Number Tested (%)

Number susceptible (%)

Number Tested (%)

Number susceptible (%)

Number Tested (%)

Number susceptible (%)

Gram negatives

220

200 (90.9)

72 (36.0)a

188 (85.4)

92 (48.9)a

173 (0.78)

102 (46.3)b

C > B = A; p = 0.001

   Enterobacteriacea

160

145 (90.6)

44 (30.3)

149 (93.1)

75 (50.3)

131 (81.8)

78 (59.5)

 

   Acinetobacter species

43

40 (93.0)

22 (55.0)

39 (90.7)

17 (43.6)

31 (72.1)

17 (54.8)

 

   Pseudomonas species

16

15 (93.7)

6 (40.0)

-

-

11 (68.7)

7 (63.6)

 

  Others

1

       

Gram positives

811

762 (93.9)

276 (36.3)b

770 (94.9)

144 (18.7)a

723 (89.1)

468 (64.7)c

C > B < A; p = 0.001

   Enterococcus species

36

29 (80.5)

8 (27.5)

34 (94.4)

9 (26.4)

-

-

 

   Staphylococcus aureus

159

143 (89.9)

64 (44.7)

151 (94.9)

22 (14.6)

142 (89.3)

82 (57.7)

 

  CoNS

549

539 (98.2)

183 (34.0)b

540 (98.3)

97 (17.9)a

531 (96.7)

366 (68.9)c

C > B < A; p = 0.001

   Streptococcus species

58

51 (97.9)

21 (41.0)

45 (77.5)

16 (35.5)

50 (86.2)

20 (40.0)

 

  Others

9

       

Total

1031

962 (93.3)

a348 (36.2)b

958 (92.9)

a236 (24.6)a

896 (86.9)

a570 (63.6)c

C > B < A; p = 0.001

Total excluding CoNS

482

423 (87.8)

a165 (39.0)b

418 (86.7)

b139 (33.2)a

365 (75.7)

b204 (55.8)c

C > B < A; p = 0.001

Polymicrobial infections

25

16 (64.0)

3 (18.7)

14 (56.0)

3 (21.4)

16 (64.0)

6 (37.7)

C = B = A; p = 0.431

  2 organisms

22

14 (63.6)

2 (14.2)

12 (54.5)

2 (16.7)

15 (68.2)

5 (33.3)

 

  3 organisms

3

2 (66.7)

1 (50.0)

2 (66.7)

1 (50.0)

1 (33.3)

1 (100.0)

 
  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 (n = 5), and Sterptomyces species (n = 4)
  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