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Table 3 Antimicrobial resistance in selected pathogens causing surgical site infections (SSIs) in 4 MNGHA hospitals in Saudi Arabia (2007–2016)

From: High contribution and impact of resistant gram negative pathogens causing surgical site infections at a multi-hospital healthcare system in Saudi Arabia, 2007–2016

 

CSEC

(N = 137)

COLO

(N = 27)

CBGB

(N = 155)

CHOL

(N = 19)

HER

(N = 18)

KPRO

(N = 18)

Others

(N = 36)

Total

(N = 410)

Tested pathogens

Staphylococcus aureus

60 (89.6%)

1 (100.0%)

26 (92.9%)

3 (100.0%)

3 (60.0%)

5 (71.4%)

1 (100.0%)

99 (88.4%)

Enterococcus spp.

9 (90.0%)

2 (40.0%)

7 (87.5%)

1 (50.0%)

3 (100.0%)

 

1 (100.0%)

23 (79.3%)

Klebsiella spp. (cephalosporins)

15 (100.0%)

4 (100.0%)

24 (82.8%)

3 (75.0%)

2 (100.0%)

1 (100.0%)

3 (60.0%)

52 (86.7%)

Enterobacteriaceae

35 (92.1%)

7 (63.6%)

37 (60.7%)

8 (80.0%)

4 (80.0%)

3 (100.0%)

16 (80.0%)

110 (74.3%)

Acinetobacter spp.

1 (100.0%)

1 (100.0%)

4 (100.0%)

1 (100.0%)

 

1 (100.0%)

4 (100.0%)

12 (100.0%)

Pseudomonas aeruginosa

18 (94.7%)

6 (100.0%)

51 (98.1%)

2 (100.0%)

5 (100.0%)

6 (85.7%)

8 (100.0%)

96 (97.0%)

Klebsiella spp. (at least 3 classes)

10 (66.7%)

4 (100.0%)

24 (82.8%)

4 (100.0%)

2 (100.0%)

1 (100.0%)

4 (80.0%)

49 (81.7%)

Escherichia coli

12 (70.6%)

7 (87.5%)

15 (93.8%)

5 (100.0%)

1 (50.0%)

1 (50.0%)

8 (80.0%)

49 (81.7%)

Resistance types

 MRSA

20 (33.3%)

1 (100.0%)

6 (23.1%)

1 (33.3%)

0 (0.0%)

2 (40.0%)

0 (0.0%)

30 (30.3%)

 VRE

0 (0.0%)

1 (50.0%)

1 (14.3%)

1 (100.0%)

0 (0.0%)

 

0 (0.0%)

3 (13.0%)

 CephR Klebsiella

1 (6.7%)

1 (25.0%)

4 (16.7%)

2 (66.7%)

2 (100.0%)

1 (100.0%)

2 (66.7%)

13 (25.0%)

 CRE

1 (2.9%)

2 (28.6%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

1 (33.3%)

2 (12.5%)

6 (5.5%)

 MDR Acinetobacter

0 (0.0%)

1 (100.0%)

2 (50.0%)

1 (100.0%)

 

1 (100.0%)

2 (50.0%)

7 (58.3%)

 MDR Pseudomonas

0 (0.0%)

1 (16.7%)

4 (7.8%)

0 (0.0%)

0 (0.0%)

1 (16.7%)

1 (12.5%)

7 (7.3%)

 MDR Klebsiella

0 (0.0%)

1 (25.0%)

3 (12.5%)

1 (25.0%)

2 (100.0%)

1 (100.0%)

2 (50.0%)

10 (20.4%)

 MDR Escherichia coli

2 (16.7%)

2 (28.6%)

0 (0.0%)

2 (40.0%)

0 (0.0%)

0 (0.0%)

2 (25.0%)

8 (16.3%)

  1. Abbreviations: As in Table 1. Tested pathogens referred to pathogens tested out of pathogens causing SSI; resistance was presented out of pathogens tested; MRSA Methicillin-resistant Staphylococcus aureus, VRE Vancomycin-resistant Enterococcus, CephR Klebsiella Cephalosporin resistant Klebsiella, CRE Carbapenem resistant Enterobacteriaceae, MDR Multidrug resistant gram negative pathogens that tested non-susceptible (resistant or intermediate) to at least one agent in at least 3 out of 5 antimicrobial classes (see Methods)