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Table 2 Microbiological findings in REF, ABROAD and ICU

From: Prevalence of multidrug-resistant organisms in refugee patients, medical tourists and domestic patients admitted to a German university hospital

  REF ABROAD ICU
number of patients 117 84 495
patients positive for at least one MDRGN (n;%; 95% CI) 61; 52.1; 42.7-61.5 35; 41.6; 31.0-52.9 39; 7.9; 5.6-10.6
subgroup surgery  
general / vascular 4; 66.7; 22.2-96.6 1; 25; 0.6-80.6 22; 14.4; 9.2-20.9
thoracic - 1; 50; 12.6-98.7 14; 5.1; 2.8-8.5
traumatology 3; 42.9; 9.9-81.6 2; 33.3; 4.3-77.7 3; 4.3; 0.9-12.2
patients positive for at least one MDRGN with CR (n;%; 95%CI) 1; 0.9; 0.0-4.7 13; 15.5; 8.5-25.0 0; 0; 0.0-0.7
total number of MDRGN 66 48 40
total number of MDRGN with CR 1 19 -
Escherichia coli  
ESBL (n;%; 95CI) 24; 20.5; 13.6-28.9 5; 5.9; 1.9-13.3 14; 2.8; 1.5-4.7
ESBL/FQ (n;%;95CI) 34; 29.1; 21.0-38.2 17; 20.2; 12.3-30.4 19; 3.8; 2.3-5.9
ESBL/FQ + CR (n;%;95CI) 1; 0.9; 0.0-4.7 2; 2.4; 0.3-8.3 -
carbapenemases (n) none detected (1) OXA-181 + NDM-5 (1)
none detected (1)
-
Klebsiella pneumoniae  
ESBL (n;%;95CI) 3; 2.6; 0.5-7.3 - 1; 0.2; 0.0-1.1
ESBL/FQ (n;%;95CI) 4; 3.4; 0.9-8.5 5; 5.9; 1.9-13.3 2; 0.4; 0.0-1.5
ESBL/FQ + CR (n;%;95CI) - 7; 8.3; 3.4-16.4 -
carbapenemases (n) - OXA-48 (2)
OXA-181 (1)
KPC-3 (1)
KPC-9 (1)
NDM-1 (1)
none detected (1)
-
other Enterobacteriaceae  
Ceph/FQ (n;%;95CI) - 2 a; 2.4; 0.3-8.3 4 b; 0.8; 0.2-2.1
Ceph/FQ + CR (n;%;95CI) - 1 c; 1.2; 0.0-6.5 -
carbapenemase (n) - none detected (1) -
Acinetobacter baumannii  
Ceph/FQ (n;%;95CI)
Ceph/FQ + CR (n;%;95CI)
- - -
- 8; 9.5; 4.2-17.9 -
carbapenemase (n) d - OXA-23 (4)
OXA-24 (1)
OXA-58 (1)
NDM-1 + OXA-23 (1)
OXA-23 + OXA-24 (1)
-
Pseudomonas aeruginosa  
Pip/Ceph/FQ + CR (n;%;95CI) - 1; 1.2; 0.0-6.5 -
carbapenemase (n) - none detected (1) -
patients positive for MRSA (n;%; 95% CI) 12; 10.3; 5.4-17.2 4; 4.8; 1.3-11.7 7; 1.4; 0.6-2.9
spa types (n) t304 (2)
t4892 (2)
  
t044 (1)
t131 (1)
t311 (1)
t325 (1)
t386 (1)
t003 (1)
t217 (1)
t325 (1)
t608 (1)
t020 (2)
t003 (1)
t223 (1)
t309 (1)
t668 (1)
t3758 (1)
t688 (1)
t790 (1)
t3422 (1)
  
  1. Abbreviations: CR carbapenem resistance, ESBL extended spectrum beta-lactamase, ESBL/FQ ESBL and additional resistance to fluoroquinolones, Ceph/FQ resistance to cephalosporins and additionally to fluoroquinolones, Pip/Ceph/FQ + CR resistance to Piperacillin and additionally Ceph/FQ + CR, MRSA methicillin-resistant Staphylococcus aureus
  2. (a) = Morganella morganii, Proteus mirabilis (n = 1 each); (b) = Enterobacter cloacae, Serratia marcescens, Proteus mirabilis, and Morganella morganii (n = 1 each); (c) = Proteus mirabilis; (d) = other than species-specific OXA-51